"i have a paraguard is great, it also has some big side effects such as super heavy (heavy) bleeding, long periods, and horrible cramps. i think the other side effects was my body experienced a lack of progesterone due to having the mirena before, so trying to balance out.  8 months in with no relief, my doctor gave me microgestin which i have consistently taken at the same time daily for the past 40 days... i have also been bleeding for the last 39 days.  i think everyone is different, and i specifically need a higher dose pill as this is a low dose so i just switched over to chanteal so hopefully that helps. no relief from headaches and acne on this pill though, and made bleeding worse!"