Novaring - modern remedy contraception in the form of a ring for internal vaginal administration. Made in the Netherlands. The manufacturer presented the hormonal agent as safe, reliable, easy to use. The cost of production is from 1,500 to 4,000 rubles. The action of Novaring is aimed at inhibiting ovulation. The gestagenic component of etonogestrel interferes with the production of hormones LH, FSH, and prevents follicle maturation. Serious interference with the normal functioning of the reproductive system is in progress female body... When used correctly, pregnancy is 100% excluded. But how does this affect the monthly cycle? What should be the menstruation using Novaring?

The ring will be worn for 22 days. During this period, the remedy protects against conception, unplanned pregnancy... After removing it, menstruation should begin. A break is taken for 1 week, a new ring is introduced. It is necessary to remember the day and the exact time of the introduction of Novaring, since it will have to be removed exactly 3 weeks later at the same time. And a week later, put a new ring.

Menstruation should begin 2 days after withdrawal. Its duration when wearing a ring is about 5 days. At the moment when it is necessary to put a new contraceptive, menstruation may not stop, which is not a reason for canceling the ring.

• The beginning of the use of Novaring falls on the 1-2 day of menstruation. The introduction of the ring is allowed up to the 5th day of menstruation, however, additional contraceptives should be used throughout the week to prevent pregnancy.
• When using contraceptives in the form of pills, a woman can switch to rings on any day of the cycle if she is sure that there is no pregnancy. But it is better to do this on the last pill-free day.
• When using contraceptives in the form of a mini-pill, you can enter the ring on any day of the cycle. If an intrauterine device was used - on the day of extraction. When using an injection, Novaring is administered on the day of the scheduled injection. Instead of an injection. In all these cases, in the first 7 days of using the ring, additional contraceptives must be used to prevent conception.
• After an abortion, Novaring is administered on the day of the operation. After childbirth and late abortion - after 4 weeks.

Manufacturers of a new contraceptive allow a deviation of the monthly cycle in case of improper use of the ring.

Influence of Novaring on menstruation

The use of Novaring changes the course of events for the entire monthly cycle. During the normal functioning of the reproductive system, under the influence of hormones, numerous transformations occur. They prepare the body for pregnancy, in case of its absence, they cause menstruation. The Novaring hormonal ring suppresses the production of estrogen and other hormones that must ensure the development of the egg. The ovaries cannot work normally - conception does not occur. The increased progesterone level lasts until the end of the 22nd day of wearing the ring. After its extraction, the level of hormones decreases, which causes menstruation. In theory, this is how it should be. In fact, a woman will have monthly cycle surprises when using this type of contraceptive.

1. Changing the cycle time

The first menstruation with Novaring should begin 2 days after removing the ring. In practice, a woman can face 2 options for the development of events. Your period won't come at all. Menstruation will come, but it will go on for a very long time. Both the first and second cases are considered normal when using Novaring. A new ring is introduced a week later at the set time. Bloody, brown discharge may be present throughout the month. They do not pose a danger to the body, they are evidence of the adaptation of the reproductive system to new conditions. This pattern can be observed for 3 months. You should seek advice from a gynecologist if menstruation did not start in the second cycle, or there is a bleeding in the middle. With Novaring, menstruation should be short.

1. Changes in the nature of menstruation

Menstruation changes for the same reason hormone imbalances. In general, the Novaring ring should save a woman from heavy bleeding, which was present before using it. The hormonal ring prevents the epithelial layer from developing, which is rejected during menstruation, accompanied by bleeding. Inhibits ovarian function. As a result, it makes the discharge of menstruation scarce. But in the first 3 months of using Novaring, the opposite phenomenon occurs. Menses become profuse. Experts associate this with the reason for the adaptation of the body to contraceptives. If heavy periods do not stop after 3 months of use, a doctor's consultation is necessary. Perhaps the contraceptive is simply not suitable. With Novaring, menstruation is scarce.

One of the features of the use of Novaring is the ability to delay the arrival of menstruation. Provided that the contraceptive is used throughout the cycle, a new ring is introduced without waiting for the onset of menstruation. In this case, with Novaring, menstruation will appear only in the next cycle. Hormone levels are kept high by the new contraceptive. It is allowed to carry out such an experiment with menstruation no more than 1 time per year. This is a great stress for the body, there will be undesirable consequences.

Restoration of the monthly cycle after the cancellation of Novaring

With prolonged use of Novoring for more than 1 year, problems arise with the restoration of the cycle. After the cancellation of Novaring, menstruation should begin no later than 14 days. If this happens, the woman can be happy. The body is ready for normal functioning, the cycle will be restored already in the current month. In most cases, this does not happen. A woman has to seek advice from a gynecologist on the content of hormones. This is due to the long-term imbalance of hormones, which differs from the natural process. It takes some time for the reproductive system to start working in the same mode. The reason for the absence after the cancellation of Novaring menstruation:

• Pregnancy. Even the most modern reliable tool can fail. Pregnancy occurs with improper use of Novaring. Additional contraception should be used in the first week. If this has not been done, the reason for the absence of menstruation during Novaring may be pregnancy. A test needs to be done.
• Stress. Novaring affects not only the functioning of the reproductive system, but also internal organs, other systems. First of all, the central nervous system suffers. She must control the entire process of the monthly cycle, promotes the production of hormones. Novaring breaks all stereotypes. The body cannot quickly adapt to new conditions. Great stress is experienced, both at the beginning of the use of Novaring, and when it is canceled.
• Hormonal disbalance... The reproductive system of each woman is individual. Novaring makes her work to the standard. As a result, the balance of hormones changes dramatically. It will take time for everything to return to normal. In some cases, the doctor prescribes the intake of hormonal drugs to recover from the Novaring menstruation.

Before starting to use Novaring, it is necessary to evaluate all the pros and cons. "Modern" does not mean safe!

Replenished with a new - vaginal novaring ring. This is a comfortable and most harmless method of contraception for the body. But the main difficulty that novaring can create is no menstruation. With the cycle when using it, after termination, other difficulties are possible.

Read in this article

The principle of functioning of novaring

To prevent pregnancy, novaryng is injected into the vagina on one of the days of menstruation, preferably on the first. The rounded plate takes on the contours of the organ, it is not felt. Under the influence of heat, the agent begins to release estrogens and progestogens. Their influence extends to the endometrium and ovaries. Hence the contraceptive effect.

Novaring is designed for 22 days of wearing, after which the product is removed and a weekly break is taken. This period of time will coincide with critical days. But in practice, women have to face the fact that periods when using novaring do not come for a long time or bring unpleasant surprises.

Novaring and menstruation: details

Sometimes, if there is no menstruation for a long time with a novaring ring, this does not mean something serious. But medical supervision is still needed even more thoroughly, since hormonal contraception is an interference with the work of the body.

Similar articles

• Previously asked:

  Hello! I use the ring only for the second cycle. Remove the ring in a week, and menstruation has already begun. What to do? Leave it and remove it after a week? It was prescribed to me by a doctor for the treatment of hyperplasia.

  Good afternoon! Yes, it happens. There are several options for action. But most of all, I prefer in such situations - not to get it now, but to do it on time, but immediately lay a new ring without interruption. All the best!

  Daria Shirochina (obstetrician-gynecologist)

  Good day! Yes, you can, but it all depends on the period for which you were offered to wear the ring continuously. I welcome no more than 3-6 months. Your fibroids are very small, even if you use the ring strictly according to the instructions with interruptions, its growth will slow down.

  Good afternoon, I have been using Novoring for almost a year. By coincidence, I could not remove the ring in due time. Withdrawal of the ring was in 2 days from the required date. It's already 6th day, and the mentoring hasn't come yet. Previously, there were no delays; the critical days came exactly 3 days later. Tell me is it in the order of things or is it worth going to the doctor?

  Daria Shirochina (obstetrician-gynecologist)

  Good afternoon, Julia! It's okay, two days is short term but enough to delay your period a bit. Don't worry, the bleeds should appear, just a couple of days later.

  Hello! Tell me, I want to postpone menstruation by 4-5 days, can I do this with the help of jess, if I have never taken them before, and how does it happen? , ostensibly then they will not be at all until you pull them out, is it true? And will this method help if I have never used Novaring.

  Anastasia

  Good day! The question is, I use Novaring for 6 days, for the first time, my periods cannot end. Previously, they walked for 5-6 days, but on the 6th day, completely daubed, a little bit .. and there is still blood, just a little bit, I get by with a daily routine, but still blood .. how long to wait to start to panic?

  Daria Shirochina (obstetrician-gynecologist)

  good evening, Anastasia! During the first month, there may even be occasional spotting, sometimes spotting. This organism is being rebuilt, that's okay. But if this happens in the second month, then it is better to replace this drug, the ring, just with pills.

  Daria Shirochina (obstetrician-gynecologist)

  Hello Yana! As for Novaring, it may not work, or maybe the cycle really gets lost, and menstruation will be delayed. But it is better to start taking any contraceptives from the beginning of the cycle, and start the next pack without interruption. So you will not have your period for two months, it's okay, the main thing is not to get carried away with this. All other methods are less reliable - prolonged duphaston reception, etc. All the best!

  Darya

  Good afternoon, I've been wearing Novoring for 3 years. Every day in the morning and in the evening I pull it out for 30 seconds, for hygienic procedures. On October 20, I inserted the next ring, respectively, pull it out on November 10. But for some reason I started bleeding on November 2 with the ring. Please tell me what is the reason and how should I be

  Daria Shirochina (obstetrician-gynecologist)

  Hello Daria! Sometimes there are similar violations when using Novaring. It is not entirely clear to me why you remove the ring even for a few seconds. The only thought I had was douching. I just want to warn you if you do it regularly, so you only violate the microflora in the vagina, “wash out” the beneficial lactobacilli. I do not recommend this kind of procedure. About discharge. There are several options.
  1. You can not remove the ring, then set the next one in time without interruption.
  2. Delete now, take a break a week, then the next. At this time, there may be more allocations, or may not be, it all depends on the intensity of these allocations.
  All the best!

  Anastasia

  before using the nova ring, she visited a doctor to make sure that everything is in order and that it is possible to preserve in this way the doctor did not reveal any contraindications, the tests are normal, the cycle is without disturbances. put in 1 day of menstruation. and then it began - profuse discharge, dizziness, on the 8th day it seemed to become less, but by the evening everything repeated! at first I thought - addiction, but abundant discharge (not smearing) for almost 2 weeks (12 days) plus the state of the "hose" lack of intimacy (what kind of intimacy is there, when this happens) I got the idea that this drug is still unknown how it affected my an organism that did not give such failures !!! and the manufacturer does not accept any responsibility! it feels like they are experimenting with people! to such a manufacturer!

  Anastasia

  before using the nova ring, she visited a doctor to make sure that everything is in order and that it is possible to prevent injury in this way. The doctor did not reveal any contraindications: the tests were normal, the cycle was normal. I put it on the 1st day of menstruation, did not wear out for a second. And then it began - profuse discharge, dizziness, on the 8th day it seemed to be less, but by the evening everything repeated! At first I thought - addiction, but abundant discharge (not smearing) for almost 2 weeks (12 days) plus the state of the "hose" lack of intimacy (what kind of intimacy is there, when this happens) brought me to the conclusion that this drug is still unknown how it affected my an organism that did not give such failures !!! and the manufacturer does not accept any responsibility! it feels like they are experimenting with people! minus to such a manufacturer!

Or the frequently asked questions about the NovaRing hormone ring, which the doctor hears at every appointment.

What is NuvaRing?

Is an elastic ring that is inserted deep into the vagina. The system is installed in the first days of the menstrual cycle and remains in the genital tract for 21 days. The contraceptive ring contains the female sex hormones estrogen and progesterone. These substances are gradually released and enter the bloodstream, blocking ovulation and making pregnancy impossible. Hormones also make cervical mucus viscous so that nimble sperm do not enter and fulfill their intended purpose.

Today, the NovaRing vaginal ring is considered one of the most effective means contraception with a minimum amount of hormones. This fact makes the system popular with both young women and older ladies. What you should know about NuvaRing and how to use this contraceptive correctly?

Who is NovaRing suitable for?

The contraceptive ring is a good choice for different categories of women:

• Young and nulliparous with one sexual partner.
• After childbirth and completion breastfeeding.
• In the premenopausal period (in the absence of chronic pathology that can become a contraindication).

Why NovaRing is better birth control pills?

The vaginal ring has three distinct advantages over COCs with a similar composition:

• The dosage of estrogen is lower than any hormone pill.
• The drug does not pass through the gastrointestinal tract and does not affect digestion.
• You don't need to remember to take pills every day - just insert the ring once and forget about it for 21 days.

Is it possible to put NovaRing on nursing mothers?

Instructions for the use of the contraceptive ring does not recommend the use of Novairing during lactation. You should wait until breastfeeding is complete and only then put the ring. For nursing mothers, mini-pills (purely gestagenic drugs) can be used as contraception. Don't forget about condoms.

Can a woman put the contraceptive ring on her own or should I go to the doctor?

NuvaRing is simple, convenient and affordable. Any woman can insert the ring on her own without any problems. To do this, you need to take a comfortable position - squatting, standing or lying down - and insert the ring as deep as possible. If you have any difficulties, you can make an appointment with a doctor. The doctor will insert the ring and then tell the patient in detail how to do it at home.

Does a man feel the ring during sex?

No, NuvaRing is not felt at all during intercourse.

Does the woman feel the vaginal ring?

No, if the NuvaRing ring is installed correctly, it is not felt in the vagina.

Why doesn't the ring fall out?

NuvaRing, inserted deeply, is securely fixed in the vagina by muscles. In addition, the ring lies horizontally in the genital tract, as if on a shelf, and the probability of its falling out is extremely low.

Can the ring fall out?

Rarely, but it happens. In this case, you need to wash the ring with warm or cool water and gently insert it back into the vagina. The contraceptive effect does not suffer if less than 3 hours have passed since the ring fell out.

The ring fell out, but I did not have time to quickly return it to its place. What to do?

If after the loss or removal of the ring more than 3 hours have passed, you need to proceed according to the scheme:

1. If such a problem occurs in the 1st or 2nd week of using the NuvaRing ring, you need to return it to its place as soon as possible. The contraceptive effect of the drug is reduced, and for some time the woman will not be protected from unwanted pregnancy. It is recommended to additionally use a condom within the next 7 days.
2. If the ring falls out in the 3rd week of use, it must be discarded and a new one must be inserted immediately. In this case, there will be no menstrual bleeding, but there may be scant spotting discharge. This is the norm, you do not need to panic. The ring is removed after the prescribed 21 days, then a break is taken for 7 days and a new drug is introduced.
3. If a woman does not want to immediately put a new ring, she can wait for withdrawal bleeding and enter NuvaRing after 7 days. This option is only possible when the ring has never dropped out during the first two weeks. If the problem has occurred before, see point 2.

Is it possible to pull the ring out of the vagina during sex?

Yes, but it makes no sense, because Novairing is not felt by either a woman or a man. If the ring was nevertheless removed, it must be returned back within 2-3 hours and no later.

Could the NuvaRing ring go too deep?

No, the contraceptive ring is securely attached to the vagina. It will not fall into the uterus, since the entrance to the genital organ is blocked by a closed pharynx. The ring has nowhere to go from the female genital tract, and even during sex it will not penetrate too deeply.

Is it possible to leave the NuvaRing ring in the vagina for 4 weeks?

This is permissible because the contraceptive effect of the system lasts up to 28 days. After 4 weeks, the ring must be removed: the level of hormones drops, and the woman loses protection against unwanted pregnancy.

Can the NuvaRing ring be frozen?

You can store the contraceptive ring in the refrigerator for up to 12 hours. It is not recommended to freeze the system in the freezer. If you need to take the contraceptive with you (for example, when traveling to another city), use a special refrigerator bag.

Can I cancel my periods?

Yes, you can insert a new ring without a week break. Menstruation will not come, but the manifestation of spotting spotting in the middle of the cycle is possible. The new ring can be left in the vagina for 21 days (as usual).

How to postpone the date of menstruation when using the NuvaRing ring?

It's very simple: you just need to enter a new ring not after 7 days, but, for example, 5 or 6 after removing the previous one. It is important to know: the shorter the break, the higher the likelihood of spotting spotting in the middle of the cycle.

Can girls under the age of 18 use the contraceptive ring?

The safety of Novairing in adolescents has not been studied. An in-person consultation with a doctor is required.

Is it worth using a ring if there is a prolapse of the uterus?

With this pathology, NovaRing may fall out. It is recommended to use other contraceptives.

Why can't you drink antibiotics if there is a ring?

This is not entirely true. If your doctor has prescribed antibacterial drugs, they must be taken. The problem is that with the use of some antibiotics (in particular ampicillin and tetracycline), there is a decrease in the contraceptive effect. While a woman is taking antibiotics, she should additionally use condoms - for the entire period of treatment and for 7 days after completion of the course of therapy.

Can NuvaRing's ring break?

Yes, this is possible. The risk of ring rupture increases with the simultaneous use of vaginal suppositories against a fungal infection (thrush). During treatment, you need to additionally use condoms and monitor the condition of NuvaRing.

Can a contraceptive ring be used with tampons?

Yes, the use of tampons does not affect the functionality of NuvaRing. In rare cases, the ring may fall out after removing the tampon.

Does NuvaRing lead to cervical cancer?

It is believed that the main cause of malignant lesions of the cervix is ​​human papillomavirus (HPV), but not the use of hormonal contraceptives. Statistics show that women who have used NuvaRing are more often diagnosed with cervical cancer, but gynecologists associate this with regular examinations by a doctor and annual tests (smear for oncocytology). It is worth noting that in this situation, the disease is usually found on early stages when it is much easier to cure it.

How quickly can you get pregnant after removing the NuvaRing ring?

Fertility recovery occurs within 1-3 months after drug withdrawal. This means that a woman can become pregnant in the first cycle after removing the ring. In some cases, the conception of a child occurs after 3-12 months.

How does the menstrual cycle change after the vaginal ring is inserted?

After the introduction of NuvaRing, a gradual release of hormones begins. The menstrual cycle becomes monotonous. The level of its own hormones remains stable. Your period tends to become less profuse and its duration decreases. Menstrual bleeding against the background of Novairing comes every 28 days, strictly according to the schedule.

How much does NuvaRing cost?

The average price for a contraceptive ring is about 1,000 rubles.

The human body is a complex and multifaceted mechanism in its structure and functionality. The female body, the main mission of which, according to the idea of ​​nature, is fruiting and childbearing, is distinguished by the most delicate and complex internal structure. The use of any synthetic means to protect against unwanted pregnancy changes the natural processes in the reproductive system and primarily affects the menstrual cycle. How is your period after the installation of NuvaRing, and what should you pay attention to when using the vaginal ring?

Cyclic changes in the reproductive system: what you need to know

The most important task - the reproduction of their own kind - lies with the woman. The preparation of a girl for the role of a mother begins in adolescence through certain physiological processes combined into a complete cycle.

The menstrual cycle is a complex physiological program that the body goes through every month to prepare for conception and bearing a child. Menstrual flow begins in girls between the ages of 10 and 16, and their physiological cycle sets in throughout the year.

According to medical standards, a normal menstrual cycle lasts 28 days (deviations from this figure within plus or minus a week are allowed). Its beginning should be considered the first day of menstruation (mensis), and the end - the last day before the new bleeding.

During this entire time period, serious cyclical changes take place in the woman's body, divided into several main phases:

1. For the first stage, the duration of which normally does not exceed 7 days, it is customary to consider the period in which the unfertilized egg is rejected together with the endometrium, followed by their expulsion from the body in the form of bleeding. Under normal conditions, the volume of lost liquid does not exceed 100 ml.
2. The second stage, which lasts about 14 days, is called follicular and is defined as the time for follicles to ripen under the influence of follicle-stimulating hormone. At this time, estrogen is also produced by the ovaries, under the influence of which the endometrium is renewed, and the uterus prepares for the possible adoption of the ovum.
3. At the third stage, ovulation occurs - the release of a mature egg from the follicle and its further path along the fallopian tube to the uterus, where the formation of the epithelial layer just ends.
4. The final stage is called the phase of the corpus luteum, which forms in the ovary at the site of the released egg. The viability of the corpus luteum does not exceed 16 days, during which it manages to reproduce in sufficient quantities the hormone progesterone, which, in combination with estrogen, can support pregnancy in case of fertilization. For this phase, the basal temperature keeps the bar at 37 degrees. In the absence of conception, the corpus luteum regresses. The level of progesterone falls, signaling the destruction and rejection of the uterine epithelium (menstruation). This is where cyclical changes end to make way for new ones.

I must say that not every girl's body is able to correctly carry out "restructuring", therefore, during such periods, it is especially necessary to listen to your inner state and seek medical advice in the following cases:

• Constant serious malaise, soreness and discomfort during and before menstruation.
• If your monthly discharge is too little or too much.
• If your period remains irregular one year after menarche (the first period in a girl's life).
• Lack of menstruation in a girl who has reached 15-16 years old (amenorrhea).

NuvaRing and the menstrual cycle

Entering puberty means a turn in a girl's life towards motherhood. However, in order for the pregnancy to be timely, to proceed without problems and to bring only joy, it must be desired and prepared accordingly. Therefore, the possibility of planning childbirth has long been one of the key topics for discussion in the female audience.

Over time, thanks to the efforts of scientists-developers, this desire of the fairer sex was realized through the creation of a whole arsenal of various contraceptives. Among all this diversity, one of the young, but rather progressive scientific inventions can be distinguished - the drug NovaRing.

NuvaRing is a plastic ring made of an antiallergenic colorless polymer material, supplied with hormones (estrogen and progesterone) and intended for intravaginal use. A contraceptive is placed in the vagina at the beginning of each cycle and releases a specific dose of hormones daily. The drug also thickens the cervical secretion, which successfully prevents the onset of accidental pregnancy.

Wearing the vaginal ring is designed for a three-week period, after which it is removed, and the time comes for menstruation. Correct introduction and use of NuvaRing in accordance with the attached instructions will provide high protection against unwanted pregnancy (0.65 Pearl index).

It should be noted that this intimate device can be not only an effective contraceptive. The drug has a positive effect on the menstrual cycle, which is successfully used by obstetricians-gynecologists in the following areas:

• Normalization of the menstrual cycle and the fight against menorrhagia (heavy and prolonged menstruation).
• Reducing blood loss with heavy bleeding and preventing anemia.
• Improving well-being on critical days.
• Elimination of premenstrual syndrome.

Non-standard situations related to NuvaRing and recommendations for them

Considering all the positive characteristics of the vaginal ring, we must not forget that each woman's body is individual and may not immediately take a contraceptive for granted. Therefore, the intention to use NuvaRing, its setting and follow-up should be carried out only under the supervision of a qualified physician.

What difficulties and problems can a woman face when she decides to give preference to this particular type of contraception? To answer this question, it is necessary to turn to medical practice, which has summarized the information collected over more than ten years of the use of the NuvaRing ring.

Typical complaints that women have when using the vaginal ring:

• Scanty menses (compared to the usual heavy flow). Such a condition should not scare a woman, since against the background of the use of NuvaRing, menstruation should become less abundant and prolonged. On average, periods on Novairing last 3-5 days and require changing the absorbent pads no more often than every 3 hours. This is completely normal and, moreover, an expected phenomenon with the use of a vaginal ring.
• The appearance of spotting spotting in the middle of the cycle indicates the adaptation of the female body to the hormonal drug and does not require treatment. The discharge goes approximately from 7 to 14 days and does not involve the use of absorbent pads (thin daily products are enough for intimate hygiene). The situation returns to normal after 3 months of using the ring. In some women, the adaptation period lasts up to 6 months.
• Lean spotting at the end of the cycle before the expected period is also common. side effect drug and does not require special therapy. The cycle will return to normal after 3-6 months.

Important! If the spotting gets worse, there is no need to wait. In such a situation, it is necessary to see a doctor as soon as possible.

• Lack of menstruation (amenorrhea) while using the NuvaRing vaginal ring is rare. If your period does not come within the 7-day break, a pregnancy test should be done. Even the most effective contraceptive drug does not give 100% protection. In a doubtful situation, it is worth taking an analysis for human chorionic gonadotropin (hCG), conduct ultrasound diagnostics... If pregnancy has not been confirmed, amenorrhea is considered a normal option and does not require treatment. If the situation repeats itself repeatedly, you should consult a doctor - such a symptom may indicate a gynecological pathology.

It is worth considering that the absence of menstruation can be triggered by stress, a strict diet and non-observance of instructions when installing and using the vaginal ring.

• Amenorrhea after the abolition of the vaginal ring should also not frighten a woman. The body needs time to adjust to a new rhythm and normalize the production of its own sex hormones. If your period is delayed, you should do a pregnancy test or donate blood for hCG. If the pregnancy is not confirmed, you just need to wait for the cycle to recover. On average, this takes about 2-3 months. If your period does not come within the specified period, you need to see a doctor.

Finally, as a tip, it should be recalled that regardless of the state of health and age, every woman is shown to visit an obstetrician-gynecologist at least once a year. If a woman uses any hormonal contraceptive, she should see her doctor every six months.

Vaginal ring NovaRing is modern method contraception, which has a very high reliability and relative ease of use. The NovaRing hormonal ring is gaining in popularity and receives good feedback gynecologists.

The contraceptive ring is inserted into the vagina and stays there for 3 weeks. Once in the vagina, the NuvaRing ring releases small doses of hormones that suppress the ovaries, prevent ovulation and make pregnancy impossible.

According to the manufacturer, the effectiveness of the NuvaRing vaginal ring in preventing pregnancy is about 99%, however, according to independent studies, it is within 92%. The NuvaRing contraceptive ring has a higher reliability than birth control pills, and about the same effectiveness as.

Composition and form of release

The NovaRing hormonal ring is available in the form of flexible transparent rings in packs of 1 and 3 pieces.

Each NovaRing ring contains the hormones etonogestrel (11.7 mg) and ethinyl estradiol (2.7 mg).

Benefits of the NovaRing vaginal ring

What are the advantages of NovaRing? The contraceptive ring has the following benefits:

• Unlike birth control pills, which need to be taken every day, the NovaRing hormone ring needs to be inserted into the vagina only once a month (to be more precise, once every 4 weeks).
• Against the background of constant use of NovaRing, menstruation becomes less painful and less abundant.
• Some research data suggest that the use of NuvaRing reduces the risk of occurrence of ovaries.
• The NuvaRing ring adjusts to individual characteristics of the female body, therefore, it is not felt by either the woman herself or her sexual partner.
• Unlike the hormonal contraceptive injection, the NuvaRing ring does not lead to symptoms and to.

Disadvantages of the NovaRing contraceptive ring

The main disadvantages of the NuvaRing ring are its price (higher compared to birth control pills) and the risk of the ring falling out if it is incorrectly inserted. The skill of inserting the ring correctly comes with experience.

In addition, the NuvaRing ring does not protect against sexually transmitted diseases (, etc.), therefore it is recommended only for women who have a permanent partner in which she is confident.

Important information

Do not forget that the NuvaRing ring is a hormonal method of contraception, which means that its use is associated with some risks. Do not start using NuvaRing on your own or on recommendations from friends. Before using the drug, consult your gynecologist and make sure that you have no contraindications to this method of contraception.

Contraindications to the use of the NovaRing ring

Stop using the NovaRing hormonal contraceptive ring if:

• You are pregnant or may be pregnant.
• You are breastfeeding.
• You are over 35 years old and you smoke.
• You have had vein thrombosis or have a tendency to form blood clots.
• You have high blood pressure.
• You often have headaches.
• You have diabetes.
• You have had breast cancer or other malignant diseases.
• You often have vaginal bleeding and the cause is not clear to you.

In some situations, the use of NuvaRing is permissible after consultation with your doctor:

• With varicose veins.
• At elevated level cholesterol in the blood.
• With a body weight of more than 90 kg.
• With epilepsy.
• For diseases of the gallbladder (cholecystitis, stones in the gallbladder).
• For problems with the thyroid gland.

This is far from full list... If you are not sure whether the use of NuvaRing is acceptable for your disease or condition, consult your doctor.

Rules for using the NuvaRing ring

The NovaRing hormonal ring should be inserted into the vagina for 3 weeks and removed on the same day of the week. The new ring must be inserted exactly 7 days later. During the week off, your period may start.

For example, if you entered a ring on Monday at 8 pm, then you need to remove it exactly 3 weeks later on Monday at 8 pm and enter a new ring the next Monday at about 8 pm.

Wash your hands thoroughly before inserting the ring. Get into a comfortable position: standing with one foot on the toilet, squatting, or lying down. Remove the ring from the package, squeeze it between the index and thumb and insert deep into the vagina. The ring will automatically take the desired position around the cervix. If the ring is inserted correctly, you will not feel it.

To remove the NuvaRing ring, wash your hands thoroughly, take a comfortable position, and pick up the ring with one or two fingers. The used ring can be thrown in the trash can (but not in the toilet).

Does the contraceptive effect last during the break?

During the weekly break, the contraceptive effect of the NuvaRing ring persists, and you do not need to use other methods of contraception. This is only true if, after the end of the break, you enter a new ring.

If you did not use hormonal contraception in the previous cycle

Insert the NuvaRing contraceptive ring on the first day of your period. In this case, the contraceptive effect will come immediately. If for some reason you inserted the ring on the 2-5th day of your period, then you should use it within the next 7 days.

How to switch to NuvaRing from birth control pills?

If the package of your contraceptive pills contained 21 tablets, then insert the NuvaRing ring on the 7th day of the weekly break (that is, on the day when you started taking the next package of pills).

If your OK contained 28 tablets per pack, enter the NuvaRing ring the day after taking the last 28 tablets.

How to use NuvaRing after childbirth?

The NovaRing hormonal ring should be inserted into the vagina no earlier than a month after childbirth. If the ring is inserted in the first 4 weeks after childbirth, the risk of its loss is very high.

If you have already had unprotected sex before the ring was inserted, then first you should make sure that you are not pregnant, or wait until the first menstruation begins.

If there is no menses yet, then you can start using the ring any day (after making sure that you are not pregnant). After inserting the ring, use additional contraception (condoms) for another 7 days.

Can NovaRing be used while breastfeeding?

How to use the NuvaRing ring after an abortion?

If the termination of pregnancy occurred at a period of less than 12 weeks, then you can enter the NuvaRing ring on the day of the abortion. In this case, the contraceptive effect occurs immediately, and you do not need to use additional contraception. If you did not have time to insert the ring on the day of the abortion, then wait for the next menstruation and insert the ring on the first day of your period. Use condoms before your period.

If the termination of pregnancy occurred for a period of more than 12 weeks, then use the instructions from the section "How to use NuvaRing after childbirth."

What if I forgot to remove the NuvaRing ring after 3 weeks?

If you forgot to remove the NuvaRing ring in time, then try to remember how long ago you installed it:

• If the ring was inserted 4 weeks ago or less, remove the ring as soon as possible and take a 7-day break. Enter a new ring on the 7th day after deleting the previous one. You do not need to use additional methods of contraception, as in this case, the contraceptive effect of the NuvaRing ring remains.
• If the ring was inserted more than 4 weeks ago, the contraceptive effect may be reduced. In this case, you need to remember whether you have had unprotected sex. If you have had unprotected sex, then stop using rings until you are sure that you are not pregnant (do or pass). If you have not had unprotected sexual intercourse, and you are sure that you are not pregnant, then insert a new ring immediately after removing the previous one and use additional methods of contraception for another 7 days.

What if I forgot to put on a new NuvaRing after a week's break?

Try to remember if you had unprotected sex after removing the previous ring. If so, do not insert a new ring until you have ruled out pregnancy.

If, after removing the previous ring, you have not had unprotected sex, then insert a new ring as soon as possible and use additional methods of contraception (condoms) for another 7 days.

What to do if the NuvaRing ring falls out?

If the NuvaRing ring is incorrectly installed, it can fall out of the vagina. In this case, the contraceptive effect may be reduced, and there is a risk of pregnancy.

If the ring fell out less than 3 hours ago, then rinse it with cool water and insert it back into the vagina. In this case, the contraceptive effect is not impaired and the risk of pregnancy does not increase.

If the ring fell out more than 3 hours ago, then the contraceptive effect decreases.

• If this is the first or second week after the insertion of the ring, then after rinsing the ring with cool water, insert it back into the vagina and use additional methods of contraception (condoms) for another 7 days.
• If it is the third week after inserting the ring, discard it and insert the new ring immediately. In this case, you may not have bleeding, or spotting spotting may appear. This is fine. If for some reason you did not insert a new ring immediately, then wait for the onset of bleeding (menstruation) and insert a new ring in the first 7 days after removing the previous one.

How to postpone unwanted menstruation with the NuvaRing ring?

When using the NuvaRing contraceptive ring, you have the opportunity to postpone the next menstruation, if for some reason they are undesirable (vacation, etc.)

To do this, install a new NuvaRing ring on the same day as you removed the previous one, without making a 7-day break. Remove this ring after 3 weeks and then take a 7-day break, returning to your normal use of the ring.

In this case, you may have spotting spotting. This is fine.

Bloody (brown) discharge when using the NuvaRing ring

Against the background of the use of the contraceptive Novairing, it is possible that spotting bleeding occurs in the middle of the cycle. This is normal and does not require discontinuation of the drug. See your doctor if spotting occurs almost every day or every day throughout the month.

The appearance of bloody discharge in the middle of the cycle may also indicate that the ring has fallen out, and the contraceptive effect is reduced. In this regard, when spotting discharge appears, it is necessary to make sure that the ring is in place. To do this, wash your hands thoroughly and, taking a comfortable position, insert one finger into the vagina, trying to find the ring.

Can tampons and NuvaRing be used at the same time?

Yes, there are no contraindications for this. In this case, of course, it should be observed.

On rare occasions when removing a tampon, the ring may fall out, so when using tampons, you should regularly check that the ring is in place.

In what cases can the contraceptive effect of the NuvaRing ring decrease?

Taking some medications can lead to a decrease in the contraceptive effect of NuvaRing. For example, when taking antibiotics, a woman is advised to use additional contraceptives (condoms) throughout the course of treatment and for another 7 days after the end of antibiotic treatment.

Before taking any medication, consult your doctor to find out if it reduces the contraceptive effect of NuvaRing.

What if your period didn't come during a week break?

In some women, against the background of constant use of the NuvaRing ring, menstruation may stop altogether.

If your period did not come during the week break, then try to remember if the ring fell out for more than 3 hours last month. If it fell out, then the contraceptive effect of the ring could be reduced, which means that you need to do it.

If you used the ring according to the instructions, then the chances of pregnancy are quite low. In this case, you can insert a new ring on the 7th day after removing the previous one. If your period does not start in the second cycle, see your doctor.

What to do if pregnancy occurs while using the NuvaRing ring?

Despite the high effectiveness of the Novairing contraceptive ring, in rare cases, pregnancy occurs against the background of its use. If you suspect you may be pregnant, remove the ring from your vagina immediately and contact your doctor.

If the pregnancy is confirmed, and you want to keep it, then there are no obstacles for this. The use of the ring does not increase the risk of fetal malformations, which means that you have a high chance of having a healthy baby.

How to get pregnant after using the NuvaRing ring?

If you are planning a pregnancy, remove the ring at the end of the third week of use and do not replace it with a new one. Pregnancy can occur in the next cycle after the end of the use of NuvaRing.