When do i put my nuvaring in




















Walking around with one inside of you is kind of like your vagina has a cool pregnancy-fighting secret. NuvaRing can also come with other possible benefits like relieving intense period pain. For all its advantages, learning how to actually insert NuvaRing can feel intimidating. Not only are you putting something foreign into your vagina, it needs to stay there in order to offer protection against pregnancy. Luckily, experts say that NuvaRing is typically easier to use than people might think.

Like in combination birth control pills , the estrogen in NuvaRing suppresses ovulation. This reduced lining can also lead to a less heavy and painful period.

Translation: Fewer than one out of every people who use NuvaRing perfectly will get pregnant within the first year of use. These rates appear to mirror those of birth control pills. However, NuvaRing has a huge benefit that combination birth control pills do not.

However, both of these are off-label uses, which means you should definitely discuss all of this with your doctor before attempting it on your own. They can usually walk you through the process in their office to make sure you feel comfortable, Dr.

Changes to this lining make it harder for a fertilized egg to implant in it. Note: NuvaRing only works to prevent pregnancy. NuvaRing can cause certain side effects. Rarely, women have serious side effects from using NuvaRing. In some cases, these problems can be fatal cause death. Serious side effects from NuvaRing can include:. Call your doctor right away if you have any of these symptoms.

If your symptoms are severe, call or go to the nearest emergency room. NuvaRing may not be the best choice for all women, especially if they have certain risk factors. One of the more serious possible side effects with NuvaRing is blood clots.

These are rare, but if they occur, they can be serious and even fatal. Risk factors for blood clots from NuvaRing include:. To learn about other risk factors or to find out if NuvaRing is a safe option for you, talk with your doctor. Be sure to discuss your full health history, especially if you have any of the risk factors listed above. That depends on how long the ring has been outside of your body.

If the ring has been out of your vagina for less than 3 hours, rinse the ring in lukewarm water and reinsert it right away. If the ring has been out of your vagina for more than 3 hours, use a back-up method of birth control and call your doctor for further advice.

NuvaRing may not protect you against pregnancy if you stop wearing it for more than 3 hours. Your doctor will tell you when you should insert a new ring.

If you prefer, you can remove the ring for up to 3 hours during sex. Be sure to do this no more than one time in a hour period. Also, be sure to rinse the ring with lukewarm water before putting it back in. Yes, I am. No, I am not. Please take me back. All rights reserved. Please be informed that effective August 1, , Merck will no longer offer the applicator for NuvaRing. We encourage you to direct any questions regarding the applicator for NuvaRing or other questions related to NuvaRing to your health care provider.

Who should not use NuvaRing? NuvaRing is not for pregnant women Have or have had breast cancer or any cancer that is sensitive to female hormones Are allergic to etonogestrel, ethinyl estradiol or any of the ingredients in NuvaRing. See the list of ingredients in NuvaRing in the Patient Information. Before you use NuvaRing tell your health care provider if you: Have any medical conditions Smoke Are pregnant or think you are pregnant Recently had a baby Recently had a miscarriage or abortion Have a family history of breast cancer Have or have had breast nodules, fibrocystic disease, an abnormal breast x-ray, or abnormal mammogram Use tampons and have a history of toxic shock syndrome Have been diagnosed with depression Have had liver problems including jaundice during pregnancy Have or have had elevated cholesterol or triglycerides Have or have had gallbladder, liver, heart, or kidney disease Have diabetes Have a history of jaundice yellowing of the skin or eyes caused by pregnancy also called cholestasis of pregnancy Have a history of scanty or irregular menstrual periods Have any condition that makes the vagina become irritated easily Have or have had high blood pressure Have or have had migraines or other headaches or seizures Are scheduled for surgery.

NuvaRing may increase your risk of blood clots after surgery. You should stop using NuvaRing at least 4 weeks before you have surgery and not restart it until at least 2 weeks after your surgery.

Are scheduled for any laboratory tests. Certain blood tests may be affected by hormonal birth control methods. Are breastfeeding or plan to breastfeed. Hormonal birth control methods that contain estrogen, like NuvaRing, may decrease the amount of milk you make. A small amount of hormones from NuvaRing may pass into your breast milk.

Consider another non-hormonal method of birth control until you are ready to stop breastfeeding. Some medicines and herbal products may make hormonal birth control less effective, including, but not limited to: Certain anti-seizure medicines such as barbiturates, carbamazepine, felbamate, oxcarbazepine, phenytoin, rufinamide and topiramate. Women on thyroid replacement therapy may need increased doses of thyroid hormone.

Blood clots: Like pregnancy, combination hormonal birth control methods increase the risk of serious blood clots see graph below , especially in women who have other risk factors, such as smoking, obesity, or age greater than Some examples of serious blood clots are blood clots in the: Legs deep vein thrombosis Lungs pulmonary embolus Eyes loss of eyesight Heart heart attack Brain stroke To put the risk of developing a blood clot into perspective: If 10, women who are not pregnant and do not use hormonal birth control are followed for one year, between 1 and 5 of these women will develop a blood clot.

Use NuvaRing exactly as your health care provider tells you to use it. NuvaRing is used in a 4-week cycle. Insert 1 NuvaRing in the vagina and keep it in place for 3 weeks 21 days. Regularly check that NuvaRing is in your vagina for example, before and after intercourse to ensure that you are protected from pregnancy. Remove the NuvaRing for a 1-week break 7 days. During the 1-week break 7 days , you will usually have your period. Use of spermicides or vaginal yeast products will not make NuvaRing less effective at preventing pregnancy.

Use of tampons will not make NuvaRing less effective or stop NuvaRing from working. If NuvaRing has been left inside your vagina for more than 4 weeks 28 days , you may not be protected from pregnancy and you should see your health care provider to be sure you are not pregnant.

Until you know the results of your pregnancy test, you should use an extra method of birth control, such as male condoms with spermicide, until the new NuvaRing has been in place for 7 days in a row. Do not use more than 1 NuvaRing at a time. NuvaRing is easy to insert and remove: Manual insertion: After washing and drying your hands, remove NuvaRing from the foil pouch. Keep the foil pouch for proper disposal of the ring after use. Holding NuvaRing between your thumb and index finger, press the sides together while lying down, squatting, or standing with one leg up—whatever is most comfortable for you.

Gently push the folded ring into your vagina. Once inserted in the vagina, there is no risk of NuvaRing being pushed too far up or getting lost. Some women have accidently inserted NuvaRing into their bladder. Regularly check that NuvaRing is in your vagina for example, before and after intercourse to ensure you are protected from pregnancy. Removing NuvaRing: Remove the ring 3 weeks 21 days after insertion on the same day of the week it was inserted at about the same time.

After washing and drying your hands, hook your index finger under the forward rim or hold the rim between your index and middle fingers. Gently pull out NuvaRing. Place the used NuvaRing in the re-sealable foil pouch and dispose of it in a waste receptacle out of the reach of children and pets. Your menstrual period will usually start 2 or 3 days after the ring is removed and may not have finished before the next ring is inserted.

To continue to have pregnancy protection, you must insert a new ring 1 week 7 days after the last one was removed even if your period has not stopped. What should I do if my NuvaRing comes out of my vagina?

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. Insert a new NuvaRing. See Inserting NuvaRing. You should pay attention when removing a tampon to be sure that your NuvaRing is not accidentally pulled out.

Be sure to insert NuvaRing before inserting a tampon. If you accidentally pull out your NuvaRing while using tampons, rinse your NuvaRing in cool to lukewarm not hot water and insert it again right away.

NuvaRing can be pushed out of expelled from your vagina, for example, during sexual intercourse or during a bowel movement. If the expelled ring has been out of your vagina for less than 3 hours, rinse the expelled NuvaRing in cool to lukewarm not hot water and insert it again right away. If the expelled NuvaRing has been out of your vagina for more than 3 continuous hours: During Weeks 1 and 2, you may not be protected from pregnancy. 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.

If NuvaRing was out of the vagina for an unknown amount of time, you may not be protected from pregnancy. Perform a pregnancy test prior to inserting a new ring and consult your health care provider. If you leave NuvaRing in your vagina for up to 4 weeks 28 days you will still be getting pregnancy protection.

Remove your old NuvaRing for 1 week 7 days and insert a new NuvaRing 1 week 7 days later.



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