If I had told you how much this was going to hurt beforehand, you would never have gone through with it. I certainly would never get one. -- OB/Gyn to woman after a painful IUD placement.  The Gyn had told the woman previously that it would only be a slight pinch. So the benefit of having a form of birth control that you don't have to think about outweighs the risks, the pain, the cost and the moral objections. Oh that's right I forgot about your profit margin. Glad you are striving for informed consent and only have your patients' best interests at heart. Likely the second one.... at my gyn, all they did was whine about how complex placing a paragard was over a mirena and was I SURE that I really wanted paragard? Judging by all the Mirena stuff all over the office, I'm guessing they got more money to place mirena and did more of them, so they weren't up on the paragard technique. If your experience is typical, then the doctor is covering for his/her bad placement by making up some garbage about how painful it's *supposed* to be. Which is even worse than denying the woman accurate information before the procedure: the doctor absolutely owes the woman accurate information about the procedure she already had. Mine was very painful. I screamed in agony, and passed out from the pain. When i woke up, they told me i shouldn't get it if i was going to