Starting Nuvaring Again After 2 Month Without It

The vaginal ring (NuvaRing) is a pocket-sized soft, plastic ring that you lot identify within your vagina.

It releases a continuous dose of the hormones oestrogen and progestogen into the bloodstream to prevent pregnancy.

Vaginal ring. It looks like a round ring that's made of white plastic. It's shown against a pink background.

At a glance: facts well-nigh the vaginal ring

If used correctly, the vaginal ring is more than 99% constructive.
Ane ring provides contraception for a calendar month, and then y'all don't have to think about information technology every day.
You tin go along to have sex when the ring is in place.
Unlike the pill, the band still works if you have sickness (vomiting) or diarrhoea.
The ring may ease premenstrual symptoms, and bleeding will probably be lighter and less painful.
Some women have temporary side furnishings, including more vaginal discharge, chest tenderness and headaches.
A few women develop a claret clot when using the ring, simply this is rare.
The ring tin can sometimes come out on its own, merely you can rinse information technology in cold or warm water and put information technology back in equally soon as possible.
It doesn't protect against sexually transmitted infections (STIs), so y'all may need to use condoms also.

How the ring works

The band steadily releases the hormones oestrogen and progestogen into your bloodstream, which prevents the release of an egg each month.

It also thickens the cervical mucus, which makes information technology more difficult for sperm to move through the cervix, and thins the lining of the womb so a fertilised egg is less likely to implant itself.

When it starts to work

You can offset using the vaginal ring at whatever time during your menstrual bike if you're non significant.

The standard way to use the ring is you leave it in for 21 days, then remove information technology and take a 7-day ring-gratis interruption. You're protected against pregnancy during the ring-free suspension. After the seven-mean solar day break you then put a new ring in for some other 21 days.

You tin also choose to have a shorter ring-gratis interruption or not to have a suspension at all. This is as safe and effective as the standard use. For more information on the different options talk to a GP or nurse.

You'll be protected confronting pregnancy straight away if y'all insert information technology in the offset 5 days of your period (the first v days of your menstrual cycle). Talk to a GP or nurse nearly whether you need additional contraception if you have a very short cycle or an irregular cycle.

If you lot start using the band at any other time in your menstrual cycle, you'll be protected against pregnancy as long as you use additional contraception (such equally condoms) for the kickoff 7 days of using it.

If yous are switching from some other blazon of contraception (excluding condoms) or you have taken emergency contraception recently, the communication on when to start using the ring and how soon you'll exist protected may be different.

Talk to a GP or nurse most the best fourth dimension to kickoff using the ring and whether you need to apply additional contraception. They can also give y'all communication on how to insert and remove it.

To insert the ring:

with make clean hands, squeeze the ring betwixt your thumb and finger, and gently insert the tip into your vagina
gently push the ring upwards into your vagina until information technology feels comfortable

Unlike a diaphragm or cap, the ring doesn't need to cover the archway to your womb (the cervix) to work.

Using your fingers, check regularly that the ring is still there. If you tin can't feel it merely you're sure it's there, see a GP or nurse. The ring tin't go "lost" inside you.

After the ring has been in your vagina for 21 days (three weeks), yous remove it. This should exist on the same day of the week that yous put information technology in.

To remove the ring:

with clean easily, put a finger into your vagina and hook it effectually the edge of the ring
gently pull the band out
put it in the bag provided and throw it in the bin – don't affluent it downwardly the toilet

Removing the ring should be painless. If you have any bleeding or pain or you can't pull it out, see a GP or nurse immediately.

When you've taken the band out, you lot don't put a new ane in for vii days (1 week). This is the band-free interval. Y'all might take a period-blazon bleed during this fourth dimension.

After 7 days without a ring in, insert a new i. Put the new ring in fifty-fifty if you're still haemorrhage. Leave this ring in for 21 days, then echo the wheel.

You can have sex and use tampons while the ring is in your vagina. Yous and your partner may experience the ring during sex activity, just this isn't harmful.

If y'all forget to have the ring out subsequently 21 days

If the ring has been in for up to seven days after the end of calendar week three (up to 4 weeks in total):

if you were planning to take a ring-gratis break, take the band out and outset the pause
if y'all were non planning to have a ring-free break, take out the band and insert a new ring direct abroad
y'all're still protected against pregnancy, and you don't need to employ additional contraception

If the band has been in for more than 7 days after the end of week 3 (more than than 4 weeks in total):

take the band out and put a new one in direct abroad
use additional contraception, such equally condoms, for 7 days
you may demand emergency contraception if you've had sex activity in the days before changing the rings over – see a GP or nurse for communication

If y'all forget to put a new ring in

Put in a new band as soon as you remember, and use additional contraception (such as condoms) for vii days.

Y'all may need emergency contraception if you had sex before you remembered to put the new ring in, and the ring-costless interval was 48 hours longer than it should take been or more (ix days or more in total).

If the ring comes out by itself

Sometimes the ring may come out on its own (expulsion). It may happen after or during sex, or if it wasn't put in properly.

What you should do depends on how long the ring is out for, and which week of your cycle you're in.

If the ring is out for less than 48 hours (regardless of where you are in your cycle) and you've been using that item ring for iii weeks or less:

rinse it with cool or lukewarm water
re-insert the same ring as soon as possible
yous don't need additional contraception and you're protected from pregnancy if the ring was used correctly in previous weeks

If the band is out for more than 48 hours in the offset week of using a band:

insert a new ring as soon as possible and continue it in until the scheduled removal twenty-four hour period
use boosted contraception for 7 days
you may need emergency contraception if you lot've had sex since putting in the new ring or during the band-gratis break

If the band is out for more than 48 hours in the second or 3rd week of using a ring:

insert a new ring as soon as possible and keep it in until the scheduled removal day
use additional contraception for 7 days
if the ring came out in the third week and you are using the ring the standard way, skip the band-costless break
you do not need emergency contraception if y'all have used the band correctly in the previous 7 days

Who tin use the vaginal ring?

Some women tin't utilize the vaginal band.

It may not be suitable if you:

have had a claret jell in a vein or avenue
have had middle or circulatory issues, including high blood pressure
are 35 or older and smoke, or stopped smoking in the past yr
accept migraine with aura (warning symptoms)
have had breast cancer in the by 5 years
have diabetes with complications
are overweight
accept medicines that may interact with the ring
can't concord the band in your vagina

If y'all don't smoke and in that location are no medical reasons why yous can't apply the ring, you tin use it until you're 50 years old.

Later on giving nativity

You can start using the vaginal ring 42 days afterward giving birth if you are breastfeeding. You will need to apply boosted contraception for 7 days (such as condoms).

You may be able to beginning using the ring earlier than this – on day 21 later giving birth – if you're not breastfeeding, but your doctor will advise yous. You do not and so need to utilize additional contraception.

You may go fertile again soon after giving birth. If you lot first using the ring more than 21 days after giving birth, you will need to apply additional contraception (such as condoms) before you commencement using the ring.

After miscarriage or abortion

You can start using the band immediately afterward a miscarriage or ballgame, and it'll work straight abroad. Yous don't demand to use additional contraception.

If more than than 5 days take passed since the miscarriage or ballgame, you need to utilise additional contraception (such as condoms) for vii days afterward you lot insert the ring.

Advantages and disadvantages

Advantages:

it doesn't interrupt sex
it's easy to put in and take out
y'all don't have to think about it every day or each time you have sexual practice
the ring isn't affected if you're sick (vomit) or accept diarrhoea
it may aid with premenstrual symptoms
period-type bleeding usually becomes lighter, more regular and less painful

Disadvantages:

you may not feel comfy inserting or removing information technology from your vagina
you can have spotting and bleeding in the showtime few months
it may cause temporary side effects, such as increased vaginal discharge, headaches, nausea, chest tenderness and mood changes
the ring doesn't protect confronting STIs
you demand to remember to change it and put in a new one – if remembering to do this is hard, a longer-acting method such equally the contraceptive implant or intrauterine device (IUD) may exist more than suitable
some medicines can make the band less constructive – see a GP, nurse or chemist for advice
information technology may accept a while for you to return to normal fertility – in some women this may take up to a few months

Risks

There'southward a very minor adventure of some serious side effects when you use a hormonal contraceptive similar the vaginal band.

For about women, the benefits of the ring outweigh the possible risks, just you should discuss all risk and benefits with a GP or nurse before you outset it.

Blood clots

A very small number of people using the vaginal ring may develop a blood clot in a vein or an artery. Don't utilize the ring if you've had a blood clot before.

Cancer

Research suggests that people who use the vaginal ring take a small-scale increased take a chance of being diagnosed with breast cancer compared with those who don't. But this reduces with fourth dimension afterwards you lot've stopped using the band.

Research too suggests there's a small-scale increment in the risk of developing cervical cancer with long-term use of oestrogen and progestogen hormonal contraception.

Where you tin can get the vaginal ring

Yous tin can go contraception for complimentary, even if yous're nether 16, from:

contraception clinics
sexual health or genitourinary medicine (GUM) clinics
some GP surgeries
some immature people'south services

But not all clinics are able to provide the vaginal ring, so it'southward worth checking commencement.

You won't be able to get a prescription for more than four months' supply at a time because this is its shelf life.

Find your nearest sexual wellness clinic

Getting contraception during coronavirus

If you need contraception, call your GP surgery or a sexual health clinic as soon as possible. Just go in person if you're told to.

It tin can have longer to get contraception at the moment and some types are not widely bachelor.

Yous may only exist able to get a vaginal ring if you lot've had your blood pressure and weight checked in the last 12 months.

If y'all cannot get a vaginal ring, you may exist brash to use the progestogen-just pill or condoms for now.

If you're under 16 years old

Contraception services are free and confidential, including for people under the age of sixteen.

If you're under 16 and want contraception, the doc, nurse or pharmacist won't tell your parents (or carer) as long every bit they believe you fully understand the information you're given, and the decisions you're making.

Doctors and nurses work under strict guidelines when dealing with people nether sixteen. They'll encourage you to consider telling your parents, merely they won't brand you.

The only fourth dimension a professional person might want to tell someone else is if they believe you're at risk of harm, such as abuse.

The risk would need to be serious, and they would usually discuss this with you starting time.

Page last reviewed: 6 July 2021
Next review due: 6 July 2024

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Source: https://www.nhs.uk/conditions/contraception/vaginal-ring/