I ' m on the Paragraph and if I could go back , I would ' ve went with the Mirena . You also have the options of skyla and liletta . The Paragard is bigger than the Mirena and I realized I had not taken enough over the counter pain meds before it was inserted . Make sure you take both ibuprofen and tylenol before your appointment . I used to have light periods and now they are heavy . It took about 2 years for my period to become lighter but not like it was before . I chose Paragard because I didn ' t want to have hormones either but it wasn ' t until I was off the hormones that I noticed random sharp pains . Hormones may actually help with polycystic ovarian syndrome and endometriosis . Progesterone helps prevent ovarian cysts . Even though I would ' ve liked to try Mirena , I am still much happier with the IUD than being on the pill . It was a much cheaper option and if I want to get pregnant , I can just take it out .