NuvaRing

NuvaRing

NuvaRing is a small, flexible, plastic pessary device which contain two hormones – an oestrogen (ethinyl estradiol), and progestin (etonogestrel).

It is inserted inside the vagina to be used as a contraceptive device.

NuvaRing releases 15 micrograms of ethinyl estradiol and 120 micrograms of etonogestrel over the course of 24 hours. These two hormones prevent ovulation (the release of an egg cell from the ovaries) from occurring while also increasing the viscosity of the vaginal fluids, making it difficult for sperm to travel to the womb.

It has an outer diameter of 54 mm and a cross-sectional diameter of 4 mm. It is flexible and can be manipulated to make insertion and removal easier. The vaginal ring is made of transparent plastic and is safe whilst inside the vagina.

With correct use, NuvaRing is up to 98% effective at preventing unwanted pregnancies.

How does NuvaRing work?

NuvaRing releases 15 micrograms of ethinyl estradiol and 120 micrograms of etonogestrel over the course of 24 hours.

These two hormones prevent ovulation (the release of an egg cell from the ovaries) from occurring while also increasing the thickness of the vaginal fluid, making it difficult for sperm to travel to the womb.

The combined action of NuvaRing prevents you from becoming pregnant.

It’s important to note that the NuvaRing does not protect you against STD’s. Only condoms can protect you from sexually transmitted infections.

How do I use NuvaRing?

NuvaRing is inserted once a month, preferably at the beginning of your usual monthly menstrual cycle. It is removed after 3 weeks (21 days). This is followed by a 7-day ring-free break, during which time you should experience a menstrual bleed.

A new NuvaRing is inserted immediately after the 7 days.

How to safely insert NuvaRing

1. Wash your hand and ensure they are clean and dry.
2. Compress the ring between your thumb and index finger.
3. Find a suitable and comfortable position – by sitting, standing, or lying down.
4. Insert NuvaRing using one hand, the other hand can be used to spread the labia to make insertion easier.
5. Push NuvaRing in slowly until it is comfortable and not causing you irritation or discomfort.
6. You can adjust the position of the device until it is comfortable.
7. Keep NuvaRing inserted for 3 weeks.

How to safely remove NuvaRing

1. Wash your hands and ensure they are clean and dry before removing NuvaRing.
2. Use your index finger and hook the device, gently pull and remove.
3. You can use your index finger and middle finger to grip it and gently remove.
4. Dispose of NuvaRing by putting it in the foil package provided and throw away in the bin. Do not flush the device down the toilet.

Side effects and cautions of NuvaRing

There are always side effects from using hormonal devices or medications in general.

The full list of NuvaRing side effects and cautions can be found in the patient information leaflet supplied with the device.

Some common NuvaRing side effects are listed below, although their incidence and likelihood are low, as NuvaRing is normally well tolerated.

Some NuvaRing side effects may include, but are not limited to:

• Headache
• Vaginal or cervical irritation
• Vaginal discharge
• Vaginal discomfort – can move the ring into a more comfortable position
• Breast enlargement and tenderness
• Decreased libido (sexual desire)
• Breakthrough bleeding or spotting – usually transient and diminishes after a few months
• Increased blood pressure and blood sugar levels. Make sure the levels are within range before using the NuvaRing.

This is not an exhaustive list of side effects. Further information regarding the safety of NuvaRing, including a complete list of side effects, can be found within the enclosed patient information leaflet.

If you experience any side effects to NuvaRing, regardless of whether they are listed above or in the patient information leaflet, speak to a doctor or pharmacist for advice.

NuvaRing and other medications

NuvaRing releases hormones into the bloodstream. This could cause negative interactions when using NuvaRing alongside other medications.

Inform our prescriber if you are taking any of the following medicines:

• Anti-epileptics – Carbamazepine, Phenytoin, Topiramate
• St John’s Wort
• Rifamycin antibiotics
• Antiretrovirals
• Phenindione.

Other cautions

Always seek your doctor’s advice before buying NuvaRing online.

Do not use NuvaRing past the expiry date printed on the packaging.

Never throw away medicine via household or water waste. Take any unused or expired medicine to your pharmacy for them to dispose safely on your behalf.

Always store medicines out of sight and reach from children and pets.