What Is a Vaginal Ring?
NuvaRing was the first vaginal ring approved for use. It delivers etonogestrel (a syntheic progestin) and ethinyl estradiol and requires use of a new ring each month.
Annovera is a contraceptive vaginal ring that releases segesterone acetate, a synthetic progestin, and ethinyl estradiol. It is the first product to contain segesterone. The Annovera ring can be used for an entire year, but it must be removed for one week each month.
How Does the Vaginal Ring Work?
Cyclic use. Insert it and leave it in place for 3 weeks, then remove it for 1 week, during which you have a period. If you use NuvaRing, you’ll put a new ring in at the end of week 4. If you use Annovera, you’ll use the same device for a year. Remove, wash, and store it during your period.
Continuous use. Leave the ring in for 4 weeks, then put a new one in. This is what’s called an off-label use. Your doctor might suggest it if you want fewer days of bleeding and maximum protection.
How to Use a Vaginal Ring
It’s similar to using a tampon. Follow these steps:
- Wash and dry your hands.
- Lie down with your knees bent, squat, or stand with one leg on a chair.
- Open the foil and remove the ring. If you use disposable rings, you can save the foil package to wrap it in and throw it away later.
- Hold the ring between your thumb and index finger.
- Pinch the sides together so they touch in the center.
- Insert the ring as far into your vagina as it will go.
- NuvaRing makes a tampon-like applicator you can order to make inserting it easier. Or you can put the ring in an empty tampon applicator.
How Effective Is a Vaginal Ring?
The vaginal ring prevents pregnancy 96%-99% of the time when you use it correctly. That means only 1 to 4 women out of 100 who use it would accidentally get pregnant.
Side Effects of the Vaginal Ring
The most common ones are:
Who Shouldn’t Use the Vaginal Ring?
This product isn’t a good option if you:
- Have a history of blood clots, heart attack, or stroke
- Have breast cancer or other hormone-sensitive cancers
- Are pregnant or think you might be
- Are older than 35 and smoke cigarettes
- Have hepatitis or liver problems
- Have high blood pressure that isn’t controlled
Women who have migraines should talk with their doctor.
Vaginal Ring Risks
You might be more likely to get:
- Blood clots
- Heart attack
- Toxic shock syndrome
Vaginal Ring Advantages
The ring gets high marks for:
- Ease of use
- Not having to interrupt sex to put it in
- Privacy -- it’s your choice to tell your partner
- Potential to ease menstrual cramps and acne
- Bone-strengthening effects