"so far i have had the paragard for about 4 months and i can&#039;t complain. it&#039;s good for 10 years and after recently giving birth to my second child i love the long term option. it&#039;s been effective so far. but there are some down sides, heavy bleeding definitely is a factor is deciding if you want it. when i say heavy i mean changing a tampon almost 6-8 times a day. but in my opinion it&#039;s worth it. also the cramps are not great. they feel like mild contractions, again to me it&#039;s worth not getting pregnant again. insertion was not bad compared to the reviews that i read before getting it. i believe having kids factors into the amount of pain there is. basically it was a minor pinch and that was it! that day i forgot i had even got it."