"let me start by saying i have not had paragard long just a few days over a month now. insertion was fine. i took 4 ibuprofen an hour before my appointment. i wouldn&#039;t say it was painful but it was awkwardly uncomfortable because the feeling is like nothing you&#039;ve ever felt. i did have spotting after. the cramps were terrible about 6 hours later. i was rotating between tylenol and ibuprofen an it still felt like the early contractions i had when i had my daughter. i had these off and on the first couple wks. but now i can&#039;t feel it and hubby does&#039;;t feel it during sex so its been so far so good."