"i read a lot  of reviews before getting the paraguard, that it was a painful insertion. to be honest i barely felt a thing! before i knew if the doctor said he was done. honestly didn&#039;t hurt one bit. the only thing i felt for the first 4 hours were cramps. i went back to work that day cooked and cleaned! also on that note my cramping didn&#039;t get worse not my flow. i&#039;m guessing it all depends on each females cycle. maybe if you&#039;re on and off it comes heavier? or if you regularly get it not much changes? who knows! but it&#039;s totally worth it. best birth control so far."