Unlike the pill, NuvaRing requires no daily dosing so you can get effective monthly protection from pregnancy without having to think about taking it every day. In a given 4-week cycle, NuvaRing must be inserted into your v*gina, removed after 3 weeks (21 days), and a new ring inserted 1 week (7 days) later.
Many women wonder if it's tricky to insert NuvaRing, but it's actually easy to insert and remove. You put the ring in and take it out yourself, like a tampon. And once inserted, it doesn't have to be in any specific position to work. Most women don't even feel NuvaRing once the ring is in place.
Get answers to common questions about NuvaRing, including how to put in the ring and take it out yourself. You can even select from a list of questions to ask the nurse. Click the play button to get started.
Consider your positioning for insertion of NuvaRing.
☛ You can choose whichever position is most comfortable for you. For example, lying down, squatting, or standing with one leg up. (See figure below.)
Open the pouch to remove your NuvaRing.
☛ Each NuvaRing comes in a re-sealable foil pouch.
☛ Wash and dry your hands before removing NuvaRing from the foil pouch.
☛ Open the foil pouch at either notch near the top.
☛ Keep the foil pouch so you can place your used NuvaRing in it before you throw it away in your household trash.
Insert NuvaRing into your v*gina.
☛ Insert the folded NuvaRing into your v*gina and gently push it further up into your v*gina using your index finger. (See figure to the left.)
☛ When you insert NuvaRing it may be in different positions in your v*gina, but NuvaRing does not have to be in an exact position for it to work.
☛ NuvaRing may move around slightly within your v*gina. This is normal. Although some women may be aware of NuvaRing in the v*gina, most women do not feel it when it is in place.
Note:
☛ If the NuvaRing feels uncomfortable, you may not have pushed the ring into your v*gina far enough. Use your finger to gently push the NuvaRing as far as you can into your v*gina. Rest assured that once inserted into the v*gina, there is no danger of NuvaRing being pushed too far up or getting lost.
☛ Some women have accidentally inserted NuvaRing into their bladder. If you have pain during or after insertion and you cannot find NuvaRing in your v*gina, call your health care provider right away.
Removing NuvaRing (etonogestrel/ethinyl estradiol v*ginal ring)
Make sure to remove the ring 3 weeks after insertion on the same day of the week and at the same time of day that it
was inserted.
☛ Wash and dry your hands.
☛ Choose the position that is most comfortable for you. (See "How to insert" above.)
☛ Put your index finger into your v*gina and hook it through the NuvaRing. Gently pull downward and forward to remove the NuvaRing and pull it out. (See figure to the right.)
Throw away the used NuvaRing.
☛ Place the used NuvaRing in the re-sealable foil pouch and put it in a trash can out of the reach of children and pets.
☛ Do not throw NuvaRing in the toilet.
Insert a new ring 1 week (7 days) after, on the same day of the week and at the same time that the previous ring was removed, even if your period has not stopped.
Important Safety Information
Do not use NuvaRing if you smoke cigarettes and are over age 35. Smoking increases your risk of serious heart and blood vessel problems from combination hormonal contraceptives (CHCs) including heart attack, blood clots, or stroke which can be fatal. This risk increases with age and the number of cigarettes smoked.
☛ The use of a CHC, like NuvaRing, is associated with increased risks of several serious side effects, including blood clots, stroke, or heart attack. NuvaRing is not for women with a history of these conditions or any condition that makes your blood more likely to clot. The risk of getting blood clots may be greater with the type of progestin in NuvaRing than with some other progestins in certain low-dose birth control pills. The risk of blood clots is highest when you first start using CHCs and when you restart the same or different CHC after not using it for a month or more.
☛ NuvaRing is also not for women with high blood pressure that medicine can't control; diabetes with kidney, eye, nerve, or blood vessel damage; certain kinds of severe migraine headaches; liver disease or liver tumors; unexplained v*ginal bleeding; breast cancer or any cancer that is sensitive to female hormones; or if you are or may be pregnant.
☛ NuvaRing does not protect against HIV infection (AIDS) and other s*xually transmitted infections.
☛ The most common side effects reported by users of NuvaRing are irritation inside your v*gina or on your cervix; headache (including migraine); mood changes (including depression); the ring slipping out or causing discomfort; nausea and vomiting; v*ginal discharge; weight gain; v*ginal discomfort; breast pain, discomfort, or tenderness; painful menstrual periods; abdominal pain; acne; and less s*xual desire.
Starting NuvaRing
When and how you start using NuvaRing will depend on your health care provider's recommendation and your current birth control method. It is important to talk with your health care provider to make sure you are not pregnant before starting NuvaRing.
How to begin using NuvaRing
As with any birth control, you should talk to your health care provider about your treatment and consult the Patient Information before you start using NuvaRing and each time you get a refill.
See for yourself how to get started.
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Source: http://www.nuvaring.com/consumer/how_to_use/
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