"first off, i am a 28 yo with no children.  i was extremely excited to get paragard.  i don&#039;t do well on hormones and my husband and i don&#039;t want children so a long term solution seemed like the best idea  (bonus: my insurance covered it!)  insertion was painful, but the 600mg of ibuprofen i took prior helped.  apparently if you have had kids it&#039;s less painful.  my first period after was worse than normal but no bloodbath, cramps were sharper but not unbearable.  then i kept spotting.  and spotting.  and spotting.  after my first period i have not gone a single day without bleeding 3 months later.  and i get a sharp pain when i climax during sex (but otherwise sex is painless, hubs can&#039;t feel a thing.)  considering removal now :("