Copper
"I just received the Paragard today and wanted to share about the procedure. I'm 30, with 5 kids (just had twins 3 months ago today)I said 'over my dead body I'm getting pregnant again, knowing I'm prone to having twins!'. I told my doc I wanted something as close to being sterile as possible without going under. So, I chose the Paragard. Hormone free and stays for 10yrs, or until you want it removed. The process wasn't painful. But you have to remember, the more kids you have, it's not painful. And, if you just gave birth, it's not as painful either. Of course if you're uterus hasn't been through any changes, it will feel like a big cramp and discomfort. I've spotted so far. I will keep posting on changes every month!"