Pros and cons of using the Novaring contraceptive ring. Nuvaring contraceptive ring Is it possible to get pregnant with a Nuvaring ring?

What is a vaginal ring for contraception (Nova-Ring)?

This is a flexible latex ring for vaginal use, from the inside of which 2 hormones are continuously released - progestin and estrogen, which are artificial analogues of the natural hormones progesterone and estrogen. The released hormones are absorbed through the vaginal walls and enter the bloodstream. Registered in Ukraine under the name “Nova Ring”.

How long should the vaginal ring for contraception (Nova-Ring) be in the vagina?

A vaginal ring for contraception (Nova-Ring) is placed in the vagina for 3 weeks, followed by a week-long break, during which the woman experiences menstrual bleeding.

Vaginal ring for contraception (Nova-Ring) - principle of action?

The main mechanism of action is to block the release of eggs from the ovaries (ovulation).

Vaginal ring for contraception (Nova-Ring) - effectiveness of the method

The effectiveness of using a vaginal ring for contraception (Nova-Ring) depends on the user: the risk of pregnancy is highest in cases where a woman removes a vaginal ring for contraception (Nova-Ring) from the vagina for an extended period. Since the vaginal ring for contraception (nova-ring) belongs to a group of relatively new contraceptive means, its actual effectiveness remains poorly understood. Clinical trial results suggest that the vaginal contraceptive ring has a higher contraceptive effect than combined oral contraceptives (ie, about 2 pregnancies per 1000 women per year).

Vaginal ring for contraception (Nova-Ring) - how soon can a woman become pregnant after discontinuing the method?

Fertility restoration after discontinuation of the method occurs almost immediately.

Vaginal ring for contraception (Nova-Ring) and Sexually transmitted diseases (STDs)

Protection against sexually transmitted infections is not provided, which is important to consider when choosing a method.

Vaginal ring for contraception (Nova-Ring) - what are the side effects?

Some women report these side effects:

• Changes in the nature of menstrual bleeding, including
• decreased intensity and duration of bleeding, irregular bleeding, absence of menstrual bleeding
• Headache
• Irritation, redness, or inflammation of the vagina (vaginitis)
• Increased mucous discharge from the vagina

Does changing the nature of menstruation affect women's health?

Changes in the menstrual cycle are quite common, but do not pose a risk to a woman's health. Typically, such disorders manifest themselves in the form of irregular bleeding in the first months of using the method, after which menstruation becomes less intense and becomes more regular.

Vaginal ring for contraception (Nova-Ring): are there any beneficial effects on health?

Despite the limited amount of long-term studies devoted to the study of the method, scientists believe that the nature of the beneficial effects and possible health risks of the vaginal ring for contraception are similar to combined oral contraceptives.

How to properly use a vaginal ring for contraception (nova-ring)?

Before inserting a vaginal ring for contraception, a woman should find a comfortable position - for example, placing her foot on an elevation, squatting, or lying on her back. The vaginal ring for contraception should be squeezed on both sides and carefully inserted entirely into the vagina.

How deep should a vaginal ring be inserted for contraception?

The position of the vaginal ring for contraception does not matter, but the deeper it is placed in the vagina, the better it is held in place and the less discomfort the woman experiences.

Why does the vaginal contraceptive ring not fall out when worn?

This is due to the fact that it is held in place by the vaginal muscles, which naturally prevents the hormonal contraceptive ring from falling out.

How long should a vaginal contraceptive ring stay in the vagina?

The vaginal contraceptive ring must remain in the vagina 24 hours a day for three weeks. At the end of the third week, the vaginal ring should be removed. In the fourth week, you should expect menstrual bleeding.

How to properly remove a vaginal ring for contraception?

To remove the vaginal ring for contraception, you should hook it with a bent index finger or squeeze it between the index and middle fingers and then remove it from the vagina. If a woman forgot to remove the used vaginal ring on time, then no action is required in this case.

Is it possible to remove the vaginal ring for contraception for a short period of time?

It is permissible to temporarily remove the vaginal ring for contraception from the vagina before sexual intercourse for rinsing or for other purposes, although this is not necessary. It is not recommended to remove the vaginal ring for contraception from the vagina for more than 3 hours before the fourth week of the cycle.

If the vaginal contraceptive ring falls out, rinse it in clean water and immediately replace it.

What to do if the vaginal contraceptive ring was removed for more than 3 hours in the first or second week of the cycle?

Replace the vaginal contraceptive ring as soon as possible. Use a back-up method of contraception (condom) for the next 7 days.

What should I do if the vaginal contraceptive ring was removed for more than 3 hours in the third week of the cycle?

Interrupt the current cycle by removing the vaginal contraceptive ring. Without pause, begin your next cycle by inserting a new vaginal contraceptive ring, which should remain in place for the next 3 weeks. Use a back-up method of contraception (condom) for the next 7 days.

There is an alternative option: if the method has been used continuously and correctly for the previous 7 days, then in this case you can remove the ring and then wait 7 days, which will be considered the “hormone-free” (fourth) week. After the specified 7 days, insert a new ring (i.e. start a new cycle), which should remain in place for 3 weeks. Use a back-up method of contraception for the next 7 days).

What to do if a new vaginal contraceptive ring was installed late?

Insert a new vaginal contraceptive ring as soon as possible, thus starting the next 4-week cycle. Use a back-up method of contraception for the next 7 days.

zdravoe.com

A modern method of contraception - the Nova Ring contraceptive ring

There are many types of contraception, the most popular of which today are barrier and hormonal methods.

Hormonal contraceptives have become widespread due to their reliable protection against unwanted pregnancy and ease of use. They differ both in composition (one or two hormones) and in the method of application (tablets, injections, patches, etc.).

One of the types of modern hormonal contraceptive drugs is the NovaRing vaginal contraceptive ring.

What is the NuvaRing vaginal ring?

NuvaRing is a combined hormonal contraceptive drug that contains microdoses of the hormones estrogen (ethinyl estradiol) and progestogen (etonogestrel).

NuvaRing is a flexible small ring (diameter only 55 mm, thickness 8.5 mm), made of hypoallergenic material. After insertion into the vagina, microdoses of hormones are released daily from the ring (this mechanism of action is achieved thanks to the complex system of membranes of which it consists).

The contraceptive effect, like other hormonal drugs, is carried out by suppressing ovulation. In addition, hormones increase the density of mucus in the cervix, thereby preventing the advancement of sperm.

The main advantage of the NuvaRing hormonal vaginal ring is the absence of primary passage through the gastrointestinal tract and liver, the entry of hormones into the body in microdoses, which significantly reduces the risk of side effects from its use compared to other hormonal drugs.

At the same time, the contraceptive effectiveness of the vaginal ring is high. The Pearl index (an indicator reflecting the number of women out of a hundred who became pregnant while taking the drug during the year) when using a contraceptive ring is 0.96. For comparison, when taking combined oral cotraceptives, the Pearl index is 0.1-0.9.

In addition to the contraceptive effect, the drug also has a positive effect on the menstrual cycle, making it more regular and menstruation less painful and heavy.

It is important to remember that a contraceptive ring does not protect against sexually transmitted diseases! Therefore, this method of contraception is suitable for women who have one permanent sexual partner, as well as the absence of sexually transmitted infections in both partners.

NuvaRing contraceptive ring: contraindications

Like any hormonal drug, NuvaRing has a fairly large list of contraindications.

The main ones include hypersensitivity to the components of the drug, arterial hypertension, arterial or venous thrombosis (stroke, myocardial infarction, etc.), diabetes mellitus, severe diseases of the liver and pancreas, liver tumors, as well as hormone-dependent malignant tumors.

There are also a number of diseases in which the use of a vaginal ring is possible with caution (obesity, heart defects, etc.).

A complete list of contraindications can be found in the instructions for the drug. Therefore, if a woman has any of these diseases or a predisposition to them (including diseases in relatives), then before using the drug you need to assess the possible risks and benefits of its use and possibly refuse to use it in favor of another method of contraception.

Many women of childbearing age are interested in the possibility of pregnancy after embolization of the uterine arteries. Does EMA affect a woman's fertility?

You will learn about what tests you need to take before laparoscopy of an ovarian cyst from this article.

Use during pregnancy and lactation

If a woman wants to become pregnant, she should stop using the drug and wait until her natural cycle returns. As a rule, pregnancy after discontinuation of NuvaRing is possible within 1-2 months.

The use of a contraceptive ring for women during lactation is also undesirable. The composition of the drug can affect lactation, reduce the quantity, and also change the composition of breast milk.

When a woman is pregnant, the ring must be removed, since it is contraindicated during pregnancy.

NuvaRing instructions for use

The NuvaRing contraceptive ring is very convenient to use because it does not require daily monitoring. After insertion, the ring remains in the vagina for exactly 3 weeks, then it must be removed, and on the same day on which it was inserted.

After removing the ring, a seven-day break is taken, after which a new one is introduced. Essentially, the principle is the same as when taking combined oral contraceptives, only in this case the daily intake of hormones into the body occurs independently without the participation of the woman.

When starting to use the NuvaRing contraceptive ring, it is recommended to use additional barrier methods of contraception for the first seven days.

Before using the contraceptive ring for the first time, you must carefully read the instructions for use (it is better, of course, to consult with your doctor), since the conditions for using the ring may differ in individual cases.

How to insert the NuvaRing ring?

To insert a vaginal ring, a woman needs to choose a comfortable position; the ring can be inserted while standing, lying down or in a squatting position.

The ring needs to be squeezed and inserted into the vagina, after which the ring will independently take the desired shape, depending on the individual characteristics of the woman’s structure.

To remove the ring, you need to squeeze it with two fingers (index and middle) and pull it out of the vagina.

Bleeding associated with drug withdrawal usually begins 2 or 3 days after the vaginal ring is removed and may not stop until a new ring is inserted.

Video: "How to insert the NuvaRing contraceptive ring?"

NuvaRing ring: possible side effects

Despite the local release of hormones, side effects are possible when using NuvaRing.

Women may experience headaches, dizziness, emotional instability (even depression), weight gain, digestive disorders (nausea, vomiting, diarrhea), vaginal discharge, genitourinary tract infections, breast tenderness, etc.

Local reactions are also possible - a feeling of a foreign body in the vagina, discomfort during sexual intercourse.

What medications for menopause eliminate symptoms caused by a lack of hormones?

Does the onset of menstruation coincide with an important event in your life? You will learn how to delay your period using birth control in this article.

Are donovanosis and chancroid transmitted through household contact? Read more in our article http://ladyinform.com/donovanoz-i-myagkiy-shankr

NuvaRing contraceptive ring: estimated price

The drug NuvaRing is available in packages of 1 ring and 3. The average price of a package with 1 ring is $30, a package with 3 rings is $74.

The choice of contraceptive method is individual for each woman; it is influenced by a number of factors, ranging from health and physiological characteristics to personal preferences.

But in any case, you should approach this choice with all responsibility, and it is advisable to do this not on your own, but together with a competent specialist who can take into account not only your wishes, but also the capabilities of your body.

Video: "NovaRing hormonal contraceptive ring: advantages, principle of action, technique of use"

Comments

1 20#11Svetlana Andrianchik07.11.2015 19:27I used it several years ago, before my second pregnancy, I liked it, there were no side effects, for a year, everything was great, you can take it out during sex. Nothing hurt, I didn’t gain any weight, I stopped using it and after a couple of months I became pregnant. Now I want to start using it again. After the first one I took the pills, for the first three months I had a headache and felt sick all the time from them. And I forgot to drink. Do not want anymore. The IUD cannot be inserted, for medical reasons. Quote0#10Lola10/26/2015 08:06 I also decided to protect myself with the Nuvaring ring and I like it. Still, I think that this ring is most suitable for young girls who have not given birth, generally like me)) The dose of hormones is minimal, easy to use and of course 100% protection. Well, who needs to have an abortion at the age of 18-20, and what harm is it? So just for using Nuvaring.0#9Alena10/19/2015 23:20I used the ring for three months...I gained 4 kg...my libido dropped altogether.....Quote0#8Tori09/06/2015 02:15I use 1 cycle, I like it! No side effects except red eyes and headache in the first days. The body has adapted Quote0#7Anna09/02/2015 12:21 I’ve been using it for over a year now! I didn’t experience any side effects at all! My periods are stable (I only had to reschedule them once, with the ring this is possible) and less painful than before! In general, both my husband and I are very pleased. Now I’m planning to introduce it for the last time, then take a break for a couple of months and we’ll try to get pregnant!)) I hope there won’t be any problems with this either! But when I started using the ring, the doctor I consulted also said that pregnancy was possible after 2-3 months! Quote-1#6lyuda06/22/2015 05:15 pm I inserted the bulb for the first time, my period came right with the ring for 5 days already what did I do wrong or is everything okay? If it doesn’t interfere, then I want to order it :-) Good night Lena, it’s a very good and reliable drug, I recommend it, and my penis doesn’t rest on it. Is this ring during intercourse and will the penis rest against it? If it doesn’t interfere, then I want to order it already :-) Quote+2#3Galina09/17/2014 07:38 All medications have side effects. I decided to use the ring and did not regret it. I experienced practically no side effects, I felt a little nauseous in the first days, then it went away. Over the course of a month, the weight did not change, there were no hysterics, everything was as usual, slight soreness in the mammary glands and that’s all))) I used to take pills, whatever I tried, the weight was constantly gaining, not even a gram from the ring, I am very pleased with this method of contraception. Quote -6#2Karina09/08/2014 13:22Are you seriously ready to try this with such and such side effects? Stress? Obesity? Is it worth it? You need to respect yourself somehow. If you become an overweight hysterical woman, you won’t need contraception!

ladyinform.com

Novaring. Instructions

Chronic inflammatory bowel diseases (Crohn's disease and ulcerative colitis); - sickle cell anemia; - congenital hyperbilirubinemia (Gilbert, Dubin-Johnson, Rotor syndromes); - chloasma; - uterine fibroids; - fibrocystic mastopathy; - conditions that make it difficult to use a vaginal ring: cervical prolapse, bladder hernia, rectal hernia, severe chronic constipation; - adhesions in the vagina; - smoking (less than 15 cigarettes per day) in women 35 years of age and older.

If the disease worsens, the condition worsens, or other risk factors appear, the woman should also consult a doctor and possibly discontinue the drug.

Although a cause-and-effect relationship has not been convincingly proven, caution should be exercised when prescribing NovaRing if the following conditions/diseases have previously developed or worsened during the use of any other hormonal contraceptives or previous pregnancy: jaundice and/or itching associated with cholestasis, formation of gallstones, porphyria, Sydenham's chorea, herpes of pregnancy, otosclerosis with hearing loss, (hereditary) angioedema.

Recurrence of cholestatic jaundice and/or cholestasis with itching, which was observed during pregnancy or previous use of sex hormones, is grounds for discontinuing the use of NuvaRing.

www.f-med.ru

Today, medicine is trying to make taking medications and using medical equipment as convenient as possible for patients. Contraceptives are not left out either. For these reasons, from time to time, more and more new drugs and devices appear in pharmacies. How to use them is not always clear. One of these methods of contraception can be called the Nuvaring contraceptive ring. While this is an innovation for Russian women, in the West it has been successfully used for more than a decade.

Nuvaring: instructions for use

Nuvaring is a contraceptive in the form of a thin elastic ring that is inserted into a woman’s vagina and remains there for 3 weeks. When placed inside, the ring changes shape and takes the correct position in accordance with the anatomical features of the body. The soft device does not cause any unpleasant sensations, nor does it make itself felt.

After installing the ring, you do not need to limit yourself in physical activity; you can continue to play sports: running, swimming, horse riding, etc. Moreover, you should not be afraid of allergic reactions, since the outer shell of the device is made of hypoallergenic material. The inner shell contains minimal doses of 2 female sex hormones, and the dose is less than in oral contraceptives. After placing the ring, it heats up to the temperature of the female body and becomes permeable to the hormones contained inside.

The released hormones from the ring affect the uterus and ovaries, other organs are outside the zone of action. Their action is to suppress ovulation. Therefore, pregnancy becomes impossible. If a couple decides to have a child, then after removing the ring, ovulation will be restored much faster than after taking oral contraceptives. After just 4 weeks, a full-fledged healthy pregnancy can occur.

The disadvantages of using Nuvaring include a fairly extensive list of contraindications. And this method of preventing unwanted pregnancy turns out to be psychologically uncomfortable for many women. A wide range of contraindications, such as hypertension, diseases of the endocrine system, abnormal development of the female reproductive system, epilepsy, etc., requires prior consultation with a specialist.

Using Nuvaring is quite simple; you do not need to involve outsiders. The woman herself must insert the ring into the vagina. It is most convenient to do this while lying down or squatting. The ring should be inserted during menstruation on days 1 - 5. While squeezing the device to make it smaller in diameter, it must be inserted into the vagina as deeply as possible. If the woman feels any discomfort, it means the ring is not installed correctly and should be straightened with your fingers.

The fixed ring must be left for 3 weeks and then removed. The next ring, as when taking oral contraceptives, is inserted after a 7-day break. For greater safety, in the 1st week after installation it is necessary to use barrier methods of contraception. If the interval between using the ring is more than a week, the contraceptive effect may be impaired. In addition, it is worth remembering that if the device was accidentally removed for more than 3 hours, the contraceptive effect may also be significantly affected.

After removing the ring, menstruation begins 3 weeks later on days 2-3, stopping after the insertion of a new ring, sometimes earlier. For some women, menstruation may not begin - this is a normal option, but only if the ring was used according to the rules, and the absence of bleeding was a one-time occurrence. If menstruation is absent 2 times in a row, you should consult a specialist to rule out pregnancy.

• Get rid of varicose veins in two weeks! Efficiency Guarantee

Nuvaring: side effects

Side effects from using Nuvaring are rare. These include: psychological discomfort associated with unusual use of contraception, enlargement or swelling of the mammary glands, decreased libido, etc. Undoubtedly, there are fewer side effects from the ring than from oral contraceptives.

The NuvaRing vaginal ring is a modern method of contraception that is very reliable and relatively easy to use. The NuvaRing hormonal ring is gaining more and more popularity and is receiving good reviews from gynecologists.

The contraceptive ring is inserted into the vagina and remains there for 3 weeks. Once in the vagina, the NuvaRing releases small doses of hormones that suppress the ovaries, prevent ovulation and make pregnancy impossible.

According to the manufacturer, the effectiveness of the NuvaRing vaginal ring in preventing pregnancy is about 99%, however, according to independent studies, it is within 92%. The NuvaRing contraceptive ring is more reliable than birth control pills and is approximately as effective as.

Composition and release form

The NuvaRing hormonal ring is available in the form of flexible transparent rings in packages of 1 and 3 pieces.

Each NuvaRing ring contains the hormones etonogestrel (11.7 mg) and ethinyl estradiol (2.7 mg).

Advantages of the NuvaRing vaginal ring

What are the advantages of NuvaRing? The contraceptive ring has the following advantages:

• Unlike birth control pills, which need to be taken every day, the NuvaRing hormonal ring needs to be inserted into the vagina only once a month (to be more precise, once every 4 weeks).
• With the constant use of NuvaRing, periods become less painful and less abundant.
• Data from some studies suggest that the use of NuvaRing reduces the risk of ovarian cancer.
• The NuvaRing ring adapts to the individual characteristics of the female body, so it is not felt in any way by either the woman herself or her sexual partner.
• Unlike a hormonal contraceptive injection, the NuvaRing ring does not lead to the appearance of symptoms and to.

Disadvantages of the NuvaRing contraceptive ring

The main disadvantages of the NuvaRing ring are its price (higher compared to birth control pills) and the risk of the ring falling out if it is inserted incorrectly. The skill of inserting a ring correctly comes with experience.

In addition, the NuvaRing ring does not protect against sexually transmitted diseases (, etc.), therefore it is recommended only for women who have a permanent partner in whom she is confident.

Important information

Do not forget that the NuvaRing ring is a hormonal method of contraception, which means its use is associated with some risks. Do not start using NuvaRing on your own or based on recommendations from friends. Before using the drug, consult your gynecologist and make sure that you have no contraindications to this method of contraception.

Contraindications to the use of the NuvaRing ring

Avoid using the NuvaRing hormonal contraceptive ring if:

• You are or may be pregnant.
• You are breastfeeding.
• You are over 35 years old and smoke.
• You have had vein thrombosis or are prone to forming blood clots.
• You have high blood pressure.
• You often have headaches.
• You have diabetes.
• You have had breast cancer or other malignant diseases.
• You often have bleeding from the vagina, and the cause is unclear to you.

In some situations, the use of NuvaRing is permissible after consultation with your doctor:

• For varicose veins.
• With elevated blood cholesterol levels.
• With a body weight of more than 90 kg.
• For epilepsy.
• For gallbladder diseases (cholecystitis, gallstones).
• For problems with the thyroid gland.

This is not a complete list. If you are unsure whether NuvaRing is appropriate for your disease or condition, consult your doctor.

Rules for using the NuvaRing ring

The NuvaRing hormonal ring should be inserted into the vagina for 3 weeks and removed on the same day of the week. The new ring must be inserted exactly after 7 days. During the week's break, you may begin to menstruate.

For example, if you inserted a ring on Monday at 8 pm, then you need to remove it exactly 3 weeks later on Monday at 8 pm and insert a new ring the following Monday at approximately 8 pm.

Wash your hands thoroughly before inserting the ring. Take a comfortable position: standing with one foot on the toilet, squatting or lying down. Remove the ring from the package, squeeze it between your index finger and thumb and insert it deep into the vagina. The ring will automatically take the desired position around the cervix. If the ring is inserted correctly, you will not feel it.

To remove the NuvaRing, wash your hands thoroughly, take a comfortable position, and pick up the ring with one or two fingers. The used ring can be thrown into the trash (but not into the toilet).

Is the contraceptive effect maintained during the break?

During a week-long break, the contraceptive effect of the NuvaRing ring remains, and you do not need to use other methods of contraception. This is only true if you insert a new ring after the break ends.

If you did not use hormonal contraceptives in the previous cycle

Insert the NuvaRing birth control ring on the first day of your period. In this case, the contraceptive effect will occur immediately. If for some reason you inserted the ring on days 2-5 of your period, you should use it within the next 7 days.

How to switch to NuvaRing from birth control pills?

If the package of your birth control pills contained 21 tablets, then insert the NuvaRing ring on the 7th day of the week break (that is, on the day when you started taking the next package of pills).

If your OC contained 28 tablets per package, administer the NuvaRing ring the day after taking the last 28 tablets.

How to use NuvaRing after childbirth?

The NuvaRing hormonal ring should be inserted into the vagina no earlier than a month after childbirth. If the ring is inserted in the first 4 weeks after birth, there is a very high risk of it falling out.

If you have already had unprotected sex before inserting the ring, you should first make sure that you are not pregnant, or wait until your first menstruation begins.

If you are not menstruating yet, you can start using the ring any day (after making sure that you are not pregnant). After inserting the ring, use additional contraception (condoms) for another 7 days.

Can NuvaRing be used while breastfeeding?

How to use the NuvaRing ring after an abortion?

If the pregnancy was terminated at less than 12 weeks, the NuvaRing ring can be inserted on the day of the abortion. In this case, the contraceptive effect occurs immediately, and you do not need to use additional contraception. If you did not have time to insert the ring on the day of the abortion, then wait until your next menstruation and insert the ring on the first day of your period. Use condoms before your period starts.

If the pregnancy termination occurred more than 12 weeks, then use the instructions in the section “How to use NuvaRing after childbirth.”

What should I do if I forgot to remove the NuvaRing after 3 weeks?

If you forgot to remove the NuvaRing ring in time, then try to remember how long ago you installed it:

• If the ring was inserted 4 weeks ago or less, remove the ring as soon as possible and take a 7-day break. Insert a new ring on the 7th day after removing the previous one. You do not need to use additional methods of contraception, since in this case the contraceptive effect of the NuvaRing ring is preserved.
• If the ring was inserted more than 4 weeks ago, the contraceptive effect may be reduced. In this case, you need to remember whether you had unprotected sex. If you have had unprotected sex, stop using rings until you are sure that you are not pregnant (make or donate). If you have not had unprotected sexual intercourse and you are sure that you are not pregnant, then insert a new ring immediately after removing the previous one and use additional methods of contraception for another 7 days.

What should I do if I forgot to put in a new NuvaRing after a week's break?

Try to remember if you had unprotected sex after the previous ring was removed. If so, do not insert a new ring until pregnancy has been ruled out.

If you have not had unprotected sex since removing the previous ring, then insert a new ring as quickly as possible and use additional methods of contraception (condoms) for another 7 days.

What to do if the NuvaRing falls out?

If the NuvaRing is not installed correctly, it may fall out of the vagina. In this case, the contraceptive effect may be reduced and there is a risk of pregnancy.

If the ring fell out less than 3 hours ago, rinse it with cool water and insert it back into the vagina. In this case, the contraceptive effect is not impaired and the risk of pregnancy does not increase.

If the ring fell out more than 3 hours ago, the contraceptive effect is reduced.

• If this is the first or second week after inserting the ring, then after rinsing the ring with cool water, insert it back into the vagina and use additional methods of contraception (condoms) for another 7 days.
• If this is the third week after inserting the ring, then throw it away and insert a new ring immediately. In this case, you may not bleed, or you may experience spotting. This is fine. If for some reason you did not insert a new ring immediately, then wait for the start of bleeding (menstruation) and insert a new ring in the first 7 days after removing the previous one.

How to postpone unwanted menstruation using the NuvaRing ring?

When using the NuvaRing contraceptive ring, you have the opportunity to postpone your next period if for some reason you do not want it (vacation, etc.)

To do this, install a new NuvaRing on the same day as the previous one was removed, without taking a 7-day break. Remove this ring after 3 weeks and then take a 7-day break, returning to your normal ring usage.

In this case, you may experience spotting and spotting. This is fine.

Bloody (brown) discharge when using the NuvaRing ring

While using the contraceptive NuvaRing, spotting and spotting may occur in the middle of the cycle. This is a normal phenomenon that does not require discontinuation of the drug. Contact your doctor if you experience spotting almost every day or every day for an entire month.

The appearance of spotting in the middle of the cycle may also indicate that the ring has fallen out and the contraceptive effect is reduced. In this regard, when spotting appears, you need to make sure that the ring is in place. To do this, wash your hands thoroughly and, taking a comfortable position, insert one finger into the vagina, trying to feel the ring.

Can I use tampons and the NuvaRing at the same time?

Yes, there are no contraindications for this. In this case, of course, you should comply.

In rare cases, the ring may fall out when you remove the tampon, so you should regularly check that the ring is in place when using tampons.

In what cases can the contraceptive effect of the NuvaRing ring be reduced?

Taking certain medications may reduce the contraceptive effect of NuvaRing. For example, when taking antibiotics, a woman is recommended to use additional contraception (condoms) throughout the entire course of treatment and for another 7 days after finishing antibiotic treatment.

Before taking any medicine, check with your doctor to see if it may reduce the contraceptive effect of the NuvaRing.

What to do if your period does not come within a week's break?

In some women, due to constant use of the NuvaRing ring, menstruation may stop altogether.

If your period does not come during a week-long break, then try to remember whether the ring fell out for more than 3 hours last month. If it fell out, then the contraceptive effect of the ring could be reduced, which means you need to do it.

If you used the ring according to the instructions, then the likelihood of pregnancy is quite low. In this case, you can insert a new ring on the 7th day after removing the previous one. If menstruation does not begin in the second cycle, consult a doctor.

What to do if pregnancy occurs while using the NuvaRing ring?

Despite the high effectiveness of the NuvaRing contraceptive ring, in rare cases pregnancy occurs during its use. If you think you may be pregnant, remove the ring from your vagina immediately and contact your doctor.

If the pregnancy is confirmed and you want to keep it, then there are no obstacles to this. The use of the ring does not increase the risk of developmental abnormalities in the fetus, which means you still have a high chance of giving birth to a healthy baby.

How to get pregnant after using the NuvaRing ring?

If you are planning a pregnancy, then after the third week of using the ring, remove it and do not install a new one. Pregnancy can occur in the next cycle after you stop using NuvaRing.

Many women refuse to take hormonal birth control pills - combined oral contraceptives or mini-pills due to fear of “excess” or “artificial” hormones. However, not everyone knows that the contraceptive ring is also a means of hormonal contraception.

Most patients believe that the ring, being in the vagina, mechanically protects against pregnancy, confusing it with vaginal diaphragms and uterine caps. Actually this is not true. Let us examine in detail the mechanism of action of the vaginal contraceptive ring.

How the ring works and its mechanism of action

The Nuvaring contraceptive ring is a thin translucent ring with a diameter of approximately 6 cm. It is a flexible elastic ring made of a special synthetic material widely used for the production of various medical implants. The material is quite hypoallergenic, so allergies to the contraceptive ring are a very rare occurrence.

Inside the ring there is a medicinal substance - ethinyl estradiol and etonogestrel. These are hormonal substances that are released daily from the pores of the material in quantities strictly stated by the manufacturer and enter the bloodstream through the rich vascular network of the vagina.

The hormones in the ring have the following contraceptive effects:

1. Suppresses ovulation processes in the ovaries.
2. They prevent the growth of the endometrium, thereby preventing implantation of the embryo.
3. They create an artificially simulated hormonal background.
4. They thicken the mucus in the cervical canal and prevent sperm from penetrating into the uterine cavity and tubes.

All these effects are absolutely reversible. By stopping hormonal pills or stopping using the ring, a woman can easily become pregnant within 1-3 cycles.

Is it possible to get pregnant with a birth control ring?

When used correctly, the vaginal ring is comparable in effectiveness to contraceptive pills. The Pearl index for it is less than 1.

This means that after using the ring for a year, an unplanned pregnancy occurred in only one woman out of 100. For such high effectiveness, proper use of the product is very important.

Nuvaring: instructions for use

Photo: Appearance of the NuvaRing ring

Let's start with the fact that any contraceptive method should be prescribed by a gynecologist, since each of them has its own advantages and disadvantages, which we will talk about below. Self-prescribing any hormonal contraception is completely unacceptable.

So, the gynecologist recommended a vaginal ring for contraception. On the market of the CIS countries there is only one model of such a product - Nuvaring, Nova-ring or NuvaRing. Nuvaring was invented in 2001 in the Netherlands and has since been actively used in America and Europe. That is why further we will start from the instructions specifically for the NuvaRing.

You need to start using the ring from the beginning of the next menstruation- that is, on her first day. You can insert the ring later - during the first five days, but then you need to use additional contraception during this cycle.

You can also use the ring after an abortion, miscarriage, or other termination of pregnancy. It would be ideal to administer Nuvaring on the first day after termination of pregnancy or from the first day of the next menstrual cycle.

How to insert the ring correctly?

Installing a contraceptive ring

For more convenient insertion of the ring, you need to take the most comfortable position - lying on your back, squatting or standing with your foot on the side of the bathtub.

The contraceptive is removed from the aluminum foil with clean hands and, squeezing it with two fingers, is inserted deep into the posterior fornix of the vagina.

This procedure can be compared to the insertion of sanitary tampons or a vaginal diaphragm or cap.

The elastic structure of the rim allows it to “stick” to the folded walls of the vagina and securely fasten there.

The ring remains in the vagina for 21 days, beginning to have its effect from the very first day of insertion.

How to take out Nuvaring?

How to properly remove a hormonal ring

As we have already said, the ring is in the vagina for three weeks, after which it must be removed. Getting the ring is quite easy. It is necessary to again take a comfortable position and, picking up the headband with your finger, remove the contraceptive from the vagina.

Nuvaring cannot be reused, so the ring should be discarded after the end of the three-week cycle. Within 7 days after removal of the product, the patient should begin menstruation.

It is important to remember that regardless of menstruation, a new ring must be inserted exactly 7 days after removal.

Thus, Nuvaring is in the vagina for 3 weeks, then the woman spends 7 days without the ring, and on the 8th day a new contraceptive must be reinserted into the vagina.

Indications for use Nuvaring

The contraceptive ring is very flexible

Strictly speaking, the manufacturer stated one single indication for the use of a female ring - contraception or protection against unwanted pregnancy.

However, gynecologists often use the “positive side effects” of hormonal contraception for therapeutic purposes:

1. Normalization and regulation of the menstrual cycle.
2. Reducing pain during menstruation.
3. Reducing the duration and heaviness of menstruation, which is widely used in women with endometriosis and uterine fibroids.
4. Prevention of the growth of myomatous nodes and foci of endometriosis.
5. Improving skin condition in women with acne and oily skin.

Contraindications to the use of Nuvaring

There are actually quite a lot of prohibitions on the use of hormonal contraception:

1. Any hormone-dependent malignant tumors: breast cancer, uterine cancer, ovarian cancer, etc.
2. Bleeding from the vagina of unknown etiology.
3. Thrombosis and any bleeding disorders, as well as a family predisposition to them.
4. Pregnancy and lactation. You should absolutely not use the ring while breastfeeding, as the components of the drugs pass into breast milk.
5. Severe liver diseases, as well as liver tumors.
6. Allergy to any component of the ring.
7. Unsanitized inflammatory diseases of the female genital area: vaginitis, colpitis, and so on.

Review of Nuvaring - kills libido, side effects (author: BirdMari, source: irecommend.ru)

It is not advisable, but it is possible to use the ring in the following situations:

1. Smoking.
2. Pronounced varicose veins.
3. Heart diseases.
4. Cholelithiasis.
5. For girls under 18 years of age.
6. Autoimmune diseases.
7. In the presence of severe prolapse of the genital organs and prolapse of the vaginal walls, since this significantly increases the risk of spontaneous prolapse of the ring.
8. You should not use a hormonal female ring on the eve of surgery. It is advisable to stop using hormonal contraceptives one month before the proposed surgery.

Advantages and disadvantages of the Nuvaring ring

Photo: Back of the package

Like any method of birth control, there are pros and cons.

Let's start with the pros:

1. The most important advantage of the product is low doses of hormones. Standard contraceptive pills contain 30 mcg of ethinyl estradiol, and only 20 mcg are released into the bloodstream daily from the ring.
2. The second advantage of the ring, which distinguishes it from tablets, is independence of daily intake from the woman. Patients often skip pills, and the ring is in the vagina for 3 weeks in a row and releases the required amount of medication on its own.
3. Like other hormonal agents, the ring has a good effect on the condition of a woman’s hair and skin, reduces pain during menstruation, and also shortens its duration.
4. With the help of minor deviations in the use of the ring, you can delay or speed up the onset of menstrual bleeding. This is very convenient before a vacation or an important trip. The modes of such non-standard use of the ring must be discussed in advance with the gynecologist.

Let us note the main disadvantages and side effects of the contraceptive ring:

1. The need for careful use of the ring.
2. A large number of contraindications and restrictions for use.
3. In women with genital infections due to a foreign body in the vagina, inflammatory conditions may worsen, as well as an increase in the amount of vaginal discharge.
4. The ring can sometimes fall out of the vagina spontaneously, so it is necessary to check its presence in the vagina occasionally.
5. It is extremely rare that a ring causes discomfort to a woman or her sexual partner.
6. While taking it, you may experience headaches, nausea, engorgement of the mammary glands, deterioration of varicose veins, decreased libido, and intermenstrual bleeding.

Photo instructions for use (abstract) of the Nuvaring contraceptive ring

Nuvaring ring price and where you can buy it

You can purchase the Nuvaring contraceptive ring in regular and online pharmacies. The average cost of one ring is about 1,300 rubles.

Questions and answers

Does the contraceptive ring affect libido?

Some women with individual characteristics of sex hormone metabolism may actually experience a decrease in sexual desire and libido. This problem, as a rule, is solved by changing the dosage of estrogen - that is, switching to a higher-dose contraceptive.

More often, a woman and her sexual partners with a ring, on the contrary, note some pleasant sensations during sexual intercourse, which adds variety to sexual life.

How to switch from birth control pills to the ring? What about from rings to tablets?

When using combined oral contraceptives - COCs are transferred to the ring according to the same scheme - 7 days after the last tablet. If a woman used extended-course tablets, for example Jess or Dimia, then the ring should be inserted immediately after the last tablet of the blister.

When switching from progestin drugs (mini-pills), the ring can be inserted any day, but in the first 7 days the use of additional contraception is recommended.

During the reverse transition, that is, replacing the ring with tablets, the scheme is identical. When using combined tablets, the transition occurs after a 7-day break. When using gestagens, the transition begins immediately after removing the ring with additional contraception during the first week.

Why does the lower abdomen and lower back feel tight when using a contraceptive ring?

Discomfort may occur with the incorrect position of the ring - for example, too close to the vaginal opening. Sometimes pain syndrome can be associated with exacerbation of pelvic inflammatory diseases due to the presence of a foreign body in the vagina.

When does the contraceptive ring begin to work?

When inserted on the first day of the menstrual cycle, the ring begins to act immediately. With a later onset, a longer period is required to suppress ovulation, therefore, when introducing a ring on days 2-5 of the cycle, it is necessary to additionally protect the first 7 days.

Hello Tatiana.

To begin with, I want to say that so far no method of contraception can give a 100% guarantee that a woman will not become pregnant when using it. Moreover, if a woman (or man) does not strictly follow the instructions for using the chosen contraceptive, this can significantly reduce its contraceptive effect and contribute to the onset of an unplanned pregnancy.

What is Nuvaring?

This remedy is a hormonal contraceptive, but it is not produced in the form of ordinary tablets, but is an almost transparent ring containing 2 components (ethinyl estradiol and etonogestrel). Studies have shown that this drug is in no way inferior in effectiveness to traditional oral contraceptives, because the concentration of active substances in the female body when using both tablets and rings is in comparable values.

The Nuvaring ring is placed by a woman in the vagina on the 21st day, starting from the first day of the menstrual cycle. 2 - 3 days after removing the ring, the woman should begin a menstrual-like reaction. If she wishes to continue using this method of contraception, a woman can insert a new ring at the end of the seven-day break. If a woman does not begin to have menstrual bleeding, then before starting to use a new ring, the woman should take a pregnancy test, because it is a contraindication for the use of hormonal contraceptives.

Why can pregnancy occur when using Nuvaring?

This can happen:

1. By increasing the interval between rings used;
2. When using one ring for more than the prescribed period;
3. When removing the ring from the vagina for more than 3 hours;
4. When a ring falls out as a result of its rupture.

Separately, it is worth saying that there are a number of medications (including antibiotics), when interacting with which there is a significant decrease in the contraceptive effect. If, when using the Nuvaring ring, a woman requires antibiotic therapy (except amoxicillin and doxycycline), then she is recommended to use an additional non-hormonal method of contraceptive protection. This should be done not only while taking antibiotics, but also for 7 days after finishing taking them. If the period of use of the next ring is coming to an end, and the use of antibiotics needs to be continued, then the woman is recommended to introduce a new ring instead of the old one, without taking a seven-day break from using them.

If a woman took antibiotics along with the use of the Nuvaring ring, but did not resort to additional methods of contraception, then the occurrence of pregnancy in this case still cannot be excluded. In such a situation, a woman needs to wait until the next seven-day break from using Nuvaring rings begins. If it is not accompanied by the appearance of a menstrual-like reaction, then the woman will need to take a pregnancy test