"i did not receive pre-medication before planned insertion. i had it inserted at age 24 &amp; had never given birth. it was very painful to have inserted. i began having pain radiating down from my uterus to my hips, thighs, and knees. now it mainly begins a wk prior to my period. i have heavy periods, most of the heavy bleeding is only for 2-3 days. the other days are light to normal, with several days of spotting after. the pms symptoms have been amplified. pain during sex. breakthrough bleeding. occasionally i get an extra period. i have kept the paragard because it is highly effective. i am allergic to hormonal contraceptives, spermicide, and have a latex sensitivity. so far, no babies."