birth control
"I'm 50 with 2 grown kids.  Based on family history I have another 4 years or so before menopause.  Still need birth control so no surprise babies (unlikely but not impossible).  Nexplanon and the mini-pill gave me crazy mood swings and depression, so it had to be no hormones.  Yes, insertion hurt with several really bad cramps, but that only lasted about 10 minutes and I had forgotten to take ibrupofen ahead of time.  I would suggest having some one drive you home.  I was really uncomfortable driving.  The cramps started to ease up that night.  Mild cramps did continue off and on with some spotting for the next few days then stopped.  My next period was a little heavier and 2 days longer than usual.  Overall, I'm happy with paragard."