"i gave it more than a 1 because it did prevent me from getting pregnant while i had it. i had mine for 7 years, then had it removed with hopes of starting a family. when i had it removed by my dr, it broke, and only part of it came out. i don&#039;t want to scare you, i know many women who have loved their paragards and had great experiences. but mine was not so great. the piece that did not come out was embedded in my uterus. i had to have it surgically removed. the surgery cost over $90,000 before insurance. it took us a year and a half to get pregnant. i had a bunch of fertility tests done, and my husband and i are both fine. i can&#039;t prove the difficulty is from this experience, but it is possible. that is my experience."