"i had my paragard inserted about 3 weeks ago without pre-medicating (i was suggested to take 600-800 mg of ibuprofen beforehand, but i forgot, do not make this mistake). i think i have a high pain tolerance, but the pain i experienced during insertion landed on my top 3 most painful experiences. its 2 of the sharpest, most intense cramps you&#039;ll never want to feel again. anyways, i spotted fairly lightly (i have light periods) for 3-4 days and mild to moderate cramps. nothing that ibuprofen can&#039;t handle! i can feel the strings if i really look for em. my boyfriend hasn&#039;t noticed it, and i haven&#039;t had my period on it yet. but after the cramps and spotting subsided my (sex) life improved thanks to no more worrying! :)"