When do i insert a new nuvaring

The figure below shows the likelihood of developing a serious blood clot for women who are not pregnant and do not use hormonal birth control, for women who use hormonal birth control, for pregnant women, and for women in the first 12 weeks after delivering a baby. Based on a model assumption that pregnancy duration is 9 months, the rate is 7 to 27 per 10, woman-years. Some women have spotting or light bleeding during NuvaRing use. If these symptoms occur, do not stop using NuvaRing.

The problem will usually go away. Other side effects seen with NuvaRing include breast discharge; vaginal injury including pain, discomfort, and bleeding associated with broken rings; and penis discomfort of the partner such as irritation, rash, itching. There have been reports of the ring becoming stuck to the vaginal tissue and having to be removed by a healthcare provider.

Call your healthcare provider if you are unable to remove your NuvaRing. Tell your health care provider about any side effect that bothers you or that does not go away.

These are not all the possible side effects of NuvaRing. For more information, ask your health care provider or pharmacist. Call your health care provider for medical advice about side effects. Your chance of getting pregnant depends on how well you follow the directions for using NuvaRing. The better you follow the directions, the less chance you have of getting pregnant.

NuvaRing is non-biodegradable so it will not dissolve. It releases a low dose of hormones into your body over the course of 3 weeks. After that time, you need to remove it, take a week off from NuvaRing, and insert a new one 7 days after removal.

It is important to consult with your health care provider to make sure you are not pregnant before starting NuvaRing. When you start using NuvaRing depends on your current birth control situation. Talk to your health care provider and read the Prescribing Information for more details.

Also read some basic directions on how to start NuvaRing. NuvaRing may move around slightly within your vagina. This is normal. If you do feel discomfort, NuvaRing is probably not fully inserted. In that case, just use your finger to gently push the NuvaRing as far as you can into your vagina. Rest assured, there is no danger of NuvaRing being pushed too far up in the vagina or getting lost.

The cervix the narrow, lower end of the uterus will block NuvaRing from going any farther. NuvaRing can accidentally slip out of the vagina while removing a tampon, during intercourse, or straining during a bowel movement. Some women have accidentally inserted NuvaRing into their bladder.

If you have pain during or after insertion and you cannot find NuvaRing in your vagina, call your health care provider right away. During intercourse, some sexual partners may feel NuvaRing in the vagina. Hormonal birth control methods do not seem to cause breast cancer. However, if you have breast cancer now or have had it in the past, do not use hormonal birth control, including NuvaRing, because some breast cancers are sensitive to hormones.

Women who use hormonal birth control methods may have a slightly higher chance of getting cervical cancer. However, this may be due to other reasons such as having more sexual partners. NuvaRing can slip or accidentally come out of be expelled from your vagina during sexual intercourse, bowel movements, use of tampons, or if it breaks.

During Weeks 1 and 2, you may not be protected from pregnancy. Reinsert the ring as soon as you remember. Use another birth control method, such as male condoms with spermicide, until the ring has been in place for 7 days in a row.

During Week 3, do not reinsert the NuvaRing that has been out of your vagina; but throw it away in your household trash away from children and pets. Use another birth control method, such as male condoms with spermicide, until the new NuvaRing has been used for 7 days in a row, following one of the two options below:.

Option 1. Insert a new ring right away to start your next 21 day NuvaRing use cycle. You may not have your regular period but you may have spotting or vaginal bleeding.

Option 2. Insert a new ring no later than 7 days from the time the previous ring was removed or expelled. During this time, you may have your period. Note: You should only choose to do option 2 if you used NuvaRing for 7 days in a row, prior to the day that your previous NuvaRing was accidently removed or expelled.

Rest assured that once inserted in the vagina, there is no risk of NuvaRing being pushed too far up or getting lost. There have been some reports of women accidentally inserting NuvaRing into their bladder. If you are experiencing pain during or after insertion and you cannot find your NuvaRing in your vagina, call your health care provider right away. You must use another birth control method, such as male condoms with spermicide, until the new NuvaRing has been used for 7 days in a row.

NuvaRing may break, causing the ring to lose its shape. If the ring stays in your vagina, this should not lower the effectiveness of NuvaRing at preventing pregnancy. If NuvaRing breaks and slips out of your vagina, throw the broken ring in your household trash out of the reach of children and pets and immediately insert a new ring.

Use of tampons will not reduce the contraceptive efficacy of NuvaRing. Insert NuvaRing before inserting a tampon. You should pay particular attention when removing a tampon to be sure that the ring is not accidentally pulled out.

If this should occur, simply rinse the ring in cool to lukewarm not hot water and immediately reinsert it. Use of spermicides or vaginal yeast products will not reduce the contraceptive efficacy of NuvaRing. Some women miss periods on hormonal birth control, even when they are not pregnant. For more information on the different options talk to a GP or nurse. You'll be protected against pregnancy straight away if you insert it in the first 5 days of your period the first 5 days of your menstrual cycle.

Talk to a GP or nurse about whether you need additional contraception if you have a very short cycle or an irregular cycle. If you start using the ring at any other time in your menstrual cycle, you'll be protected against pregnancy as long as you use additional contraception such as condoms for the first 7 days of using it. If you are switching from another type of contraception excluding condoms or you have taken emergency contraception recently, the advice on when to start using the ring and how soon you'll be protected may be different.

Talk to a GP or nurse about the best time to start using the ring and whether you need to use additional contraception. They can also give you advice on how to insert and remove it. Unlike a diaphragm or cap, the ring doesn't need to cover the entrance to your womb the cervix to work.

Using your fingers, check regularly that the ring is still there. If you can't feel it but you're sure it's there, see a GP or nurse. The ring can't get "lost" inside you. After the ring has been in your vagina for 21 days 3 weeks , you remove it. This should be on the same day of the week that you put it in. 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 ring out, you don't put a new one in for 7 days 1 week.

This is the ring-free interval. You might have a period-type bleed during this time. After 7 days without a ring in, insert a new one. Put the new ring in even if you're still bleeding. Leave this ring in for 21 days, then repeat the cycle. You can have sex and use tampons while the ring is in your vagina.

You and your partner may feel the ring during sex, but this isn't harmful. If the ring has been in for up to 7 days after the end of week 3 up to 4 weeks in total :. If the ring has been in for more than 7 days after the end of week 3 more than 4 weeks in total :. Put in a new ring as soon as you remember, and use additional contraception such as condoms for 7 days. You may need emergency contraception if you had sex before you remembered to put the new ring in, and the ring-free interval was 48 hours longer than it should have been or more 9 days or more in total.

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 particular ring for 3 weeks or less:.

If the ring is out for more than 48 hours in the first week of using a ring:. If the ring is out for more than 48 hours in the second or third week of using a ring :. If you don't smoke and there are no medical reasons why you can't use the ring, you can use it until you're 50 years old.

You can start using the vaginal ring 42 days after giving birth if you are breastfeeding. You might also need to take a pregnancy test in 3 weeks. Inserting the vaginal ring late after a break If you inserted the ring more than 24 hours late after a 7-day break, or 96 hours later after a 4-day break, you need to:. If you had unprotected sex in the ring-free break you might need emergency contraception. Online Doctor Mon-Fri: 9am-5pm Sat: 9am-1pm.

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On this page. By Dr Sameer Sanghvi. How does the contraceptive ring work? But they also work to: Thicken the mucus from your cervix, making it difficult for sperm to travel through and reach an egg Thin the lining of the womb, making it harder for a fertilised egg to implant NuvaRing insertion The vaginal ring should be inserted with clean hands.

A clinician can advise you on how to put it in and take it out. Taking the NuvaRing out Using clean hands, you can use your fingers to take the ring out. When can I start using NuvaRing?