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The Ring

The vaginal contraceptive ring (NuvaRing®) is a flexible, soft, transparent plastic ring that you insert into your vagina. The ring is about 2 inches in diameter and is held in place by the muscles in your vaginal wall. The ring releases hormones (estrogen and progestin) in steady, low doses that work the same way as the hormones in the pill and patch. Once inserted into the vagina the ring is continuously worn for 3 weeks.

How to Insert and Remove the Vaginal Ring:

  • Insert one ring into your vagina, using any position you find comfortable: standing with one leg up, squatting, or lying down. Squeeze the ring between your thumb and pointer finger and place the leading edge into the opening of your vagina.
  • Place the ring high in the vault of your vagina, against the wall. The exact position of the ring is not critical for it to work.
  • Leave the ring in place for 3 weeks. Do NOT remove the ring for sex.
  • After 3 weeks, remove the ring by hooking your pointer finger around the ring or by grasping the rim between your pointer finger and your middle finger and pulling it out. Leave the ring out for 7 days and you will have your period.
  • Throw it out in the trash. Do NOT flush the ring down the toilet.
  • After the 7–day break, insert a new ring to begin the cycle again. Always insert the ring on the same day of the week, even if you have not finished your period.
  • If the ring is out of your vagina for more than 3 hours during the 21–day period, re–insert it and use a back–up method (ex. condom). If you have had unprotected sex, use emergency contraception.

Advantages:

  • Simple and easy to use
  • Can be worn without any hassle for 3 weeks
  • Does not interfere with sex
  • Reversible
  • Regulates periods and makes periods lighter
  • Decreases menstrual pain and PMS
  • Decreases risk of ovarian and endometrial cancer

Disadvantages:

  • May be difficult to insert and remove
  • Women may feel uncomfortable touching their vagina to insert and remove the ring
  • Does NOT protect against STIs
  • Must avoid storing the ring in direct sunlight or at temperatures above 86º F. High temperatures increase the chance that the hormones will release off the ring, making it less effective. Rings may be stored at room temperature (77º F) for up to four months, though refrigerated storage is best.