"i got my paragard about two months ago now. i love it! the only negatives i&#039;ve encountered because of it is very intense cramps during the first four days of my period and occasional spotting while i&#039;m not on my period, both of which i&#039;ve never had to deal with before getting it inserted. as for the cramps- they&#039;re terrible (and i would describe myself as having a high pain tolerance), and can leave me short of breath if i don&#039;t keep up to date with midol and pamprin for the first 4-5 days of my cycle. if i do, it&#039;s completely manageable!"