"i am 21 years old and never been pregnant. i&#039;ve had my paragard for about 4 months now. i did an immense about of research on iuds. therefore, i felt i was completely prepared for the insertion as well as the effects thereafter. i was probably more anxious for the insertion process than i needed to be. it did not hurt as much as the horror stories stated online.  it hurt for about 10 seconds as my doctor was measuring, then about 2 seconds for the insertion. after that, there was a mild cramp for the rest of the day and some spotting. tada, 99%+ efficacy. i&#039;d say the worst part would be the longer/heavier periods and random spotting. but i&#039;d honestly rather have that than a child i&#039;m not ready for. do your research and know your options! :)"