The occurrence of pregnancy when using the contraceptive "Novaring". Nuvaring contraceptive ring - instructions for use Got pregnant with the Nuvaring ring

Date of: 14.10.2023

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.

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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.

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:

Suppresses ovulation processes in the ovaries.
They prevent the growth of the endometrium, thereby preventing implantation of the embryo.
They create an artificially simulated hormonal background.
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:

Normalization and regulation of the menstrual cycle.
Reducing pain during menstruation.
Reducing the duration and heaviness of menstruation, which is widely used in women with endometriosis and uterine fibroids.
Prevention of the growth of myomatous nodes and foci of endometriosis.
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:

Any hormone-dependent malignant tumors: breast cancer, uterine cancer, ovarian cancer, etc.
Bleeding from the vagina of unknown etiology.
Thrombosis and any bleeding disorders, as well as a family predisposition to them.
Pregnancy and lactation. You should absolutely not use the ring while breastfeeding, as the components of the drugs pass into breast milk.
Severe liver diseases, as well as liver tumors.
Allergy to any component of the ring.
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:

Smoking.
Pronounced varicose veins.
Heart diseases.
Cholelithiasis.
For girls under 18 years of age.
Autoimmune diseases.
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.
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:

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.
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.
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.
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:

The need for careful use of the ring.
A large number of contraindications and restrictions for use.
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.
The ring can sometimes fall out of the vagina spontaneously, so it is necessary to check its presence in the vagina occasionally.
It is extremely rare that a ring causes discomfort to a woman or her sexual partner.
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.

The site is a medical portal for online consultations of pediatric and adult doctors of all specialties. You can ask a question on the topic "pregnancy after nuvaring" and get a free online doctor’s consultation.

Ask your question

Questions and answers on: pregnancy after Nuvaring

2013-04-04 17:29:43

Ekaterina asks:

Hello! Dear doctor! I am writing to you with the following question: I have a menstrual cycle disorder (intermenstrual bleeding on the 21st day of the cycle). The cycle is regular 28 days, 1 painful day. The attending physician prescribed Zhanine for 3 months. After drinking it for 2 days, terrible things began to happen to me: increased blood pressure, tachycardia, headaches, insomnia and hallucinations at night. In short, horror. The doctor switched me to Nuvaring. After 4 days of use, terrible cystitis, pain, and dryness in the vagina began. Somehow it took 21 days. After a 7-day break, I inserted a new ring: and everything started all over again, only the temperature increased to 37.6-37.8. Terrible. The doctor said not to stop using the ring. Tonight I felt pain in my heart and cramps in my legs, and my cystitis got worse. I am constantly on furagin, drinking it uncontrollably. There are 3 days left until the end of the ring. I’m afraid to insert the third ring, and even more so to take oral contraceptives. Tell me what should I do? And how will stopping Nuvaring after two months of use affect me? I am 32 years old, no children, planning a pregnancy.

Answers Irkha Lina Sergeevna:

Hello, take a break from treatment, if the situation does not change during this time, you need to consult a gynecologist-endocrinologist (you may need to test your blood for hormones)"

2012-04-09 13:04:36

Marina asks:

Good afternoon I have the following question: I am 30 years old, after two pregnancies and, accordingly, two births, I can no longer take hormonal contraceptives, these are pills and Nuvaring. I feel very bad with them. I wanted to get the Mirena IUD, but my doctor said that it was the same as pills and I would still feel bad. This is true? She advises me to use an ordinary copper spiral, but I’m afraid to use it, I’ve heard a lot of bad things. Please help me decide! Thank you

Answers Wild Nadezhda Ivanovna:

Marinka! It is not true that you will feel bad. Now there are a lot of contraceptives and they can be selected for every woman; if you do not tolerate one type well, you can try another option, taking into account your height, weight, bad habits,... Mirena has a therapeutic and contraceptive effect, and you only need contraception. Contraceptives include patches, vaginal rings (you already mentioned Nuvaring), implants, injectable contraceptives, surgical contraception, which can be performed laparoscopically. IUDs can be copper-containing, copper+silver, silver-containing, T-shaped, Multiloud "...... There are family planning offices where a doctor can select and advise on this issue; such offices exist in Women's consultation centers.

2012-02-10 15:28:20

Anya asks:

Hello. I bought the NuvaRing vaginal ring. The instructions indicate. that it should be administered on days 1-5 of the cycle. 17 days have passed since the first day of my last period, that is, I am now on the 17th day of my cycle. Tell me, can I use the ring now? Will the level of contraception decrease?
I would like to add that perhaps this is important. I had my period from 01/01/2012 to 01/5/12, after that on January 8th I had unprotected sexual intercourse, after which I took escapelle. Then my period came from 01/14 to 01/17, and then again from 01/25 to 01/30. (it turns out 3 times a month ). At the moment, according to the rapid test, there is no pregnancy.
Thanks in advance for your answer

2011-10-19 15:55:45

Julia asks:

Hello! Please tell me. I used the Nuvaring ring for 4 months from June 2011 to September 2011. Then I took a break and didn't insert the ring. After 10 days, counting from the first day of menstruation, I had sexual intercourse with a condom, but I’m not sure that the protection was one hundred percent. After 5 days of sexual intercourse, signs such as nausea and chest pain began to appear, discharge, then all signs disappeared. Now my chest doesn’t hurt, but my stomach feels very tight and my lower back hurts. It’s 3 days before my period starts. What could this be, could it be pregnancy and can signs of pregnancy appear so early after intercourse? Please help me, I’m very worried because I had an abortion at the beginning of June and I don’t want another pregnancy. Thank you very much in advance.

Answers Wild Nadezhda Ivanovna:

Hello! It could be premenstrual syndrome; fluid may be retained in a woman’s body during the second phase of the cycle. there may be headaches, nervousness, drowsiness, nausea,... But in this life everything is possible, so if there is a delay, take a pregnancy test. And one more thing: if you are not sure about contraception, then there is emergency contraception and it can be used, not often, but it is possible.

2011-07-03 10:20:04

Ekaterina asks:

Hello! The gynecologist prescribed me a NuvaRing ring because I have inflammation of the cervix (cervicitis) and inflammation of the left ovary. After completing a course of antibiotics, I inserted a ring, and on the 2nd day a white discharge with a normal odor began to appear. On the 7th day I had unprotected sexual intercourse. After a week, light brown discharge with a normal odor began to appear - could this indicate pregnancy? Although there are already 6 days left before the ring is removed and there is a dark brown discharge with a normal odor - I don’t understand what this could mean.
I read that when using the ring you need to use protection for the first 7 days... but our sexual intercourse happened 7 hours before the start of the 8th day... Could the ring really not work? Or is my dark brown discharge the result of my inflammation?

Answers Serpeninova Irina Viktorovna:

Hello! The most likely cause of your spotting discharge is the process of adaptation to hormonal contraception. Such complaints occur in every second woman in the first month of taking hormonal contraception. Treatment is not required. Pregnancy, even with sexual intercourse on the 7th day of using a hormonal contraceptive, is unlikely.

2010-12-16 13:27:11

Elena asks:

Hello. I am 28 years old, I have not given birth, we are planning a pregnancy (it is not working out yet). Last summer, an ultrasound was diagnosed with an endometrial polyp. They took tests for hormones (everything they took turned out to be normal) and for the papillomavirus, which was discovered, and it was also found in my husband. They treated me and my husband, he was cured for me, but not for my husband. After this, the polyp was removed (hysteroscopy on October 27, 2009). Histological examination diagnosed: endometrial hyperplasia, endometrial polyp; conclusion: scraping from the uterine cavity: stromal glandular polyp of the endometrium, layers of secretory endometrium with signs of disturbance in the development of the secretory phase. After that, I drank Norkolut for about 1.5 months, but it didn’t work for me (discharge appeared in the middle of the cycle), it was replaced with Dufastun, then Nuvaring was put on for one cycle, and in May they allowed me to try to get pregnant... But after 1, 5, having done an ultrasound, they discovered a polyp again... In August, I had an ultrasound done by different specialists both before and after my period, in the end 4 different ultrasounds + 2 initial ultrasounds - everyone always sees the polyp... They took tests for hormones again (for this since they also added thyroid hormones) - everything is normal. It so happened that in 2 laboratories they tested for papillomavirus, in one they found it, in the other it was not, after 1.5 months they retested it and did not find the papillomavirus. I didn’t immediately go for hysteroresectoscopy, but after repeating the ultrasound on 10.26.2010 - 11 d.m.c., I was told that the situation had changed and there was no need to do hysteroresectoscopy yet... After that there was an ultrasound on 11.11.2010 - 9 d.m. .c., there was a polyp, we started inducing pregnancy, 11/16/2010 - 14 d.m.c. - the polyp disappeared, November 22, 2010 - 20 d.m.c. - no polyp, 12/10/2010 - 9 d.m.c. - there is a polyp... I wanted to know if the polyp disappears, is it really impossible to somehow treat it at that moment so that it does not appear again? Of course, as always, I don’t want to go for an operation at all... Moreover, if they did it a year ago, and he came back again, then it means he can come back after this operation, how many of these operations will need to be done then...

Answers Tovstolytkina Natalia Petrovna:

Hello, Elena. The cause of endometrial polyps is considered to be a chronic inflammatory process of the uterine cavity, therefore, after polypectomy, not only hormonal, but also anti-inflammatory treatment is desirable. Unfortunately, polyps cannot be removed conservatively.

Or frequently asked questions about the NuvaRing hormonal ring, which the doctor hears at every appointment.

What is NuvaRing?

is an elastic ring that is inserted deep into the vagina. The system is installed in the first days of the menstrual cycle and remains in the genital tract for 21 days. The contraceptive ring contains the female sex hormones estrogen and progesterone. These substances are gradually released and enter the bloodstream, blocking ovulation and making pregnancy impossible. Hormones also make the cervical mucus viscous so that nimble sperm do not penetrate inside and fulfill their intended purpose.

Today, the NuvaRing vaginal ring is considered one of the most effective contraceptives with a minimal amount of hormones. This fact makes the system popular with both young and older women. What should you know about NuvaRing and how to use this contraceptive correctly?

Who is NuvaRing suitable for?

The contraceptive ring is a good choice for different categories of women:

Young and nulliparous women with one sexual partner.
After childbirth and completion of breastfeeding.
In the premenopausal period (in the absence of chronic pathology that can become a contraindication).

Why is NuvaRing better than birth control pills?

The vaginal ring has three clear advantages over COCs with a similar composition:

The dosage of estrogen is lower than in any hormonal pills.
The drug does not pass through the gastrointestinal tract and does not affect digestion.
You don’t need to remember to take the pills every day - just insert the ring once and forget about it for 21 days.

Can NuvaRing be given to nursing mothers?

The instructions for using the contraceptive ring do not recommend using NuvaRing during lactation. You should wait until breastfeeding is completed and only then insert the ring. Nursing mothers can use mini-pills (purely progestin preparations) as contraception. Don't forget about condoms.

Can a woman put on a contraceptive ring herself or should she go to a doctor?

NuvaRing is simple, convenient and affordable. Any woman can insert a ring on her own without any problems. To do this, you need to take a comfortable position - squatting, standing or lying - and insert the ring as deeply as possible. If any difficulties arise, you can make an appointment with a doctor. The doctor will insert the ring and then tell the patient in detail how to do it at home.

Can a man feel the ring during sex?

No, NuvaRing is not felt at all during sexual intercourse.

Can a woman feel the vaginal ring?

No, if the NuvaRing is installed correctly, it is not felt in the vagina.

Why doesn't the ring fall out?

NuvaRing, inserted deeply, is securely fixed into the vagina by muscles. In addition, the ring lies horizontally in the genital tract, like on a shelf, and the likelihood of it falling out is extremely low.

Can the ring fall out?

It's rare, but it happens. In this case, you need to wash the ring with warm or cool water and carefully insert it back into the vagina. The contraceptive effect does not suffer if less than 3 hours have passed since the ring fell out.

The ring fell out, but I didn’t have time to quickly put it back in place. What to do?

If more than 3 hours have passed since the ring fell out or was removed, you need to proceed according to the following scheme:

If such a problem occurs in the 1st or 2nd week of using the NuvaRing ring, you need to return it to its place as quickly as possible. The contraceptive effect of the drug is reduced, and for some time the woman will not be protected from unwanted pregnancy. It is recommended to additionally use a condom for the next 7 days.
If the ring falls out during the 3rd week of use, it should be thrown away and a new one should be inserted immediately. In this case, there will be no menstrual-like bleeding, but scanty spotting may be observed. This is normal, there is no need to panic. The ring is removed after the prescribed 21 days, then a break is taken for 7 days and a new drug is introduced.
If a woman does not want to get a new ring immediately, she can wait for the withdrawal bleeding and insert NuvaRing after 7 days. This option is only possible if the ring never falls out during the first two weeks. If the problem has occurred before, see point 2.

Is it possible to remove a vaginal ring during sex?

Yes, but this makes no sense, because NuvaRing does not feel like a woman or a man. If the ring is nevertheless removed, it must be returned within 2-3 hours and no later.

Can a NuvaRing sink in too deep?

No, the contraceptive ring is securely attached to the vagina. It will not fall into the uterus, since the entrance to the reproductive organ is blocked by a closed pharynx. The ring has nowhere to go from the woman's genital tract, and even during sex it will not penetrate too deeply.

Is it possible to leave the NuvaRing ring in the vagina for 4 weeks?

This is acceptable because the contraceptive effect of the system lasts up to 28 days. After 4 weeks, the ring must be removed: hormone levels drop, and the woman loses protection against unwanted pregnancy.

Is it possible to freeze a NuvaRing?

You can store the birth control ring in the refrigerator for up to 12 hours. It is not recommended to freeze the system in the freezer. If you need to take a contraceptive with you (for example, when traveling to another city), use a special cooler bag.

Is it possible to cancel periods?

Yes, you can insert a new ring without a week's break. Menstruation will not come, but spotting may occur in the middle of the cycle. The new ring can be left in the vagina for 21 days (as usual).

How to postpone the date of menstruation when using the NuvaRing ring?

It’s very simple: you just need to insert a new ring not after 7 days, but, for example, 5 or 6 after removing the previous one. It is important to know: the shorter the break, the higher the likelihood of spotting in the middle of the cycle.

Can girls under 18 years old use the birth control ring?

The safety of NuvaRing has not been studied in adolescents. An in-person consultation with a doctor is required.

Should I use a ring if I have uterine prolapse?

With this pathology, the NuvaRing may fall out. It is recommended to use other means of contraception.

Why can't you take antibiotics if you have a ring?

This is not entirely true. If the doctor has prescribed antibacterial drugs, they must be taken. The problem is that when using some antibiotics (in particular ampicillin and tetracycline), there is a decrease in the contraceptive effect. While a woman is taking antibiotics, she should additionally use condoms - for the entire period of treatment and for 7 days after completing the course of therapy.

Can a NuvaRing break?

Yes, this is possible. The risk of ring rupture increases with the simultaneous use of vaginal suppositories against a fungal infection (thrush). During treatment, you must additionally use condoms and monitor the condition of the NuvaRing.

Can I use a birth control ring with tampons?

Yes, the use of tampons does not affect the functionality of NuvaRing. In rare cases, the ring may fall out after removing the tampon.

Does NuvaRing cause cervical cancer?

It is believed that the main cause of malignant lesions of the cervix is the human papillomavirus (HPV), but not the use of hormonal contraceptives. Statistics show that women who have used NuvaRing are more likely to develop cervical cancer, but gynecologists attribute this to regular examinations by a doctor and annual tests (smear for oncocytology). It is worth noting that in this situation, the disease is usually detected in the early stages, when it is much easier to cure.

How quickly can you get pregnant after removing the NuvaRing?

Fertility restoration occurs within 1-3 months after discontinuation of the drug. This means that a woman can become pregnant in the first cycle after removing the ring. In some cases, conception of a child occurs after 3-12 months.

How does the menstrual cycle change after the installation of a vaginal ring?

After the introduction of NuvaRing, the gradual release of hormones begins. The menstrual cycle becomes monotonous. The level of your own hormones remains stable. Menstruation, as a rule, becomes less abundant and its duration decreases. Menstrual-like bleeding due to NuvaRing occurs every 28 days strictly according to schedule.

How much does NuvaRing cost?

The average price for a contraceptive ring is about 1,000 rubles.

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:

By increasing the interval between rings used;
When using one ring for more than the prescribed period;
When removing the ring from the vagina for more than 3 hours;
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