I personally love my IUD. My periods aren't any heavier, no spotting, and my cycle is actually regular for the first time in my life (and I'm 38!)! I don't have any problems with cramps either, in fact I don't have cramps at all anymore. Overall, I would have an IUD just for the convienience of the regular cycles and no cramps, even if it didn't prevent pregnancy, lol. I have the Paraguard copper IUD, not the more common Mirena, which uses hormones. You generally have to ask for the Paraguard, I've heard that the Mirena is generally used as the "standard". Also, I decided against the TL because every woman I've ever known who's had one has ended up with severe bleeding problems sometime in the future, and the research I've done has shown that, although many doctors deny it, there is just too much evidence of future bleeding problems among women who've had a TL for it to just be coincidental.