Brown discharge and Nuvaring. The Nuvaring ring is a modern way to prevent pregnancy

Description:

A modern combined hormonal contraceptive (ring) for intravaginal administration.

Manufacturer:

ORGANON (Netherlands)

Composition and release form

The vaginal ring is smooth, transparent, colorless or almost colorless, without major visible damage, with a transparent or almost transparent area at the junction.

Active ingredients: ethinyl estradiol 2.7 mg, etonogestrel 11.7 mg. Excipients: ethylene vinyl acetate copolymer (28% vinyl acetate), ethylene vinyl acetate copolymer (9% vinyl acetate), magnesium stearate.

pharmachologic effect

Combined hormonal contraceptive drug for intravaginal use. Contains etonogestrel, which is a progestogen, a derivative of 19-nortestosterone, and ethinyl estradiol, which is an estrogen. The main mechanism of contraceptive action of the drug NuvaRing is inhibition of ovulation. The progestin component (etonogestrel) inhibits the synthesis of LH and FSH by the pituitary gland and, thus, prevents follicle maturation (blocks ovulation).

The Pearl index, an indicator reflecting the frequency of pregnancy in 100 women during a year of contraception, when using the drug NuvaRing is 0.96. The use of the drug reduces the pain and intensity of menstrual-like bleeding, reduces the frequency of acyclic bleeding and the likelihood of developing iron deficiency conditions. In addition, there is evidence of a reduced risk of endometrial and ovarian cancer with the use of the drug. NuvaRing does not reduce bone mineral density.

Indications for use

Intravaginal contraception (warning unwanted pregnancy) among women.

Mode of application

NuvaRing is inserted into the vagina once every 4 weeks. The ring is in the vagina for 3 weeks and then removed on the same day of the week on which it was placed in the vagina; after a week's break, a new ring is inserted. For example: if the NuvaRing ring was installed on Wednesday at approximately 10:00 pm, then it should be removed on Wednesday 3 weeks later at approximately 10:00 pm; on the following Wednesday a new ring is inserted.

Bleeding associated with discontinuation of the drug usually begins 2-3 days after removal of the NuvaRing and may not completely stop until a new ring is installed.

Start using Nuvaring

Hormonal contraceptives were not used in the previous menstrual cycle
NuvaRing should be administered on the first day of the cycle (i.e., the first day of menstruation). It is possible to install a ring on days 2-5 of the cycle, however, in the first cycle in the first 7 days of using the drug NuvaRing, additional use of barrier methods of contraception is recommended.

Switching from taking combined oral contraceptives

NuvaRing should be administered on the last day of the free interval in taking combined hormonal contraceptives(tablets or patch). If a woman has been taking the combined hormonal contraceptive correctly and regularly and is confident that she is not pregnant, she can switch to using a vaginal ring on any day of her cycle. The duration of the interval in taking hormonal contraceptives should not exceed the recommended period.

Switching from progestin-only contraception (mini-pill, implant, or injectable contraception) or progestogen-releasing intrauterine device (IUD)

A woman taking the mini-pill can switch to using NuvaRing on any day (the ring is inserted on the day the implant or IUD is removed or on the day of the next injection). In all these cases, the woman should use a barrier method of contraception for the first 7 days after insertion of the ring.

After an abortion performed in the first trimester of pregnancy

You can start using NuvaRing immediately after an abortion. In this case there is no need for additional use other contraceptives. If the use of NuvaRing immediately after an abortion is undesirable, the ring should be used in the same way as if hormonal contraceptives were not used in the previous cycle. In the interval, a woman is recommended alternative method contraception.

After childbirth or abortion performed in the second trimester of pregnancy

The use of NuvaRing should begin within the 4th week after childbirth (if the woman is not breastfeeding) or abortion in the second trimester. If the use of NuvaRing is started at a later date, then additional use of barrier methods of contraception is necessary in the first 7 days of using NuvaRing. However, if sexual intercourse has already taken place during this period, you must first exclude pregnancy or wait until your first menstruation before starting to use the drug NuvaRing.

The contraceptive effect and cycle control may be impaired if the patient does not comply with the recommended regimen. To avoid loss contraceptive effect in case of deviation from the regime, the following recommendations must be followed.

Extending the break from using the ring

If you had sexual intercourse during a break from using the ring, pregnancy should be ruled out. The longer the break, the higher the likelihood of pregnancy. If pregnancy is ruled out, a new ring should be inserted into the vagina as quickly as possible. Over the next 7 days, an additional barrier method of contraception, such as a condom, can be used.

If the ring has been temporarily removed from the vagina

If the ring remains outside the vagina for less than 3 hours, the contraceptive effect will not decrease. The ring should be reinserted into the vagina as soon as possible.

If the ring was left outside the vagina for more than 3 hours during the first or second week of use, the contraceptive effect may be reduced. You should place the ring in your vagina as soon as possible. Over the next 7 days, you must use a barrier method of contraception, such as a condom. The longer the ring was outside the vagina and the closer this period is to the 7-day break in using the ring, the higher the likelihood of pregnancy.

If the ring was left outside the vagina for more than 3 hours during the third week of use, the contraceptive effect may be reduced. The woman should throw away this ring and choose one of two methods:
Immediately install a new ring. Please note that the new ring can be used for the next 3 weeks. In this case, there may be no bleeding associated with the cessation of the drug's effect. However, spotting or bleeding in the middle of the cycle is possible.

Wait for bleeding associated with the cessation of the drug, and insert a new ring no later than 7 days after removing the previous ring. This option should only be chosen if the ring use regimen has not previously been violated during the first 2 weeks.

Extended use of the ring

If the drug NuvaRing was used for no more than a maximum period of 4 weeks, then the contraceptive effect remains sufficient. You can take a week's break from using the ring and then insert a new ring. If NuvaRing remains in the vagina for more than 4 weeks, the contraceptive effect may deteriorate, so pregnancy must be ruled out before inserting a new ring.

To change the time of onset of menstrual bleeding

To delay (prevent) menstrual-like withdrawal bleeding, you can insert a new ring without a week's break. The next ring must be used within 3 weeks. This may cause bleeding or spotting. Then, after the usual one-week break, you should return to regular use of NuvaRing.

To postpone the onset of bleeding to another day of the week, it may be recommended to take a shorter break from using the ring (for as many days as necessary). The shorter the interval between ring use, the higher the likelihood that there will be no bleeding after ring removal, and no bleeding or spotting will occur when the next ring is used.

Ring damage

In rare cases, ring rupture has occurred when using NuvaRing. The core of the NuvaRing ring is solid, so its contents remain intact, and the release of hormones does not change significantly. If the ring ruptures, it usually falls out of the vagina. If the ring ruptures, a new ring must be inserted.

Ring falling out

NuvaRing has sometimes been reported to fall out of the vagina, for example, when it was inserted incorrectly, when a tampon was removed, during sexual intercourse, or due to severe or chronic constipation. In this regard, it is advisable for a woman to regularly check the presence of the NuvaRing ring in the vagina.

Incorrect insertion of the ring

In very rare cases, women have inadvertently inserted NuvaRing into the urethra. When symptoms of cystitis appear, it is necessary to consider the possibility of incorrect insertion of the ring.

Rules for using NuvaRing

The patient can independently insert NuvaRing into the vagina. To insert the ring, a woman should choose the position that is most comfortable for her, for example, standing, raising one leg, squatting, or lying down. NuvaRing must be squeezed and inserted into the vagina until the ring is in a comfortable position. The exact position of NuvaRing in the vagina is not decisive for the contraceptive effect.

After insertion, the ring must remain in the vagina continuously for 3 weeks. If the ring was accidentally removed, it should be washed with warm (not hot) water and immediately inserted into the vagina.

To remove the ring, you can pick it up index finger or squeeze it between your index and middle fingers and pull it out of the vagina.

Side effect

When using Nuvaring, the following may occur: side effects:

System-organ class	Often (? 1/100)	Infrequently (< 1/100, ? 1/1000)	Rarely (< 1/1000)
Infections and infestations	Vaginal infection (candidiasis, vaginitis)	Cystitis, cervicitis, urinary tract infections
The immune system			Hypersensitivity
Metabolic disorders	Weight gain	Increased appetite
Mental disorders	Depression, decreased libido	Mood changes
From the outside nervous system	Headache, migraine	Dizziness
From the side of the organ of vision		Visual impairment
From the outside of cardio-vascular system		"Tides"
From the outside digestive system	Abdominal pain, nausea	Bloating, diarrhea, vomiting, constipation
From the outside skin		Alopecia, eczema, itchy skin	Skin rash
From the outside musculoskeletal system		Pain in the lumbar region, muscle spasms, pain in limbs
From the urinary system		Dysuria, urgency, pollakiuria
From the reproductive system	Engorgement and tenderness of the mammary glands, genital itching in women, pelvic pain, vaginal discharge	Amenorrhea, cervical polyps, contact (during sexual intercourse) bloody issues(bleeding), dyspareunia, ectropion of the uterus, fibrocystic mastopathy, menorrhagia, metrorrhagia, premenstrual syndrome, dysmenorrhea, uterine spasm, burning sensation in the vagina, dryness of the vulva and vaginal mucosa.	Local reactions on the part of the penis (feeling foreign body partner during sexual intercourse, irritation of the penis due to hypersensitivity to the components of the drug)
	Vaginal ring prolapse	Rupture (damage) of the ring, fatigue, malaise, abdominal pain, swelling, sensation of a foreign body in the vagina

Contraindications for use

Venous thrombosis(including history), including deep vein thrombosis, thromboembolism pulmonary artery;
- arterial thrombosis (including history), including stroke, transient disorders cerebral circulation, myocardial infarction and/or precursors of thrombosis, including angina pectoris, transient ischemic attack;
- heart defects with thrombogenic complications;
- changes in blood parameters indicating a predisposition to the development of venous or arterial thrombosis, including resistance to activated protein C, antithrombin III deficiency, protein C deficiency, protein S deficiency, hyperhomocysteinemia and antiphospholipid antibodies (anticardiolipin antibodies, lupus anticoagulant);
- migraine with focal neurological symptoms;
- arterial hypertension (systolic blood pressure? 160 mm Hg. or diastolic blood pressure? 100 mm Hg.);
- diabetes mellitus with vascular damage;
- pancreatitis incl. history, in combination with severe hypertriglyceridemia;
- severe liver diseases, until normalization of liver function indicators;
- liver tumors (including in history);
- hormone-dependent malignant tumors (for example, breast cancer), established, suspected or in history;
- bleeding from the vagina of unknown etiology;
- pregnancy (including suspected);
- lactation period;
- surgical interventions followed by long-term immobilization;
- smoking (15 or more cigarettes per day) in women 35 years of age and older;
- hypersensitivity to the components of the drug.

The drug should be prescribed with caution if any of the following disease conditions or risk factors are present; in such cases, the doctor must carefully weigh the benefit-risk ratio of using the drug NuvaRing:

Venous or arterial thrombosis (in siblings and/or parents);
- obesity (body mass index more than 30 kg/m2);
- dislipoproteinemia;
- varicose veins(in combination with thrombophlebitis of the superficial veins);
- atrial fibrillation;
- diabetes;
- systemic lupus erythematosus;
- hemolytic-uremic syndrome;
- epilepsy;
- chronic inflammatory diseases intestines (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.

Use of NuvaRing during pregnancy and breastfeeding

The use of NuvaRing is contraindicated during pregnancy, suspected pregnancy and lactation. NuvaRing is contraindicated during breastfeeding. NuvaRing can affect lactation, reduce the amount and change the composition of breast milk. Small amounts of contraceptive steroids and/or their metabolites may be excreted in milk.

Use for liver dysfunction

NuvaRing is contraindicated in serious illnesses liver (until normalization of function indicators).

special instructions

Before prescribing or resuming the use of the drug NuvaRing, you should conduct a medical examination: analyze your medical history (including family history) and exclude pregnancy; measure blood pressure; conduct an examination of the mammary glands, pelvic organs, including cytological examination cervical smears; conduct some laboratory tests to exclude contraindications and reduce the risk of possible side effects of the drug NuvaRing. Frequency and character medical examinations are carried out by a specialist, taking into account the individual characteristics of each woman, but at least once every 6 months.

The patient should read the instructions for use of the drug NuvaRing and follow all recommendations.

It should be kept in mind that NuvaRing does not protect against HIV infection (AIDS) and other sexually transmitted diseases.

Women aged 40 years and older, women with cervical intraepithelial neoplasia, as well as women who smoke at any age require additional consultation with a gynecologist before prescribing NuvaRing.

The effectiveness of the drug NuvaRing may decrease if the regimen is not followed.

While using NuvaRing, acyclic bleeding (spotting or sudden bleeding) may occur. If such bleeding occurs after regular cycles while using NuvaRing in accordance with the instructions, you should contact your attending gynecologist to conduct the necessary diagnostic tests, incl. to exclude malignant tumor and pregnancy. A diagnostic curettage may be required.

Some women do not bleed after the ring is removed. If NuvaRing is used as directed, it is unlikely that the woman is pregnant. If the recommendations of the instructions are not followed and there is no bleeding after removing the ring, as well as if there is no bleeding in two cycles in a row, pregnancy must be excluded.

The most important factor The risk of developing cervical cancer is infection with the human papillomavirus (HPV). Epidemiological studies have shown that long-term use of combined hormonal contraceptives leads to additional increase the extent of this risk, but it remains unclear to what extent this is due to other factors. The positive role of regular examinations of women by a gynecologist and the use of barrier methods of contraception are obvious. There is no information about an increased risk of developing cervical cancer in HPV-infected women using NuvaRing.

Studies have found a small increase in the relative risk (1.24) of developing breast cancer in women taking combined hormonal oral contraceptives, but this risk gradually decreases over 10 years after discontinuation of the drugs. Breast cancer is rare in women under 40 years of age, so the additional incidence of breast cancer in women who have received or continue to use combined oral contraceptives is small compared to the overall risk of developing breast cancer. There is evidence that women who have taken oral combined contraceptives have less breast cancer than women who have never used such medications. The possibility of the effect of the drug NuvaRing on the incidence of breast cancer is being studied.

In rare cases, women taking combined oral contraceptives have experienced benign tumors liver and even less often - malignant. In some cases, these tumors led to the development life-threatening bleeding in abdominal cavity. If severe pain appears in the upper abdomen, liver enlargement, or signs of intra-abdominal bleeding in a woman using NuvaRing, a liver tumor should be excluded.

Although many women taking hormonal contraceptives experience a slight increase in blood pressure, clinically significant hypertension is rare. Direct relationship between the use of hormonal contraceptives and the development arterial hypertension not installed. However, if, when using the drug NuvaRing, there is a constant increase in blood pressure, the patient should contact her gynecologist; in such cases, the ring should be removed, antihypertensive therapy should be prescribed and the issue of choosing the most acceptable method of contraception, incl. possible resumption of use of the drug NuvaRing.

Although estrogens and progestogens can influence peripheral insulin resistance and tissue tolerance to glucose, there is no evidence to support the need to change hypoglycemic therapy during the use of hormonal contraceptives. However, women with diabetes mellitus should be under constant medical supervision when using the drug NuvaRing, especially in the first months of contraception.

The use of contraceptive steroids may affect the results of certain laboratory research, including biochemical parameters liver functions, thyroid gland, adrenal glands and kidneys, plasma content of transport proteins (for example, corticosteroid binding globulin and sex hormone binding globulin), lipid/lipoprotein fractions, indicators carbohydrate metabolism and indicators of coagulation and fibrinolysis. Indicators, as a rule, vary within normal values.

Serious surgery (including on the lower extremities) is a contraindication to the use of the drug. When elective surgery It is recommended to stop using the drug at least 4 weeks in advance and resume no earlier than 2 weeks after full recovery motor activity.

Women predisposed to the development of chloasma should avoid exposure to sunlight and ultraviolet radiation.

The extent of exposure and possible pharmacological effects of ethinyl estradiol and etonogestrel on the glans mucosa and skin of the penis have not been studied.

Impact on the ability to drive vehicles and operate machinery

Considering the pharmacodynamic properties of the drug NuvaRing, its effect on the ability to drive a car and use complex equipment is not expected.

Overdose

Serious consequences of an overdose of hormonal contraceptives have not been described. Suspected symptoms: nausea, vomiting, slight vaginal bleeding in young girls.

Treatment: carried out symptomatic therapy. There are no antidotes.

Drug interactions

Interactions between hormonal contraceptives and other drugs may lead to the development of acyclic bleeding and/or contraceptive failure. Possible interaction with medicines, inducing microsomal enzymes, which can lead to increased clearance of sex hormones.

The effectiveness of the drug NuvaRing may be reduced with simultaneous use of antiepileptic drugs. medicines(phenytoin, phenobarbital, primidone, carbamazepine, oxcarbazepine, topiramate, felbamate), anti-tuberculosis drugs (rifampicin), antimicrobials(ampicillin, tetracycline, griseofulvin), possibly antiviral drugs(ritonavir) and medicines containing St. John's wort.

When treating any of the listed drugs, a woman should temporarily use a barrier method of contraception in combination with the drug NuvaRing or choose another method of contraception. When treating with drugs that induce liver enzymes, a barrier method (condom) should be used during treatment and for 28 days after discontinuation of such drugs.

If concomitant therapy is to be continued after 3 weeks of ring use, the next ring should be administered immediately without the usual interval.

During treatment with antibiotics (excluding amoxicillin and doxycycline), it is necessary to use a barrier method of contraception (condom) during treatment and for 7 days after their discontinuation. If concomitant therapy is to be continued after 3 weeks of ring use, the next ring should be administered immediately without the usual interval.

As a result of pharmacokinetic studies, no effect on the contraceptive effectiveness and safety of the drug NuvaRing when used simultaneously with antifungals and spermicides was identified. When combined with suppositories and antifungal agents, the risk of ring rupture increases slightly.

Hormonal contraceptives can cause disruption of the metabolism of other drugs. Accordingly, their concentrations in plasma and tissues may increase (for example, cyclosporine) or decrease (for example, lamotrigine).

To exclude possible interaction it is necessary to study the instructions for use of other drugs.

The use of tampons does not affect the effectiveness of NuvaRing. In rare cases, the ring may be accidentally removed when removing the tampon.

Storage conditions and periods

NuvaRing should be stored out of the reach of children at a temperature of 2° to 8°C (in the refrigerator).

Content

To protect against unplanned pregnancy It is recommended to use a variety of contraceptives. One of these drugs is contraceptive ring. Instructions for use Nuvaring describes how, when and under what circumstances the device is used. Initially, before use, you should find out the advantages and disadvantages of the contraceptive method, as well as reviews of women who have tried the drug before.

Advantages and disadvantages of the Nuvaring contraceptive ring

The NuvaRing device, due to its flexibility and elasticity, does not cause discomfort. A woman does not need to limit her motor activity. During intimacy vaginal ring Nuvaring does not reveal itself, so the partner does not realize that there is a foreign object inside the vagina.

The NuvaRing device is inserted deeply into the vagina. Inside the cavity, the shape of the ring undergoes individual changes, taking on the contours of the female genital organ and occupying a convenient location.

The advantages of the device are:

1. Low dosage of hormones contained in the contraceptive: only 20 mcg of the active substance is released into the bloodstream during the day, while other oral tablets have up to 30 mcg of the active substance.
2. The effects of hormones do not extend to the entire body; the substances act only locally.
3. The patient's weight does not increase during therapy.
4. Correct use of the NuvaRing ring can reduce the risk of developing uterine and ovarian cancer.
5. There is no need to control the intake - the ring is placed once every 21 days, and the tablets should be taken systematically.
6. It has a beneficial effect on a woman’s appearance - it improves the condition of the skin and hair, blocks painful discomfort when menstruation occurs, and reduces their duration.
7. It has the ability to delay or shorten the onset of menstruation thanks to modes of non-standard use of the device. But such use must be agreed upon with a gynecologist and strictly followed according to the instructions.

The disadvantages of using the device are the following points:

• a careful regimen of use should be followed;
• there are many contraindications that cause side effects;
• if the NuvaRing ring is not properly inserted, it may periodically fall out;
• in the presence of diseases of the genital organs, when inserting the device, an inflammatory process develops and the volume of discharge increases.

Warning! The NuvaRing ring, like other contraceptives in this group, does not protect against contracting diseases transmitted by partners through intimate intimacy.

Composition of Nuvaring

NuvaRing is a contraceptive that is a ring. According to the instructions, made of transparent, flexible, elastic material, with a completely smooth surface.

The substance from which the ring is made contains two active components: etonogestrel and ethinyl estradiol. To enhance the effect, the following are contained as excipients:

• magnesium stearate;
• vinyl acetate copolymer;
• ethylene.

Mechanism of action

When a hormonal ring is inserted, the process of egg maturation is blocked. The process occurs thanks to estrogen and progesterone, which are binding substances with the natural receptors of the female body.

After installing the Nuvaring ring, the sheath in the vagina is heated to degrees female body, resulting in the release of hormones contained within. The substances, when released, act specifically on the ovaries and uterus.

The available dose in the Nuvaring hormonal ring is sufficient to suppress ovulation. Due to this, conception does not occur.

Indications and contraindications for Nuvaring

The ring is specially designed for contraception. Thanks to its simple protection system, the device is popular among women of different ages, including both young ladies and slightly older ladies:

1. Young girls who are sexually active and have one proven sexual partner, who have not previously given birth.
2. Those who have recently given birth, as well as after the end of the period of natural feeding of the baby.
3. Representatives of the fair sex in the premenopausal period, but in the absence of chronic pathologies.

But before use, you should find out what contraindications there are. There are situations when it is prohibited to use the NuvaRing contraceptive ring:

• varicose veins in the legs, thrombosis;
• frequent headaches with the presence of symptoms of neurological disorders;
• acute liver pathologies;
• vascular lesions during the development of autoimmune diseases;
• vaginal discharge mixed with blood in the middle of the menstrual cycle;
• tumors of a malignant and benign nature;
• hypersensitivity and drug intolerance;
• the period of gestation and then natural feeding of the baby.

The NuvaRing device is allowed to be used when identifying excess weight, at increased rates blood pressure. The following do not become an obstacle:

• epilepsy;
• myocardial defects;
• cervical prolapse;
• intestinal obstruction.

Comment! For these diseases, the patient should be constantly monitored by a gynecologist.

Side effects of Nuvaring

At correct use Side effects of the NuvaRing device are extremely rare. But when the patient inserts the ring, if there are contraindications for use, the following negative phenomena develop:

• the occurrence of cystitis or cervicitis;
• manifestation of vomiting, painful discomfort in the stomach, diarrhea;
• growth of body fat, as well as increased appetite due to metabolic problems;
• increase in blood pressure;
• hypoesthesia;
• decreased libido levels;
• significant headaches;
• skin rashes;
• manifestation of muscle spasmodic pain in the back;
• malaise, increased irritability.

Attention! Typically, such signs develop when the Nuvaring ring is administered simultaneously with the use of other hormonal contraceptives, which, according to the instructions for use, is unacceptable.

How to insert Nuvaring

Algorithm:

1. The procedure is carried out with my own hands in a comfortable home environment.
2. It is necessary to choose a comfortable position: squat down or raise one leg so that it is comfortable for administering the drug.
3. Remove packaging from the device.
4. Lightly squeeze the ring in your hands, carefully, slowly, without unnecessary movements, insert it into the vaginal cavity, pushing it further away.

The elastic structure of the ring allows the device to be securely fixed in the folded walls of the vagina.

Instructions for using Nuvaring for the first time

The duration of the ring's stay in the vagina is 21 days. Afterwards, you need to take a break of 1 week. On the 2-3rd day, discharge appears, with blood streaks, turning into bleeding. This process is formed due to the cessation of the action of the contraceptive drug.

If the Nuvaring ring is being installed for the first time, it is inserted on the first day of your period. Installation of the device is allowed over the next 5 days, but in such a situation it is necessary to additionally use condoms during intimate intimacy for the next 7 days.

If the patient decides to switch from other oral contraceptives to the Nova Ring contraceptive ring, then the instructions advise inserting the device into the vagina on the last day after hormonal protection another type.

Pregnancy and lactation

The Nuvaring device is developed specifically to prevent unwanted pregnancy, therefore the use of the ring is strictly prohibited during pregnancy. If the patient is absolutely sure that she is pregnant, the device is immediately removed.

After discontinuing the use of the device, the desired pregnancy can occur immediately after normal egg maturation is restored and the natural cycle begins.

Important! Using the Nuvaring contraceptive ring while breastfeeding naturally Absolutely forbidden.

If a woman uses the device, the active components released will have a negative impact on breast milk, reducing the volume of lactation.

Price of the birth control ring Nuvaring

The contraceptive Nuvaring can be purchased at a hospital pharmacy or ordered online. In Moscow, the price of the drug is 1097 rubles. for 3 pieces, and in St. Petersburg – 1135-1351 rubles.

Analogues

Nuvaring, shown in the photo, has no analogues today that can completely replace the device in composition and effect.

There are other substitutes belonging to the same pharmacological group:

• "Cliogest";
• "Janine";
• "Klimadinon";
• "Klimonorm";
• "Silest";
• "Median";
• "Novinet."

Warning! It is strictly forbidden to select the drug yourself. Only the attending physician correctly selects the remedy and prescribes the duration of therapy.

Conclusion

Thus, the instructions for use of Nuvaring recommend the use of the device for various categories of women who have no contraindications. The device allows you to block the possibility of conceiving a child, and also improves the appearance of a woman. The main thing is to follow the doctors’ recommendations and act according to the plan.

As follows from the instructions, the Nuvaring hormonal ring provides women with exclusively high level protection against unwanted pregnancy. Reviews confirm the reliability of the product and ease of use. Hormonal contraception V last years has become widespread due to its many advantages. Which of them can Nuvaring boast?

Essence of the question

Two most popular modern approach for contraception - hormonal agents and barrier methods. Both have pros and cons. Hormonal contraceptives (not the least of which is the Nuvaring contraceptive ring) are easy to use according to the instructions, and the effectiveness of these methods exceeds 95%. Reliable in their effectiveness, these pregnancy prevention options are easy to use. There are tablets that are meant to be taken at the same time, patches that need to be applied once a week, injections, implants, rings. All hormonal contraceptives are divided into those containing one or two active compounds.

Among the most convenient, distinguished good reviews doctors - "Novaring". The instructions for use included in the packaging by the manufacturer provide a detailed understanding of the rules for directly installing the drug and the features of its operation. The manufacturer does not hide the mechanism by which the product works, what its strengths and weaknesses are, and possible side effects. It would be fair to immediately mention that negative reactions to the ring occur, but quite rarely, they are mostly weak and disappear some time after the start of regular use.

What is it about?

As follows from the instructions, “Novaring” is a contraceptive ring that belongs to the category of combined hormonal drugs. The product contains estrogen and progestogen in microscopic doses. Visually, this is a flexible ring with a diameter of 5.5 cm and a thickness of 8.5 mm. The product is made from hypoallergenic raw materials and is intended for placement in the vagina. Once inserted, the ring releases microscopic doses of hormonal compounds into the environment every day. The correct dosage is determined by the membrane system that forms the basis of the high-tech development for women.

The instructions for use of the Nuvaring contraceptive ring indicate that the drug can suppress the ovulation process. Hormonal effects correct the quality of uterine mucus, increasing viscosity. The advancement of sperm under such conditions is noticeably difficult, which is additional mechanism protection against unplanned pregnancy.

Reliable and safe

As can be seen from the reviews and instructions, the Nuvaring ring rarely becomes a source of side effects, since it is intended for direct injection into the area of ​​action, which significantly distinguishes it from contraceptives used orally. The feature is a really important plus. The product does not come into contact with the tissues of the stomach, intestines, and does not negative influence on the liver, while guaranteeing the regular supply of microscopic doses of the necessary hormones to the body. Consequently, the chance of side effects is minimal, especially compared to more traditional pregnancy prevention hormone formats. Reviews also confirm that negative reactions are rare (but do occur).

The Nuvaring instructions indicate reliability indicators obtained during numerous specific experiments. Scientists have confirmed that the product is effective, safe, and effective. In relation to the ring, it was calculated based on statistical data: it was revealed how many women out of a hundred who used the medication year-round became pregnant. A detailed study yielded a result of 96% effectiveness. But for medications used orally, this parameter varies between 10-90%.

Multi-faceted action

From the instructions for Nuvaring it follows that the drug not only prevents unwanted pregnancy, but also has additional positive qualities. The most pronounced positive effect on the menstrual cycle. Under the influence of active compounds it becomes more regular, each successive monthly bleeding less painful, not as abundant as without using the ring.

At the same time, the manufacturer in the instructions for “Novaring” (photos are presented in the article) draws attention to the fact that the drug was developed strictly as a method of preventing unwanted conception. The ring does not reduce the risk of contracting pathologies transmitted through intimate contact. “Novaring” is optimal if a woman has one permanent healthy partner, that is, the risk of infection is minimal.

Sometimes you can't

Instructions for use of Nuvaring (photos of the ring are presented in the article) draw attention to cases when the product cannot be used. There are quite a lot of contraindications - this is typical for any hormonal contraceptives (and other compositions with hormones). First of all, it should be noted increased sensitivity To active compounds, used by the manufacturer. You cannot use the ring when high blood pressure, thrombosis, heart attack, stroke, diabetes. The product is not intended for persons suffering from severe impairment of the functionality of the pancreas, liver, as well as in the detection of neoplasms, tumor processes in the liver. It is unacceptable to resort to Nuvaring if diagnosed malignancy, dependent on hormonal levels.

For certain cases, the instructions for the Nuvaring ring contain a mention in the application category, especially carefully and carefully. These are heart defects, excess weight. Before installing a contraceptive for the first time, you need to read the instructions in detail in order to assess to what extent it is suitable for a particular woman, which you need to pay special attention to when using it. As new significant information is revealed about the effects of the medication on the female body, the manufacturer will supplement the accompanying documentation.

I want a baby!

The instructions for the Nuvaring ring contain unambiguous instructions on the rules of behavior if it has been decided to abandon contraception in order to become pregnant. In such a situation, stop using the medication and wait for some time until the natural cycle of menstruation returns to normal. In most cases, pregnancy can be expected no more than a couple of months, usually within a month after stopping birth control.

The manufacturer recommends avoiding Nuvaring while breastfeeding. Reviews from doctors and the instructions for Nuvaring agree on this: professionals also advise against using the ring. The components contained in it can negatively affect the volume of milk produced by the mammary glands. There is a risk of changes in the composition of the natural product. If conception is detected while using the ring, the contraceptive should be removed immediately. Its use during pregnancy is strictly contraindicated.

How to use it correctly?

Regarding how to install the product for the first time, the instructions for use of Nuvaring contain clear and consistent instructions. However, the most reasonable option is to seek help from a doctor. Experienced gynecologist will help you understand the product, tell you the basic rules for its use, and warn you about common mistakes that can reduce the effectiveness of the drug. It is believed that the medication is convenient to use, since it does not require monitoring every day. The ring is installed for three weeks at a time, after which it is removed. On what day of the week the contraceptive was placed, on the same day it should be removed.

According to the instructions for using the Nuvaring ring, after removing the item, you must wait seven days and insert a new copy. During this period, withdrawal bleeding is observed. The logic, as you can see, is similar to the use of oral contraceptive drugs, and the only difference is the lack of daily control over the dose of the drug - hormones are injected into automatic mode, it is only important to track the passage of three-week, seven-day time periods.

Accuracy doesn't hurt

In the instructions for use of the Nuvaring ring, the manufacturer points out that special attention is required when starting to use the drug. For the first seven days, to reduce the likelihood of unwanted pregnancy, it is reasonable to use barrier contraceptive measures. Before installing the product for the first time, you should consult a doctor. The doctor will examine the client, formulate a conclusion regarding the possibility of using the ring, and also give individual recommendations on its use. In some specific cases the rules may differ from generally accepted practice.

How to place it correctly?

All features of the procedure are described in the instructions for use of the Nuvaring ring. Reviews confirm that there is nothing complicated in this procedure. You should start by choosing a comfortable position for administering the product: you can stand, sit, lie down. The object is squeezed and inserted into the vagina. Once in the zone of constant presence, it automatically takes the correct shape, adapting to the characteristics of the female body with all its individual specific features.

The removal process, as the instructions for using Nuvaring say, is no more complicated. The ring is squeezed with two fingers and pulled out. As a rule, withdrawal bleeding begins a couple of days after this point. In some cases, by the day when a new ring needs to be inserted, the discharge has not yet stopped. This is not a reason to postpone the use of the specimen - a new ring is introduced, soon after which the spotting will completely stop until a new cycle.

Negative effects: what to prepare for?

The instructions for use of Nuvaring draw attention to the possibility of side effects. The likelihood of their occurrence is minimized due to local release active ingredients, but it is impossible to completely exclude the absence of a negative response from the body. Among the relatively common unpleasant phenomena, it should be noted headache. Some women complained of dizziness, changes in emotions, sometimes even causing depression. It is known that in rare cases, Nuvaring can cause weight gain or problems with the digestive system and stool disorders.

The instructions for use of Nuvaring contain references to the possibility of vaginal discharge when using the ring. There is a risk of infection genitourinary organs. In rare cases, the mammary glands become more sensitive and worry painful sensations. Reactions can be local - discomfort during intimate contact, anxiety associated with the sensation of a foreign body inside the body.

Appearances and passwords

If, after reading the instructions for using Nuvaring, a woman decides in favor of this particular method of contraception, it makes sense to visit a convenient pharmacy to purchase a copy. Currently, there are two forms of release on sale: one and three copies per package. The smaller option costs about 1,300 rubles; for a package with three products they will ask for about 3,500 rubles.

The manufacturer, doctors strongly recommend that before making a decision in favor of the drug, visit qualified doctor for a complete examination of the body. During the consultation, the specialist will tell you what the main pros and cons of different methods are, recommend the optimal approach taking into account the individual characteristics, lifestyle of the patient, and physiological needs women. Don’t forget about personal preferences, because a contraceptive should be easy to use.

Don't mix concepts!

Some people think that hormonal and barrier are two different words, denoting the same means. Some people decide in favor of Nuvaring, fearing to use regular tablets or mini-pills, as they affect hormonal levels. Make no mistake: Nuvaring is also a drug that affects the concentration of hormones in a woman’s blood. The contraceptive ring is not a mechanical contraceptive.

To provide barrier contraception, it makes sense to pay attention to caps, diaphragms, and spirals. But the ring is exclusively a hormonal drug that helps prevent conception. In order not to be confused in concepts, when choosing optimal method It would be reasonable for yourself to first study how different methods and means work, and only then make a decision in favor of a specific name.

This is interesting

Currently, on the shelves of pharmacies in our country, the contraceptive ring is represented by a single name - this is the described drug “Novaring”. It was invented by Dutch scientists, first went on sale in 2001, and is now widespread in European countries and America.

Features of application

To achieve maximum effectiveness and safety, Nuvaring is installed simultaneously with the beginning of a new menstrual cycle. If you administer the drug later, but within the first five days from the start of menstruation, throughout this cycle you will need to use additional barrier methods to prevent unwanted pregnancy. Nuvaring is safe and is used after a spontaneous, medical abortion. It is advisable to place the ring the very next day after the event.

If a woman is planning intimate intercourse with a partner who is at risk of contracting sexually transmitted diseases, in addition to the ring, it is necessary to use additional barrier methods of contraception, since the drug only corrects hormonal levels, but cannot protect against infection. IN general case This method is considered optimal if a woman has one permanent partner, and both are regularly tested for the absence of STDs.

No savings!

The removed Nuvaring contraceptive ring is not intended for reuse. The copy must be thrown away, and after a seven-day break, install a new one or begin using other means of preventing unwanted conception. Longer than three weeks medical item should not be in a woman’s body.

Correct use of the contraceptive ring helps prevent the formation of myomatous nodes. It is known that among women using Nuvaring, fewer women suffer from endometriosis. Research has shown that when acne, excessive oiliness of the skin, “Novaring” normalizes the activity sebaceous glands, which leads to improvement appearance.

Special case

In the instructions supplied with the drug, the manufacturer indicates that Nuvaring is not recommended for use by women who smoke. The remedy should not be selected if autoimmune pathologies, disturbances in the functioning of the heart, gallstones. You should not use hormonal birth control before adulthood, especially without consulting your doctor. If there is prolapse of the vaginal walls, prolapse of the uterus, the ring is also ineffective. You should not use this method of contraception before surgical intervention, in the presence of wounds, inflammatory processes genitals. If surgery is planned, best option- already a month before the event, completely abandon any hormonal drugs to prevent pregnancy.

Where to stop?

In comparison with other options for preventing conception presented on pharmacy shelves, Nuvaring has both positive sides, and disadvantages. When compared with oral contraceptives, you should pay attention to the dosage of hormonal compounds. Mostly, the drugs supply the body with 30 mcg of active substance daily, while the ring is a source of a third less volume. Due to this, the effectiveness is not reduced, but the risk of side effects is reduced.

Another important one positive point- independence from the lifestyle and character traits of a woman. It is known that many people forget to take pills on time, intended for use every day at the same time, which leads to low effectiveness of the contraceptive program. When using the ring, you don’t have to think about it at all; you just need to remember twice a month about the need to install and remove the drug. Every day, the device automatically injects the required amount of hormones into the female body, so you don’t have to think about it at all. At the same time, the condition of the hair and skin improves, and pain syndrome, accompanying monthly bleeding. If necessary, you can reduce monthly cycle or lengthen it a little, which is especially convenient if you are planning a trip or vacation. True, before shifting your cycle you need to consult a gynecologist.

Along with the pros there are always cons

Along with the positive qualities, Nuvaring also has some weaknesses. In particular, only then does the ring show reliability and effectiveness when it is used in strict accordance with the instructions, when maintaining the regime specified by the manufacturer. Weaknesses include the abundance of contraindications. It is known that when the genital organs become infected, the ring can cause an exacerbation of the process, since the amount of discharge in the volume increases slightly. There is a possibility of spontaneous loss, so it is important to regularly check that the contraceptive is in place.

Among the negative aspects, it is worth mentioning the fairly high cost of the ring, especially in comparison with some hormonal contraceptives. The manufacturer draws attention to the fact that the drug is sold only in certified pharmacies. It is strictly not recommended to purchase it at other points, as there is a risk of encountering a counterfeit.

Contraception and sexual desire

It is known that some hormonal drugs have a negative effect on a woman's libido. It is believed that in general Nuvaring does not have such effects due to the reasonable dosage of estrogen. If you have previously used tablets, switch to Nuvaring on the eighth day after using the last one. If you have previously used mini-pills, you can start using the ring on any convenient day, but in the first week additionally use barrier methods to prevent conception.

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 means contraception with a minimum 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 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, which can become a contraindication).

Why is NuvaRing better? 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:

1. 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.
2. 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.
3. 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. Freeze in freezer the system is not recommended. 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 prescribed antibacterial drugs, they need to be accepted. 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 simultaneous use vaginal suppositories against 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. 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.

The NuvaRing contraceptive is a soft and smooth ring that is inserted into the vagina for a period of 3 weeks. In the internal cavity of the genital organs, it occupies the most convenient position for a woman, adapting to the individual characteristics of the physique. Thanks to its flexibility, the ring does not cause the slightest discomfort and does not create obstacles to sports. Moreover, during sexual intercourse, neither partner feels the ring.

NuvaRing sizes are universal for women of any weight and build: its diameter is 54 mm and its thickness is 4 mm. The ring is produced in the Netherlands. Please note that there are no birth control pills of the same name.

How does NuvaRing work?

Under the anti-allergic shell of this product there are minimal portions of estrogen and progestogen. These are female sex hormones that have great importance for her reproductive system. Inside the vagina, the ring acquires the temperature of a person’s body, and its shell becomes porous and releases hormones contained under it into the cavity of the uterus and ovaries. Action active substances targeted, hormonal effects on other organs in the body, except the genitals, do not apply. The concentration of these hormones is enough to negate the process of egg maturation and its release from the follicle. This means that pregnancy will not occur under such conditions.

Advantages of a hormonal ring

1. Undeniable reliability.
2. Simplicity and comfortable use (you only need to change the ring once a month).
3. A microscopic portion of hormones in the ring, which makes it absolutely safe.
4. Exclusively local action active substances.
5. The use of NuvaRing does not affect a woman’s weight.
6. Thanks to the ring, the monthly cycle becomes more regular, and the pain during menstruation is dulled.

Disadvantages of the hormonal ring

1. For some women, this method of birth control seems unusual from a psychological point of view.
2. Manufacturers of NuvaRing do not guarantee full protection from sexually transmitted diseases.
3. The hormonal ring has quite a few contraindications.

How to use Nuvaring

The ring is inserted during menstruation on the first to fifth day (but not later!). Wash your hands thoroughly, then take the most comfortable position for you: lie down, squat, or lean your back against a wall and lift one leg.

Squeeze the pliable ring tightly with your fingers to reduce its diameter and insert it deep into the vagina. If you feel the contraceptive device after insertion, adjust it with your fingers until this discomfort disappears. Don't worry about the ring being in the "wrong" place - if you don't feel it, it means it's positioned correctly in the vagina.

The NuvaRing should remain inside you for three weeks. If you accidentally remove the ring (this can happen when changing a sanitary tampon), rinse it in warm water and reinsert it. When the hormonal product expires, carefully remove it by prying it with your index finger or squeezing it with your middle and index fingers.

It is important!

MirSovetov hastens to draw your attention to the following rules for using the NuvaRing hormonal ring.

One ring is effective for one. You absolutely must remove it on the 22nd day after you installed it. In order not to get confused with the dates, you need to remember what day of the week you put the ring on - on the same day of the week you need to remove it. For example, if you put it on Thursday, you take it out 3 weeks later on Thursday. The safest thing, of course, is to immediately mark the start and end days of using NuvaRing on the calendar.

After the ring has been removed, rest for 7 days, and on the 8th day a new ring is inserted.

Attention! During the first week of using NuvaRing, doctors strongly recommend using a condom as an additional barrier method protection against unwanted pregnancy.

How to use a hormonal ring after an abortion or childbirth

If you had it done in the first 3 months of pregnancy, place the ring in your vagina immediately after surgery. Please note that in this case it is not necessary to use a condom in the first 7 days after injection.

If some time has passed after the abortion, wait until your period and insert the hormonal ring on any day of your period no later than the fifth day. Use during the first week is mandatory.

If the abortion was performed in the second trimester, you can use NuvaRing only 3-4 weeks after the abortion. The same rule applies to childbirth. Need for barrier contraception in the form of a condom in this case is no longer necessary.

If 21 days have passed since the abortion or childbirth and during this time you have had sexual intercourse, wait until your first period to make sure that you are not pregnant. Insert the ring during your period and be sure to use a condom for 1 week.

Bleeding when using NuvaRing and after removing it

Be prepared for the fact that in many women, the abolition of the hormonal ring provokes the development of bleeding, which is explained by the cessation of the action of the active components of NuvaRing on reproductive system. You will most likely notice blood 2-3 days after you remove your birth control. Bleeding may stop immediately after the next ring is inserted or earlier.

Sometimes temporarily stopping NuvaRing does not cause bleeding. This phenomenon is considered normal if the contraceptive ring was used strictly following the rules for its use, and there was no bleeding only once. However, if a woman deviates from these recommendations and there is no blood 2 times in a row, pregnancy is suspected. A gynecologist will help clarify the situation.

During the period of wearing the ring, scanty and inconsistent bleeding may sometimes appear in the vagina. There are also unexpected occurrences heavy bleeding. Spotting can be ignored (they usually stop quickly), but heavy bleeding- a good reason to immediately visit a antenatal clinic.

There will be no difficulties with canceling NuvaRing: just remove the ring when you decide not to use protection anymore. The body will be freed from the influence of estrogen and progestogen and will very quickly restore ovulation. Conception can occur in the first month after discontinuation of NuvaRing. None unpleasant consequences for pregnancy after the use of the hormonal ring was not noted.

Side effects of NuvaRing

Side effects are uncommon with this contraceptive. Sometimes something may bother a woman when she first starts using the ring, but that's all. discomfort They disappear quite quickly on their own. Here are some of them.