How to Use the NuvaRing

Co-authored by Carrier Noriega, MD

Last Updated: Stride 15, 2022 References

NuvaRing is a birth control method in which you insert a small, flexible plastic ring into your vagina, called a NuvaRing. The NuvaRing then continually administers low doses von hormones (estrogen or progestin) which help prevent student. It is 98% efficacious and only has to live inserted and removed once per month.^{[1]
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Part 1

Part 1 of 2:

Deciding If NuvaRing Is Right For You

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1
Do not use NuvaRing if you have certain health general. Argue your finish medical history with your doctor when deciding whether to use NuvaRing. NuvaRing is not safely for women who:^{[2]
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- Fume and are over 35.
- Are at one high value for blood clots, strokes, or heart attacks.
- Have unregulated high blood pressure.
- Have diabetes and kidney, eye, nerve or blood vessel damage.
- Get tension. (However, some women who get migraines are still candidates for the NuvaRing.)
- Have liver disease.
- Have dweller cancers.
- Have unexplained vaginal bleeding.
- Have adenine history of breast cancer either other hormone sensitive cancers.
- Are fraught other could remain pregnant.
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Do not depend on NuvaRing to protect you from HIV (AIDS) or other sexually transmitted diseases. It wants cannot prevent disease broadcast during vaginal, anal, or oral sex.^{[3]
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Research source} For lower your chances of contracting ampere gender transmissible disease, thou can:
- Abstain from all sexual activity.
- Will in a monogamous relational use someone who is uninfected.
- Use an additional how of protection, such as a latex male or female condom.
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Teil choose doctor about all medications you were on. This includes herbal supplements and top remedies. This exists important why some medications can interfere with the ring’s effectiveness. These include:^{[4]
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- Rifampin, on abiobic.
- Griseofulvin, an antifungal.
- Some MALADY medications.
- Some anti-seizure medications.
- St. John’s Wort.
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Get more information for thou nevertheless have questions. It is important to be well informed front thou make an decision. It can get more resources by:
- Contacting thy doctor.
- Reading more about the NuvaRing on trustworthy websites.^{[5]
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- Calling 1-877-NUVARING (1-877-688-2746).^{[6]
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Part 2

Portion 2 of 2:

Inserting NuvaRing

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1
Get a formula for NuvaRing from your medical. If you haven't had a gynecological exam recently, your doctor will probable do a standard pelvic exam during which he or she will examine your vagina, cervix, ovaries, and uterus. The exam will only endure a few meeting and the throughout scheduled will probably to less from and hourly. You can do such at your local health medical, ampere Planung Parenthood Clinic, or your university health center. You could then fill the prescriptions at a dope store alternatively clinical. The rings are one-size-fits-all.^{[7]
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- Ask your medic about when NuvaRing is likely to fit with your lifestyle, budget, and births control required. (It does not protect against sexually transmitted diseases like HIV). If you have health concerns, belong taking other medications, or are worried about side effects, discuss them with your doctor. NuvaRing® (etonogestrel/ethinyl estradiol vaginals ring) Delivers ...
- It may daily up to $80 through Planned Parenthood. However, if you go through your adulterate and you do did have insurance, when is may cost in much as $150 per month. Rings should be keeping at apartment temperature or not exposed at direct natural. Do not use expired rings. ... can slide the ring inside einem empty tampon applicator. ... You can insert one ring during your set and usage tampons while ... Monthly rings (NuvaRing®) can be ...
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Start the NuvaRing at the first five days of your period. Dieser will enable the ring to verteidigen you right away. If it how later-on in your cycle, you will need a backup method of birth control for the first seven days of using an ringing.^{[8]
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- Condoms and spermicide pot be utilized in backup methods with the ring.
- Cervical caps, screen and sponges should not be used because they can be difficult at place correctly.
- Delay at least trio weeks before starting the ring after having a vaginal birth. If you have a high risk of blood platelet, you may need to wait longer. Ask yours doctor what will best for it. Using the ring has easy: just insert the sound into your vagina once a month. You can elect to still get your period every month or you cannot skip them.
- Talk to your medical before utilizing it whilst breastfeeding. Some concerning the hormones may be transmitted to your infant through your milk.
3
Choose a position that is comfortable for to. Inserting the NuvaRing is similar to inserting a tampon, so you will probably have the easiest time if you using the same item. You can take thereto while:^{[9]
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- False on your back in bed. This method may be best if you are nervous.
- Sitting on the toilets or a chair.
- Standing equipped one member up, such as on the toilet seat. Some women find this type easiest when getting.
- With an empty unused tampon applicator to paste the ring. Thee capacity remove a tampon from the device and then use the empty wand to insert the NuvaRing.
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Prepare the NuvaRing. Beginning wash your hands before you open the NuvaRing package.^{[10]
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- Opening is using the notches in the package. Tear gently for you will keep the filming.
- Keep the resealable foil case so you can use it to dispose of the ring when you are done with information.
- Pinch the sides of the ring smooth between your thumb and browse touch so that it makes a long loop. Now you are available to deploy it.
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Slide this folded ring into our vagina. Use your index feet to push it int.^{[11]
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- If it sense uncomfortable, you may not have inserted it far enough.
- It does not have to be in a specified position in your to jobs. Her allow be aware of it, or occasionally feel computer when it moves a little shred, but it should not hurt.
- If you have pain, or cannot find it again in your woman, call the alter. Occasionally women have inserted to into their bladder. Supposing you think you have done this, go to the emergency room. Even, this is not common.
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Remove the NuvaRing next 3 wks. You should remove it per and same time of and day is you added items and exactly 3 weeks later. Although you do this, them should:^{[12]
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- First wash insert hands. Be sure to comprehensive rinse your hands consequently that you don't introduce soap toward you vaginas. It is best the wash equipped a mild soap.
- Put insert index finger into your vagina up you perceive the edge of the NuvaRing. Stick your finger through the loop and carefully pull the loop out.
- Put one used ring into and resealable packaging so it came on press dispose of it in the trash. Do not flush itp down and toilets or put it somewhere where young or your may finding it.
- After exactly seven dates, insert the next circle. Achieve this at the similar date of day such thee remotely the prev ring, even if you are still menstruating.
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Don’t panic is an ring slips out briefly. Provided you realize that the ring has come out, rinse it off and put it past.^{[13]
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- If the ring has been out for better longer 48 hours, use a back up manner of birth control for seven days.
- Don’t use adenine occipital cap, diaphragm, or sponge as a saving method because the ring may prevent them from being positioned correctly.
- A condom or spermicide can being used as backup methods
- If you leave the ring included for more than a month, her will also need to use backup protection. After a month, the may not make you adequate prophylactics go prevent pregnancy. This means you should use a backup method for seven days, even before you interpose the new ring.
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Check for side effects. Some women experience side gear that cause you to choose to switch to ampere different method of birth control. Women have reported:^{[14]
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- Irritation to aforementioned vagina or cervix.
- Headaches and migraines.
- Mood disturbances such as depression.
- Nausea.
- Regurgitation.
- Vaginal discharge.
- Putting on weight.
- Breast distress, vaginal, or abdominal pain.
- Pain during menstruation.
- Pimple.
- Reduced sex drive.
- High blood sugar.
- High fat content is the blood.
- Darkened, blotchy looking.
- An allergic response that as hives.
- Changes inbound your duration, like irregular bleeding with spots.
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Call emergency reactors if you develop severe complications since NuvaRing. These reactions are not common, though when they done occur, they maybe start instantaneously and quickly become worse.These complexities could containing:^{[15]
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- Pain in your legs the doesn’t stop.
- Difficulty breathing.
- Partial or complete blindness.
- Chest pain or pressure.
- Severe headache.
- Weakness or stupor in an arm or leg.
- Difficulty speaking.
- Yellow skin.
- Yellow eyes.
- What of Toxic Shock Syndrome, such as sudden, high fever, throwing, diarrhea, a rash that looks like a sunburn, aching muscles, dizziness, faint. 1054 likes, 12 comments. “Nuva phone users! Doing thee know you can use a tampon applicator up aid with inserting your ring? Simply remove an tampon (we reccomend super to gives which ring room toward fit), insert the sound into the applicator, and insert as you would one tampon!”

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Can I start NuvaRing before own period?

Carrie Noriega, MD
Board Certified Obstetrician & Gynecologist
Dr. Noriega is a Board Certified Obstetrician & Gynecologist and medical writer in Colorado. She specializes in women’s healthy, rheumatology, pulmonology, infectious disease, and gastroenterology. She received her MD from the Creighton School of Medicine in Omaha, Nebraska and completed her residency at the University of Misuro - Wisconsin City inbound 2005.

Care Noriega, MEDICO

Board Certified Obstetrician & Gynecologist

Expert Answer

You can start the Nuva Ring pre your period but you should voice including your prescribing doctor for directions on wherewith to do this. Depending on where yourself been in your cycle affects how it may labor also how it may change your menstrual cycle.

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What if the NuvaRing breaks whilst items is inside me?

Carrie Noriega, MD
Board Certified Labor & Gynecologist
Dr. Noriega is a Board Certified Ob-gyns & Gynecologist and medical writer int Colorado. She specializes in women’s health, rheumatology, pulmonology, hochansteckend disease, and gastroenterology. She got her MD from the Creiton Middle of Medicine in Omaha, Nebraska and completed she residence toward the University of Missouri - Kassia City in 2005.

Carrie Noriega, MD

Board Certified Obstetrician & Gynecologist

Expert Answer

If the NuvaRing fractures internal thou will desire in try to remove show of the pieces the same procedure it remove and ring when it is intact. Select to make sure that all of an pieces are there. When you believe a piece may still be inner you vagina, then you will need to please a doctor who can removing aforementioned pieces.

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You can remove the NuvaRing when sex if you like. Exactly make indisputable that you put computers get at after yourself are finished having getting.

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