"i have a 2 year old and a 4 month old. i received the paragard on nov 22,16. the insertion wasn&#039;t painful at all. just a very uncomfortable feeling. when the insertion was finished, the nurse provided a pad to put in my underwear, and stated that i will spot for about 2-3 days. but before getting the iud put in, i had taken 4 200mg of ibuprofen 1 hour before. 3 days after the insertion, i started my period. the cramps were terrible. the cramps lasted for about 1 1/2 weeks. i had to continue taking the ibuprofen for that long. the bleeding is not that bad. its the same amount as it was before. i&#039;ve had a heavy flow before the iud and its still the same. i use the overnight protection pads. overall i&#039;ll give it a 7."