Nuvaring

How to Use NuvaRing? Vaginal Ring Insertion & Removal

The use of NuvaRing takes a 3 week cycle. This is the procedure:

1. Ensure that you clean and dry your hands before handling.
2. Squat, lie down or lift one of your legs for proper insertion.
3. To insert, carefully tear the storage foil, and place the pack between your thumb and index finger
4. Place it over the vagina entrance and press gently to allow insertion to occur smoothly. Once it is out of the foil, you can push the folded ring slowly into the vagina.

Alternatively, you can use an applicator, which is separately sold.

Once the NuvaRing is in place, maintain it for three weeks, for you to get effective results.

Wash hands clean before removing the NuvaRing. You can use your index finger or both the index finger and middle finger to remove the ring. In case of the index finger, make a slight hook shape under the forward rim and gently pull it out.
Alternatively, you can hold the edge of the ring between your index finger and middle finger and pull it out.

NuvaRing: Precautions

Insert and remove the ring on schedule, i.e., do it at the right times. It should be inserted on the first day of menses and removed after three weeks. Day period after removal of the ring allows menstruation to occur.

Always insert the next ring on the same date you inserted the previous one, i.e., 7 days after removal of the other ring.

Do not use NuvaRing with other birth control methods like the cervical cap, vaginal diaphragm, and female condom, as a backup plan. These methods may interfere with the position of the ring. However, you can use spermicides, vaginal yeast, or tampons.

If the NuvaRing is left out of the vagina for 4 weeks or more, a pregnancy might occur.

During the 7 days when the NuvaRing is out, consider using other birth control methods like condoms and spermicides to prevent pregnancy.

Always insert one ring at a time to avoid effects like vomiting, nausea, and vaginal bleeding.

Drug interactions

Your doctor should know all the medications you are using, or you used before because NuvaRing may have dangerous interactions. This way, your doctor may advise you appropriately. However, note that the drug below is not recommended while on NuvaRing treatment.

• Rifampin
• St. John’s wort
• Griseofulvin
• Some HIV medications
• Some anti-seizure medicines

In case you are using any other drugs and you experience unusual symptoms, consult your doctor, considering these are not all medications likely to cause adverse effects.

NuvaRing: Contraindications

Below Contraindications are noted, but not limited in the following cases:

• Thrombophlebitis or thromboembolic disorders
• Major surgery with prolonged immobilization
• Diabetes with vascular involvement
• Uncontrolled hypertension
• Carcinoma of the breast or a history of breast cancer
• Carcinoma of the endometrium or estrogen-dependent neoplasia
• Abnormal genital bleeding
• Cholestatic jaundice of pregnancy or jaundice with prior pill use
• Hepatic adenomas or carcinomas, or active liver disease, as long as liver function has not returned to normal
• Pregnancy
• Hypersensitivity of Nuvaring usage

NuvaRing: Negative Effects

• Strokes & Heart Attacks: this is common in smokers above 35 years.
• Hypertension: there is a high risk of hypertension with NuvaRing and other hormonal birth control measures.
• Diabetes: do not use NuvaRing in case of nerve, eye, kidney, and blood vessel damage.
• Cancer: low chances of an increase in both reproductive organs and breasts when using NuvaRing.

Other serious side effects include:

• Vaginal infections
• Vaginal discharge
• Irritation to the vagina or cervix
• Breast pain or discomfort
• Dizziness, nausea, and vomiting
• Headache, including migraine
• Weight gain
• Changes in appetite
• Mood changes and depression
• Rashes
• Edema

NuvaRing's Impact on the Vagina

Some women might feel the presence of NuvaRing in the vagina while others cannot. A common thing amongst all women is a feeling of a slight movement of NuvaRing. Such change mostly occurs when the ring is not inserted in the right position. Ensure that you fit it in the correct position using your finger.

Remember, the NuvaRing cannot go beyond the cervix. However, its position can be altered with sexual intercourse straining during a bowel movement or when removing a tampon.

In some cases, the ring might be inserted into the bladder. This is accompanied by pain, either during or after that. Consult a doctor immediately in such cases.

Slipping of NuvaRing out of the vagina

NuvaRing can slip out of the vagina during sex, bowel movement strain, or while removing a tampon. You need to take immediate measures during such conditions. In some cases, the ring may break; this doesn’t affect its effectiveness in preventing pregnancy. Nevertheless, any broken or slipped out NuvaRing should be disposed of safely.

When the NuvaRing is out of the vagina for less than 3 hours, you can reuse it; reinsert it into the vagina. However, you should rinse it with lukewarm water.

NuvaRing out for more than 3 hours

The action you take when the ring is out of the vagina for more than 3 hours, depending on the circumstances and schedule.
In the 1st and the 2nd week, you might get pregnant. You must reinsert the very ring the earliest time possible to reduce the chances of pregnancy. Women must have a backup birth control plan; usually, a male condom laced with spermicides. Use this condom for at least seven days while the NuvaRing is still in place.

In the 3rd week reinserting the ring has no impact on birth control. In this case, any slipped or broken NuvaRing should be disposed of safely, and male condoms with spermicide be used. Nonetheless, insert a new ring right away. But that this might cause breakthrough spotting and rarely bleeding.

If you’ve been using the NuvaRing for at least 7 days, before the expulsion, you can either discard it and wait up to 7 days from the day of expulsion to insert a new one (you’ll experience withdrawal bleeding), or Do not leave a 7 day gap from the day of slippage to the new insertion date.

Test for pregnancy if the NuvaRing was out of the vagina, for a considerably long time. Further, consult your doctor for further advice.

Complications in periods with NuvaRing

Unexpected bleeding and spotting usually occur while using NuvaRing. This kind of bleeding occurs along the way and is not regular menses. This problem is generally standard for new users of NuvaRing. This goes away without treatment. It does not cause many problems. However, in other cases, it might persist longer than expected.

If bleeding persists, unusually heavy bleeding and spotting, see a doctor. Do not stop the birth control regimen by yourself.

Nuvaring: FAQs

Who should not use NuvaRing?

The following categories of people should discontinue using NuvaRing:

• Heavy smokers especially those above 35 years old
• Patients with blood clots history, especially in the legs, eyes, arms, or lungs
• Genetics of blood clots
• Risks of stroke/heart attack
• Heart rhythm/heart valve issues: they cause blood clots in the heart
• Severe hypertension
• Diabetes with nerve, eye, kidney, or blood vessel damage is more.
• Migraines/headaches (with aura, weakness, numbness, and changes in vision) in women above 35 years
• Hepatitis C drug intake causes some interaction. Combining NuvaRing with Hepatitis drugs may increase liver enzyme levels in the blood.

Also:

• Vaginal bleeding can become a complication.
• There are some chances of pregnancy occurring
• Female hormones are associated with cancer
• Hormones within the, i.e., etonogestrel and Ethinyl estradiol

What should I do in case I miss my periods while using a NuvaRing vaginal?

There are different birth control methods, each with specific implications. Missing periods can be a sign of pregnancy, but not always. However, pregnancy is likely to occur in the following scenarios:

• If the NuvaRing was out of the vagina for more than 3 hours, and you missed your periods.
• In case of the extended period, i.e., more than a week before inserting a new NuvaRing.
• When you miss two consecutive periods even with the correct use of NuvaRing.
• Using the same NuvaRing for more than a week.

In case you get pregnant consult your doctor right away and stop using.

Does NuvaRing dissolve?

NuvaRing is non-biodegradable; thus, it does not dissolve. Its make allows it to release hormones for the 3 weeks it will be in the vagina. After three weeks, you'll have to remove it and stay the next 7 days without the ring and then start the cycle again.

Is Nuvaring preferable for smoking women?

Cardiovascular complications arise when a woman using hormonal birth control pills smoke. Complications may include death that results from blood clots, heart attack, or stroke.

Where should I store?

Store this under the following set of conditions:

• 68°F to 77°F room temperature, i.e., between 20°C to 25°C.
• Never above 86°F (30°C).
• Away from direct sunlight

Always dispose of properly the already used or faulty NuvaRing. Ensure that you return them in resealable foil pouch. Neither children nor pets should get access to the previously used ring. Again, do not flush down the toilet.

Is it safe to buy online?

SecurePharmaOnline (SPO) is a cost-effective, secure, and discreet online drug store. The store does not only sale, Nuvaring, but deals in a variety of Generic drugs, which are clinically proven. The drug store further ensures easy availability, affordability, authenticity, complete safety and privacy, and speedy delivery.