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Contraceptive Ring

Contraceptive Ring is a flexible contraceptive ring placed in the vagina. It contains two hormones, estrogen and progesterone, which prevent the ovaries from releasing an egg (ovulation) and thus prevents pregnancy. If used correctly, NuvaRing is 95% - 99% effective in preventing pregnancy. It does not protect you from sexually transmitted infections.

NuvaRing is placed inside the vagina for three weeks. It is removed for one week during which time you should get a period. A new Contraceptive Ring is then placed one week after the last ring was removed. Alternatively, Contraceptive Ring can be used for 25 days each month and removed until that date the subsequent month (talk with your provider if you would like to use this approach)

Inserting the Contraceptive Ring

You can choose the insertion position that is most comfortable: standing with one leg up, squatting, or lying down. After washing your hands, the ring should be compressed and placed inside the vagina. The ring should be placed inside the vagina one week after removing the last Contraceptive Ring. The Contraceptive Ring can be removed by placing a finger into your vagina, hooking your finger around the Ring, and pulling it out. 

Starting the Contraceptive Ring

Contraceptive Ring should be inserted on the fifth day after your period begins. You should use a condom for the first seven days of your FIRST Contraceptive Ring.

During the three weeks when the Contraceptive Ring is in your vagina, if the NuvaRing is out of the vagina for more than three hours within a 24-hour time period, then it will be necessary to use condoms until the NuvaRing has been inside your vagina for 7 more days. If the Contraceptive Ring falls out, rinse in lukewarm water before re-inserting.

You can store your Contraceptive Ring at room temperature for up to four months. If you refrigerate the Contraceptive Ring, you may use it until the expiration date on the box.

Contraceptive Ring is Not Used in

  • Women over 35 years old who smoke cigarettes
  • Women who have had blood clots in veins or arteries
  • Women who have had severe high blood pressure, migraine headaches, heart disease, stroke or breast cancer
  • Women with allergic reaction to parts of the NuvaRing

Possible Side Effects of NuvaRing

  • Headaches
  • Weight loss or weight gain
  • Nausea and/or vomiting
  • Vaginal discharge, irritation or infection
  • Less common effects are breast tenderness or enlargement, abdominal cramps, irregular vaginal bleeding, changes in menstrual cycle, fluid retention, and depression.

Call Your Doctor Immediately If You Experience

  • Crushing chest pain or heaviness in your chest
  • Shortness of breath
  • Unusual swelling or pain in arms or legs
  • Yellow discoloration of skin or eyes
  • Unusually heavy vaginal bleeding
  • Severe depression
  • Severe abdominal pain
  • New breast lump

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