"1 is the lowest score option, but the paragard actually deserves a negative rating. it did it&#039;s job for birth control, but wreaked havoc on me both physically and mentally. unfortunately, i didn&#039;t make the connection between my ailments (extreme fatigue, anxiety, depression, digestive problems,  just to name a few) and the iud until many years after insertion. after spending a fortune on doctors, tests, etc  to find out what was wrong, i still had no answers, except to be put on a variety of medications to treat symptoms. i did some research and finally made the connection-copper toxicity from the paragard iud. years of my life had been sucked away from me and my family  that i can never get back. symptoms still persist a year post removal."