I have Paraguard and love it. I'll need to replace it in about 18mo... meaning it's the 8.5 year mark.
I CAN'T take hormones, because I'm prone to cervical cancer, so I couldn't even consider Mirena, as that would be putting the hormones in exactly the worst spot. So for me, I had a choice between Paraguard, barriers (condom, diaphragm, cervical cap, etc.), & abstinence. Eeeeew. Abstinence. Icky.
What I love about Paraguard that is DIFFERENT from Mirena (aka why I would have chosen it anyway)
- More effective than a tubal (mirena has the same effective rate as taking the pill without fail)
- Lasts for 10 years instead of 5
- Good from day of insertion until removal (no waiting periods after insertion)
- Works on antibiotics, and no waiting period after antibiotic course
- Can't be felt during sex (the "string" is totally different)
To know:
- First 3 periods tend to be super crampy / gnarly. A muscle relaxer for those 3 periods is reccomended. Either midol or an Rx
- Your period reverts to "normal"... whatever your normal is, that's what it reverts to.
- The "string" is a monofiliment (like fishing line) that softens as it ages. So the first week or three it can be felt fairly easily. After that, it's difficult to find because it's just kind of silky.
- You need to check after your period every month to make sure that you can feel the string. If you can't, it's probably just been sucked into your uterus, but it's possible that it was expelled during your period (rare). It' fine if it's been sucked up, but if it's gone... obviously it would need to be replaced. You ob/gyn can check quite easily to see if it's still placed, and does at every annual to make sure it's not embedded (super rare)