At May-Grant OB/GYN, with multiple providers serving Lancaster, PA, and surrounding areas, we understand that many people have questions about hormonal birth control options like the Nuvaring. This vaginal contraceptive ring offers a convenient and effective way to prevent pregnancy, but understanding how to properly use it, what side effects might occur, and when to seek medical advice is essential for safe and confident use. This blog addresses frequently asked questions to help guide you through the important details of Nuvaring use.
Understanding Nuvaring Insertion and Use
The Nuvaring is a flexible, transparent ring about two inches in diameter that is inserted into the vagina once a month. It releases a combination of estrogen and progestin hormones that prevent ovulation and thus pregnancy. To insert the Nuvaring, wash your hands thoroughly. Then, using your thumb and index finger, gently squeeze the ring and insert it into your vagina, pushing it up until it feels comfortable. You don’t have to place it in a specific spot; the vaginal walls will hold it in place. Once inserted, it stays in place for three weeks continuously.
After three weeks, the Nuvaring is removed for a one-week ring-free period, during which you will usually experience your period. After this week, a new ring is inserted to continue protection. It is important to keep the ring in place for the full three weeks for maximum effectiveness. If the ring falls out or is removed for more than three hours, backup contraception like condoms should be used for the next seven days.
Some people worry about the feeling of having the ring inside. Most users quickly adapt to it, and it usually is not felt during everyday activities. However, if you experience discomfort, try reinserting it or adjusting the position. It’s a good idea to check that the ring is still in place periodically. Removal is straightforward—simply hook your index finger under the rim and gently pull it out.
Common Side Effects of Nuvaring
Like all hormonal contraceptives, the Nuvaring may cause side effects. Many users experience mild symptoms that tend to improve after a few cycles. The most common side effects include vaginal irritation or discharge, headaches, nausea, breast tenderness, and spotting between periods. These are generally not serious but can be bothersome.
Vaginal irritation or discharge can result from the presence of the ring itself or the hormonal changes it causes. Maintaining good hygiene and properly inserting the ring can reduce irritation. Some users may notice an increase in vaginal discharge, which is typically normal but should be monitored if it changes color or odor, as this could indicate an infection.
Headaches and nausea often occur when starting hormonal birth control but usually subside within a few months. If these symptoms persist or worsen, it’s important to consult your healthcare provider. Breast tenderness can also occur but typically diminishes as your body adjusts to the hormones.
Spotting or breakthrough bleeding is common in the first few months of use and often resolves with continued use. If bleeding is heavy or prolonged, this should be discussed with a doctor. Rarely, more serious side effects can occur, such as blood clots, especially in individuals with certain risk factors, so awareness and prompt action if concerning symptoms arise are important.
When to Call Your Doctor
It’s important to know when side effects or other concerns warrant medical attention. You should contact your healthcare provider if you experience severe headaches, chest pain, sudden shortness of breath, leg swelling or pain, or severe abdominal pain. These could be signs of a blood clot or other serious complications.
If you have an allergic reaction to the Nuvaring—symptoms like rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing—seek emergency care immediately. Persistent or heavy vaginal bleeding, severe pain, or unusual vaginal discharge should also prompt a call to your doctor.
If the Nuvaring has been out for more than three hours during the three-week period, or you missed inserting a new ring after the ring-free week, it is important to contact your provider to discuss restarting the ring and use backup contraception. Any doubts about how to use the ring correctly or if you experience persistent side effects should be addressed with your healthcare team.
Keeping track of your cycles and any symptoms you experience can help provide your provider with useful information for managing your care. Remember, open communication with your healthcare provider is key to safe and effective contraception.
At May-Grant OB/GYN, with locations serving Lancaster, PA, and nearby communities, we encourage everyone to become well-informed about their contraceptive choices and to reach out whenever questions or concerns arise. Understanding your body and how Nuvaring works can empower you to use it confidently and safely.
Resources
- Nelson, A. L., & Westhoff, C. (2011). Contraceptive efficacy and side effects of the vaginal ring. Obstetrics & Gynecology, 117(2), 370–377.
- American College of Obstetricians and Gynecologists. (2020). Practice Bulletin No. 206: Combined hormonal contraception: methods and guidelines. Obstetrics & Gynecology, 135(2), e49-e59.
- Mayo Clinic Staff. (2021). NuvaRing: Uses, side effects, and warnings. Mayo Clinic.
