birth control
"I've had the Paragard for 3.5 years. It's great for women who want/need a hormone free birth control.  It is pretty expensive if your insurance doesn't cover it, so I'm sure that's a major factor for a lot of women. If I didn't want to be hormone free, I think the Mirena would be better for me. Insertion was painful...don't make any plans the rest of the day and have someone nearby to whine to and do stuff for you. And ibuprofen is necessary when I'm cramping from my period/ovulation. But it's worth it for me and I'd recommend it."