Etonogestrel and Ethinyl Estradiol

Nuvaring Vaginal Ring

Nuvaring is a user-friendly vaginal ring that a medical professional prescribes to prevent pregnancy. It is suitable for most women seeking a reliable method of contraception. This flexible and lightweight ring contains 0.015mg of ethinyl estradiol and 0.12 mg of etonogestrel. If you follow the instructions as directed by your healthcare provider, you will get an effective result. Unlike other contraceptive methods, Nuvaring’s contraceptive hormones are directly supplied to the uterus, thus resulting in fewer side effects. This method is even suitable for patients who have irregular menstrual cycles or problems like endometriosis. It allows medical professionals to personalize the hormone combination for them.

Product Overview

Nuvaring is a flexible, hormone-releasing vaginal ring used for birth control. It contains two active ingredients, etonogestrel and ethinyl estradiol, which are synthetic forms of progesterone and estrogen. This combination prevents pregnancy by slowing ovulation, altering the cervical mucus & changing the uterine lining. Nuvaring is FDA-approved and available only by prescription, thus ensuring its safety and efficacy through precise clinical testing.

This product is available in a single form and strength: a flexible ring that releases hormones at a steady rate. Each ring is used for a three-week period, followed by a one-week break during which a withdrawal bleed typically occurs. This ring is easy to insert and remove, making it a convenient option for many women. It works by discharging hormones that prevent the ovaries from releasing eggs and by densing cervical mucus to prevent sperm from binding to any eggs that may be released.

Some potential side effects of Nuvaring include headaches, nausea, breast tenderness, and mood changes. Serious but uncommon side effects include blood clots, stroke, and heart attack, particularly in smokers and women over 35. It’s essential to follow the prescribed directions and consult a healthcare provider for advice. If a dose is missed, insert a new ring as soon as possible and use a backup contraceptive method if necessary. In case of an overdose, get immediate medical attention. 

What Are the Uses of Nuvaring Vaginal Ring?

Nuvaring is a contraceptive that comes in the form of a vaginal ring. It is indicated for women to prevent pregnancy. 

What Are the Forms & Strengths of Nuvaring Vaginal Ring?

Nuvaring comes in the form of a vaginal ring with a strength of 0.12mg/0.015mg released per day.

What Are the Recommended Dosage of Nuvaring Vaginal Ring?

For Pregnancy Prevention

• Insert the Nuvaring vaginal ring for three weeks.
• Remove the used ring for a one-week break, during which a withdrawal bleed typically takes place. 
• Then, insert a new ring seven days after the last ring is taken out. 

If No Hormonal Contraceptive Was Used in the Previous Cycle

• Insert NuvaRing on the first day of your menstrual period.
• You can also start on Days 2-5 of your cycle, but use a barrier method (like male condoms with spermicide) for the first week of vaginal ring use in the first cycle.

Switching From a Combined Hormonal Contraceptive (CHC)

• You can switch from your previous CHC on any day but no later than the day after your usual hormone-free interval.
• Ensure you have been using your previous method consistently and correctly, or you are not pregnant.

Switching From a Progestin-Only Method

• Use the Nuvaring the day after your last POP (progestin-only pill).
• You can switch from an implant or IUS on the day it is removed and from an injectable on the day the next injection is due.
• In all cases, use an additional barrier method (like male condoms with spermicide) for the first seven days.

After Abortion or Miscarriage

• Start using Nuvaring within five days of a complete first-trimester abortion or miscarriage without needing an additional contraceptive method.
• If you don’t start within five days, follow the guidelines for “No Hormonal Contraceptive Use in the Previous Cycle” and use a non-hormonal contraceptive in the meantime.
• Start using this vaginal ring no earlier than four weeks after a second-trimester abortion/miscarriage due to the increased risk of blood clots.

The Following Childbirth

• Do not start Nuvaring earlier than four weeks postpartum if you are not breastfeeding due to the increased risk of blood clots.
• If you are breastfeeding, do not use Nuvaring until you have stopped breastfeeding.
• Use an additional contraceptive method (e.g., male condoms with spermicide) for the first week of using the product postpartum.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Use Nuvaring Vaginal Ring?

There are no complex rules for inserting and removing Nuvaring, but to use it correctly, follow the instructions exactly as directed by your healthcare provider. 

Read the patient information leaflet correctly that is provided with the medication. This will give you complete information on the administration steps.

For Inserting Nuvaring

• Before inserting the ring, wash and dry your hands properly. Then, open your resealable Nuvarign package and take out the ring. Do not throw the package or pouch, as you can dispose of your ring in that pouch.
• Now, fold the ring so that its sides are touching each other.
• Insert the ring in the vagina as far as you can. To do this, use your index finger and push the ring deeper inside. You can place the ring in any position, as there is no fixed position. 
• You are ready to go. Some people may feel the ring inside, and others may not. Either way, the ring is safely placed. 
• It will not get dissolved in the body and will stay comfortably in the body. 

For Removing Nuvaring 

• Wash your hands thoroughly with soap and water and dry them.
• Now, insert your index finger in your vagina and slowly pull the ring out.
• Put the ring in your resealable foil pouch that came with the product.
• Discard the ring in properly. 
• Ensure that your ring is placed inside the vagina. There are times when this ring can be expelled accidentally while removing a tampon when having a bowel movement with straining, or during intercourse. Remember that this ring should be in the vagina for a continuous three weeks. 
• It is important to note that an expulsion of the ring for more than three hours will not affect the effectiveness of the contraceptive.  
• Clean the ring with cool to lukewarm water if left outside and reinsert it within three hours. 
• If your Nuvaring is out for more than three hours continuously:
  • During Weeks 1 and 2: Reinsert it as soon as possible and use a barrier method like male condoms with spermicides until the ring has been used for seven days.
  • During Week 3: Discard the expelled ring and either insert a new one immediately to start the next 3-week cycle or insert it within seven days of the previous one being removed.
  • Unknown Duration: If you’re unsure how long the NuvaRing was out, consider the possibility of pregnancy. Take a pregnancy test before inserting a new ring.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Nuvaring Vaginal Ring Work?

Nuvaring consists of artificial forms of estrogen and progesterone, which are the same hormones that are present in birth control pills. So, these hormones help in preventing pregnancy by working in the following ways:

• Suppressing the Ovulation Process: Ovulation happens when a female’s ovaries release an egg. If a woman does not ovulate, male sperm will remain unable to fertilize an egg.
• Cervical Mucus Thickening: Cervical mucus is a substance that the body produces near the cervix. When the cervical mucus thickens, sperms find it difficult to swim through the vaginal canal. As a result, sperm will not be able to reach an egg, thus preventing pregnancy.
• Altering Endometrium: The endometrium refers to the lining of the uterus, and when there is an altering/change in your uterus lining, it is difficult for a fertilized egg to implant.

Important Safety Information for Using Nuvaring Vaginal Ring

What Are the Side Effects of Nuvaring Vaginal Ring?

Nuvaring vaginal rings can cause potential side effects ranging from standard to serious. Common side effects may last from a few days to weeks. If these effects persist for a long term, usually overpassing the mentioned time period, contact a medical provider right away. Common side effects of Nuvaring vaginal ring may include:

• Vaginal infections/irritation
• Vaginal itching/discharge
• Headache
• Nausea
• Vomiting
• Bloating
• Stomach cramps
• Weight fluctuations
• Changes in appetite
• Breast pain or swelling
• Nervousness
• Dizziness
• Tiredness
• Darkening of facial hair
• Scalp hair loss
• Excessive hair growth
• Changes in Menstrual cycle
• Reduced sex drive

Nuvaring Vaginal Ring can result in some serious side effects, which can be fatal or life-threatening. If you are experiencing any severe effects during your usage period, talk to a medical practitioner. Serious side effects of Nuvaring vaginal ring may include: 

• Sudden vision loss
• Slurred speech
• Numbness or weakness on one side of the body
• Severe headache
• Loss of coordination
• Extreme chest pain
• Coughing up blood
• Difficulty breathing
• Pain in one or both legs
• Sweating
• Sudden fever
• Skin rash
• Body aches
• Irregular heartbeats
• Diarrhea
• Mood changes
• Fainting
• Not feeling hungry
• Upper stomach pain
• Negative thoughts
• Tiredness
• Dark urine
• Jaundice
• Confusion
• Muscle stiffness

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Nuvaring Vaginal Ring?

• Thromboembolic Disorders and Other Vascular Problems: Stop using Nuvaring if you experience an arterial thrombotic or venous thromboembolic event. Discontinue at least four weeks before and two weeks after major surgery. Moreover, combined hormonal contraceptives (CHCs) like Nuvaring increase the chances of blood clots, especially for smokers, obese women, and those with a family history of clots.
• Toxic Shock Syndrome (TSS): Some patients have also reported TSS cases with the use of Nuvaring. This syndrome is associated with tampons and some barrier contraceptives. Although a direct connection between Nuvaring and TSS hasn’t been proven. So, if a patient shows TSS symptoms, seek medical evaluation and treatment.
• Liver Disease: Avoid Nuvaring if you have liver disease or liver tumors. Discontinue use if liver function issues arise, and only resume after normal liver function is confirmed.
• High Blood Pressure: Combined hormonal contraceptive like Nuvaring is not recommended for use in patients with uncontrolled high blood pressure. Therefore, patients should closely monitor their blood pressure and discontinue use if it significantly increases.
• Hypersensitivity Reactions: Women have also reported hypersensitivity reactions, including anaphylaxis or angioedema, while using Nuvaring. So, if you experience such severe allergic reactions, stop using it and seek appropriate treatment.
• Vaginal Use: Nuvaring may cause vaginal irritation or erosion. If the ring adheres to vaginal tissue, removal by a healthcare provider might be necessary.
• Gallbladder Disease: CHC users have a slightly higher risk of gallbladder disease. Avoid combined hormonal contraceptives if you have a history of CHC-related or pregnancy-related cholestasis.
• Carbohydrate and Lipid Metabolic Effects: CHC may increase the risk of reduced glucose tolerance. So, closely monitor prediabetic and diabetic women using this method. 
• Headache: If new, persistent, or severe headaches occur, evaluate and consider discontinuing Nuvaring.
• Bleeding Irregularities: Unscheduled bleeding may occur, especially in the first three months. If bleeding persists, check for pregnancy or other causes. Moreover, if you do not get scheduled/withdrawal bleeding, there could be a possibility of pregnancy in such situations, too. 
• Urinary Bladder Insertion: There have also been cases of inadvertent insertions of CHC requiring cystoscopic removal. Seek evaluation if you have urinary symptoms and can’t locate the ring. 
• Depression: Patients with a history of depression are advised against using this product. Using it may increase the chances of recurring depression or exacerbation. So, patients should be closely monitored if they have used this product.
• Malignant Neoplasms: Avoid Nuvaring if you have or have had a history of breast or cervical cancer. Some studies suggest an increased risk of these cancers with CHC use due to hormonal sensitivity.
• Binding Globulins: The estrogen component of Nuvaring may increase the serum concentration of cortisol-binding globulin, thyroxine-binding globulin, and sex hormone-binding globulin.  
• Hereditary Angioedema: Nuvaring may exacerbate angioedema symptoms in women with hereditary angioedema.
• Chloasma: Avoid sun exposure if you are prone to chloasma, as CHC can increase the risk of this skin condition.

What Are the FDA Boxed Warning for Nuvaring Vaginal Ring?

FDA has issued a boxed warning for Nuvaring vaginal ring. It alerts doctors and patients about the harmful effects of this contraceptive method. Here is the warning for Nuvaring:

• Cigarette Smoking and Serious Cardiovascular Events: Smoking increases the risk of severe cardiovascular events due to the use of combination hormonal contraceptives or CHC. This risk rises with the age of the patients, especially women over 35 years of age, and with the number of cigarettes smoked. As a result, doctors do not recommend this contraceptive method to women who are over 35 years of age and smoke.  

What Are the Nuvaring Vaginal Ring Precautions?

Before using the Nuvaring vaginal ring, patients are advised to discuss every risk and benefit with their medical practitioner. Some of the precautions that you can take before using this contraceptive method are as follows:

• Before using this contraceptive method, tell your healthcare provider if you are allergic to other estrogens or progestins or if you have any other allergies. The product may contain certain inactive components that can cause severe allergic reactions.
• If you are considering using Nuvaring vaginal ring, tell your healthcare professional about your or your family’s medical history, especially of:
  • High blood pressure
  • Blood clots
  • High cholesterol
  • Breast cancer
  • Abnormal breast exam results
  • Depression
  • Diabetes
  • Swelling disorder
  • Gallbladder problems
  • Heart issues
  • Jaundice during pregnancy
  • Liver problems
  • Thyroid issues
  • Obesity
  • Stroke
  • Vaginal problems
• CHC may affect your blood sugar levels. Therefore, if you have diabetes, check your sugar levels regularly and share the readings with your doctor.
• If you are undergoing surgery or will be restricted to a bed or chair for a long time, inform your healthcare practitioner beforehand. These conditions can raise the chances of developing blood clots, especially when you are using hormonal contraceptives. 
• If you are undergoing any surgery or medical procedure, inform your doctor about the products you use. This include all prescription drugs, OTC medications or herbal products.
• The hormones used in this product may result in dark areas on the face or skin, and exposure to the sun may worsen this condition. So, limit your sun exposure and avoid tanning booths and sunlamps. Use preventive measures such as sunscreen & protective clothing when going outdoors.
• Women should know that Nuvaring vaginal ring helps in preventing pregnancy and not sexually transmitted infections (STIs). So, take preventive measures to avoid any STIs.
• Do not use this product if you are pregnant or planning to have a baby. Inform your doctor immediately if you become or suspect you might be pregnant. After childbirth or a pregnancy loss/abortion post the first trimester, consult your doctor about safe and reliable birth control options.
• The hormones in this product may reduce breast milk production, and a small amount can pass into breast milk, potentially affecting a nursing baby. Talk to your doctor before breastfeeding.

What Are the Contraindications of Nuvaring Vaginal Ring?

It is contraindicated in women who have the following conditions:

• A high chance of arterial or venous thrombotic diseases
• Liver tumors or liver disease
• Abnormal uterine bleeding
• Pregnancy
• A history of active breast cancer
• Hypersensitivity reactions
• Use Hepatitis C drug combinations, including ombitasvir/paritaprevir/ritonavir, with or without dasabuvir

What If You Missed a Dose of Nuvaring Vaginal Ring?

There is no need to insert the Nuvaring vaginal ring regularly. You can use this ring for three weeks. However, if you have a habit of forgetting things or trouble remembering to remove or reinsert the ring, or if your ring is accidentally expelled, talk to a professional medical provider. They will suggest alternate options or suggest you switch to a different form of birth control contraceptives. 

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Take Too Much of Nuvaring Vaginal Ring?

There are no known serious side effects from an overdose of CHCs. In rare cases, overdosing may cause nausea and withdrawal bleeding in females. A broken ring does not release more hormones. If an overdose is suspected, remove all Nuvaring rings and provide symptom-based treatment.

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

How to Store a Nuvaring Vaginal Ring?

• Before handing out the product to the user, store it at the temperature of 2°C to 8°C and after dispensing it to the user, it can be stored at 25°C for at least four months, with excursions permitted to 15°C to 30°C. 
• Avoid keeping the product under direct sunlight or temperature above 30°C.
• Do not use the product 4 months from the date of dispensing it or after its expiration date.
• Avoid flushing the product down the toilet.
• Keep it out of reach and sight of children and pets.
• Discard the product in a proper manner, or you can ask your healthcare practitioner how to dispose of the vaginal ring without harming the environment.    

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

What Medications Interact with Nuvaring Vaginal Ring?

Here are some of the drugs that may interact with Nuvaring and cause harmful effects that can be life-threatening to patients:  

• Abrocitinib
• Acitretin
• Baricitinib
• Belzutifan
• Boceprevir
• Bosentan
• Brigatinib
• Carbamazepine
• Carbenicillin
• Carfilzomib
• Dabrafenib
• Dantrolene
• Encorafenib
• Eslicarbazepine
• Etretinate
• Exemestane
• Fedratinib
• Felbamate
• Griseofulvin
• Hemin
• Letrozole
• Lemborexant
• Mavacamten
• Mycophenolate mofetil
• Mycophenolic acid
• Omaveloxolone
• Oxcarbazepine
• Pacritinib
• Pexidartinib
• Phenobarbital
• Rifabutin
• Rifampin
• Rifapentine
• Relugolix
• Telaprevir
• Telithromycin
• Tranexamic acid
• Upadacitinib

What Are the Other Nuvaring Vaginal Ring Interactions?

Other interactions may include:

• Alcohol
• Grapefruit juice
• Smoking
• Abnormal genital bleeding
• Abnormal vaginal bleeding
• Carcinomas (estrogenic)
• Hypercalcemia in breast cancer
• Hypertension
• Thromboembolism/cardiovascular
• Hepatic neoplasms
• Breast malignancy
• Liver disease
• Thromboembolism

[Note: This isn’t a complete list, and there could be other drugs that interact with Nuvaring Vaginal Ring. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Nuvaring Vaginal Ring Alternatives?

Patients usually take alternative medicines, such as drugs or products, for various reasons. The primary two reasons for switching to alternate medications. Some patients may choose other products/drugs as they are not suitable for them due to medical conditions. While others switch their medications as they are not getting the results they are aiming for. That’s why you should talk to a medical provider before using a particular medication or product. They may help you decide which medication is best suited for you. Some of the alternatives of Nuvaring vaginal rings are as follows:

• Mirena (levonorgestrel)
• Lo Loestrin Fe (ethinyl estradiol/norethindrone)
• Nexplanon
• Depo Provera
• Sprintec
• Norethindrone
• Yaz
• Eluryng
• Depo-SubQ Provera 104 (medroxyprogesterone acetate)
• Annovera (ethinyl estradiol/progesterone acetate) 
• Paragard (intrauterine copper) 
• Skyla
• Kyleena

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Nuvaring Vaginal Ring Cost & Coupons

It is important to note that the cost of a Nuvaring vaginal ring is not the same everywhere. The actual cost of this contraceptive method is based on various factors, like your insurance plan, location, and the pharmacies you use. Nuvaring can be expensive for some individuals. Here, insurance coverage plays an important role. With an insurance coverage plan, you can buy this product at a discounted price. However, not all drugs or medications are covered under the insurance plan. To manage these costs, you can buy from reputed and licensed pharmacies like Polar Bear Meds, where you can buy Nuvaring vaginal rings online from Canada at affordable prices. Moreover, first-time buyers can use the Nuvaring vaginal ring coupon code WELCOMEPB10 to receive a 10% discount on their first order.

Frequently Asked Questions

Can I use condoms with Nuvaring vaginal rings?

Yes, you can use condoms with NuvaRing. In fact, using condoms along with NuvaRing provides additional protection against sexually transmitted infections (STIs) and can be a backup method in case the ring is not used correctly.

Does Nuvaring vaginal ring cause vaginal dryness?

NuvaRing generally does not cause vaginal dryness. However, some users may experience side effects that vary from person to person. If you experience vaginal dryness or any other discomfort, consult your medical provider for advice and possible solutions.

Is there any device for inserting Nuvaring vaginal ring?

No special device is needed to insert NuvaRing. The ring is designed to be easily inserted and removed by hand. Follow the directions provided with the product, or ask your medical practitioner for a demonstration if you have any concerns about insertion.

Can I use a Nuvaring vaginal ring during my period?

Yes, you can use NuvaRing during your period. In fact, for optimal effectiveness, it is recommended that you insert the ring on the first day of your menstrual cycle. Using NuvaRing during your period helps maintain consistent hormone levels and effective pregnancy prevention.

Our Guarantee

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