Prescription Options

The NuvaRing Works

February 27, 2018

The NuvaRing is a kind of reversible prescription birth control. It is a comfy, flexible birth control ring that’s approximately 2 inches in diameter.

The NuvaRing is considered to be a hormonal contraceptive. This is because the birth control ring includes 11.7 mg of the progestin, etonogestrel and 2.7 mg of ethinyl estradiol. When used correctly, it’s very good at preventing pregnancy.

How to Use It

The NuvaRing is super easy to use. You only have to insert this birth control ring into the vagina one time each month. So…

  1. You insert NuvaRing on Day 1 of Week 1 of your cycle.
  2. In that time, the muscles on your vaginal wall will maintain the NuvaRing set up.
  3. After 21 days (or 3 weeks), you need to eliminate your Nuvaring out of your vagina.
  4. You leave the NuvaRing out during Week 4–at this time, you’ll almost certainly have your time.
  5. After Week 4 is finished, you start all over again with Week 1 of your next cycle… by inserting a new NuvaRing.

Employing the NuvaRing this way will allow for you’ve got continuous pregnancy prevention (you are still protected against pregnancy when you have sex during Week 4 when your NuvaRing is not inserted). Remember, you have to fit your vaginal ring around the same day of the week which you added it during your last cycle. Otherwise, there is a possibility that you could become pregnant.

How It Makes Pregnancy

The NuvaRing is a combination hormonal birth control alternative that slowly releases a low dose of artificial estrogen (approximately 0.015 milligrams every day) and etonogestrel (0.12 mg each day) to protect you against pregnancy for a month. The release of hormones is directly activated by contact with the vagina.

So, the walls of your vagina absorb the hormones and then distribute them into your bloodstream.


  • It is easy, comfortable, and secure.
  • The exact position is not important for NuvaRing to work.
  • Utilizing the birth control ring is convenient and you don’t need to take it daily (such as the pill).
  • On account of this low and steady hormone delivery, the NuvaRing has fewer hormonal ups and downs than weekly or daily birth control procedures.
  • NuvaRing is discreet–no one is going to learn that you’re using it (and it usually can’t be felt by you or your spouse ).
  • You can use your NuvaRing to skip your time.
  • It does not have to be fitted by a doctor.
  • Using NuvaRing can lead to regular, lighter, and shorter intervals.
  • The birth control ring is totally reversible–the capacity to become pregnant returns quickly after stopping use.
  • NuvaRing does not interfere with having sex and will allow for more spontaneity–you can have sex whenever you want. . .no need to plan ahead (like using a diaphragm or sponge) or needing to stop in the minute to put on a condom.

Non-Contraceptive Benefits

The NuvaRing may offer a number of the exact same non-contraceptive benefits as the birth control pill. Some of the additional advantages may include protection against:

  • Ectopic pregnancy
  • Cancer of the ovaries and ovarian cysts
  • Irregular menstrual cycle
  • Depression related to PMS
  • Acne
  • Headaches associated with PMS
  • Excess body
  • Anemia (iron deficiency) that results from heavy intervals
  • Painful menstrual cramps
  • Pelvic inflammatory disorder
  • Cancer of the lining of the uterus
  • Vaginal dryness
  • Osteoporosis
  • Noncancerous breast implants

Risks and Side Effects 

There is a low incidence of side effects for most women who choose to utilize the NuvaRing. If you do have side effects, they will generally go away after 2-3 weeks of use. The most common reported side effects include:

  • Breast tenderness
  • Headaches
  • Weight gain or loss
  • Nausea
  • Changes in disposition
  • Breakthrough bleeding (lower prevalence as compared to the pill)
  • Increased vaginal discharge
  • Vaginal irritation or disease

Some disadvantages linked to NuvaRing use:

  • If you are using the NuvaRing, you cannot also use a diaphragm, cervical cap, or sponge as a backup method of contraception.
  • When you’ve got a history of depression, you may need to stop using NuvaRing if your depression worsens.

Who Can Use It

The NuvaRing is a secure a birth control choice for most healthy women. It’s important that you really discuss your complete medical history with your health care provider before using the NuvaRing.

Normally, serious problems do not happen very frequently with hormonal birth control use. You might even be able to still use NuvaRing even in the event that you have certain risk factors–as long as you stay under close medical supervision.

The NuvaRing Isn’t recommended for women who have:

  • Uncontrolled high blood pressure.
  • Smoke cigarettes and are 35 or older.
  • A report on severe heart valve problems or heart attack.
  • Had an abnormal growth or cancer of the uterus or breast.
  • Controlled blood pressure and smoke more than 15 cigarettes a day.
  • A history of blood clots, vein inflammation, or certain inherited blood clotting disorders.
  • Certain kinds of migraine headaches.
  • Need extended bed rest after major surgery.
  • A history of acute liver disease or liver growths.
  • Weak pelvic floor muscles.
  • Chronic constipation.
  • Certain vascular ailments or have experienced a stroke.

How to Obtain It

To be able to get the NuvaRing, you’ll need a prescription from your doctor. Your physician will probably conduct a health test, blood pressure check, and pelvic exam. You can then have your NuvaRing prescription filled at a local pharmacy.

Associated Costs

If you use NuvaRing, costs will include the purchase price of each month’s NuvaRing package, in addition to the expense of having a medical exam (in order to get the prescription). In many communities, Medicaid covers the cost of the birth control method. In case you have private health insurance, then you can confirm with your provider since NuvaRing must be insured without a out-of-pocket costs for all non-grandfathered insurance plans.

The manufacturer of NuvaRing has also produced a co-payment aid program. Eligible privately insured women who qualify for this program can save 50% of their out-of-pocket cost on every month’s source of NuvaRing–up to 12 qualifying prescriptions.


The NuvaRing is currently 91 percent to 99.7% effective. This means that with perfect use, less than 1 out of every 100 women who use the birth control ring will get pregnant in 1 year. With average usage, 9 out of every 100 women who use NuvaRing will become pregnant in one year.

Certain medications may also decrease the effectiveness of hormonal contraceptives, like the NuvaRing.

The effectiveness of this NuvaRing can also be reduced if you don’t use it the correct way. Perhaps you are more at risk for pregnancy if:

  • The ring doesn’t remain in your vagina for 3 weeks in a row.
  • If the ring is left in the vagina for more than 3 weeks.
  • The ring slides out of the vagina and isn’t replaced within 3 hours.
  • The unopened NuvaRing bundle is subjected to direct sunlight or very high temperatures.

You ought to read the insert within the NuvaRing bundle for more in depth information about the use, risks, and effectiveness of the birth control ring. It may also be helpful for you to know, ahead of time, what to do in case your NuvaRing falls out or breaks.

STD Protection

The NuvaRing provides no protection against sexually transmitted diseases. If you would like to have STD protection when using NuvaRing, you can ask your partner to wear a condom.