T.C.
I have the ParaGuard IUD, due to the fact that I have endo and can not take any thing hormonal. I nave not had it very long but have some of the same issues as you. I have spotting frquently but not enough to have to wear underwear protection. During intercourse, especially a little more passionate intercourse (sorry TMI) I do notice bleeding afterward. I have been a little worried about this as well and have scheduled an Appt. with my ob. I see her in 2 weeks and If you have not seen your Dr. by then I will let you know what she says and if she has any suggestions. Sorry I don't have any advice for you.