"i got the paraguard inserted in taiwan, when i met my now husband. i&#039;m giving a one star review because i got pregnant, lucky us right.. anyways, not a successful form of birth control for us and we had to deal with what to do while both of us are expats living abroad, ultimately the pregnancy ended in a miscarriage which is pretty common after having the iud removed. just a shitty situation and i wouldn&#039;t recommend this iud to others.. we asked the doctor how this could have happened, as we regularly get it checked to make sure it&#039;s in place, and he said we both must be ultra fertile. we have switched to the hormonal iud so we&#039;ll see how that works for us-- apparently it&#039;s more effective."