Copper
"I have been using the Paragard IUD for one year now. I have 2 children and don't want anymore. I tried both Mirena and Nexplanon and both caused me to have 21+ days of bleeding at a time so I had to go with the only long term option of hormone free bc I could get. Insertion was not painful, I was prescribed Misoprostol and a sonogram technician was present. The first 3-4 periods were heavy and painful but after that they became more normal. Overall I'm happy with my decision to use this bc and really I'm hoping this will continue to work out for as long as possible."