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NuvaRing (vaginal ring)
Online Birth Control Education

The NuvaRing is a small, flexible ring that is inserted into the vagina once a month. It is left in place for three weeks and taken out for one week. The ring releases a low-dose combination of progestin and estrogen to provide month long contraception. The hormones prevent the ovaries from releasing an egg (ovulation) and the progestin thickens the cervical mucus, which helps to prevent the entry of sperm into the uterus. The NuvaRing becomes effective after using it for 7 days. The NuvaRing can be removed for up to 3 hours but if has been out for more than 3 hours, it can be reinserted and a backup method such as condoms should be used for 7 days.

Advantages

  • Highly effective
  • Regular, lighter and shorter periods
  • Easy to use
  • Does not interfere with having sex
  • Protection from ovarian cysts, cancer of the ovaries, cancer of the uterus

Disadvantages

  • Must remember to remove and insert ring
  • Woman needs to be comfortable with inserting the ring
  • May have breakthrough bleeding or spotting during the first 2-3 cycles
  • Offers no protection against sexually transmitted infections

Side Effects

Side effects are similar to other hormonal contraceptive methods and usually improve within 2-3 cycles

  • Bleeding between periods
  • Breast tenderness
  • Nausea
  • Changes in mood
  • Increased vaginal discharge
  • Vaginal irritation

More serious side effects (rare)

  • Blood clots in the legs, lungs, heart or brain
  • Benign liver tumors
  • Heart attack and stroke

Cigarette Smoking and NuvaRing

Cigarette smoking incresases the risk of serious cardiovascular side effects from the use of combination birth control pills. This risk increases with age and with heavy smoking (15 or more cigarettes per day) and is quite marked in smokers over 35 years of age.

Warning Signs of NuvaRing

The ring has been studied extensively and is very safe. However, very rarely the ring can lead to serious problems. The following are the warning signals to watch out for while using the ring.

  • Abdominal Pain (severe)
  • Chest Pain (severe), cough, shortness of breath
  • Headache (severe) with blurred vision, weakness, difficulty speaking
  • Eye problems-vision loss or blurring
  • Leg Pain (severe)

If you have one of these symptoms, it may or may not be related to the ring. It is important to check with your health care provider as soon as possible.

Availability & Efficacy

  • Availability: Limited availability as was recently approved by Food & Drug Administration
  • Failure Rate: Typical use: data not available; Perfect use: 1-2% per year

Recommended Resources

 

 

Online Birth Control Education
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last reviewed: Spring 2005