To use NuvaRing:
Insert NuvaRing. Remove NuvaRing from its foil pouch. Find a position that's comfortable, such as standing with one leg up, squatting or lying down. Separate your labia with one hand. With your other hand, squeeze together the opposite sides of NuvaRing between your thumb and index finger.
Gently push NuvaRing deep inside your vagina. The exact placement of the ring doesn't change its effectiveness. What's important is that the ring is in a place that's comfortable for you.
If you feel discomfort, try pushing NuvaRing deeper inside your vagina. Keep the ring in place for three weeks.
You don't need to remove NuvaRing during sex. However, if you prefer, the ring can be removed for up to 3 hours and then reinserted.
Gently remove NuvaRing. After three weeks of continuous use, gently remove NuvaRing. Hook your index finger under the rim of the ring or grasp the ring between your index finger and middle finger and gently pull it out.
Discard the used NuvaRing. Don't flush it down the toilet.
Wait one week to insert a new ring. Withdrawal bleeding usually begins two to three days after removing the ring.
You may still be bleeding when you insert the new ring. If you locate NuvaRing in your vagina but can't remove it, consult your health care provider.
- If NuvaRing falls out, reinsert it. NuvaRing can be expelled during tampon removal, sex or a bowel movement. If NuvaRing accidentally falls out, rinse the ring with cool or warm — not hot — water and reinsert it within three hours.
If NuvaRing remains outside of your vagina for longer than three hours, use backup contraception. If this happens during the first or second week of NuvaRing use, reinsert NuvaRing as soon as possible and use a backup method of contraception for a week. If this happens during the third week of NuvaRing use, discard the ring.
Alternatively, if the NuvaRing is outside the vagina for more than three hours during the third week, you can start using a new ring right away. This may cause breakthrough spotting or bleeding. Use a backup method of contraception until you have used the new ring continuously for seven days.
Or, if you used NuvaRing continuously for at least the previous seven days prior to explusion, you can discard the ring and wait up to seven days from the time the ring was removed or expelled to insert a new ring. You'll have withdrawal bleeding. Use a backup method of contraception until you use the new ring continuously for seven days.
You can use a tampon while using the NuvaRing. NuvaRing, however, can interfere with the placement of a diaphragm. Don't use a diaphragm as a backup method of birth control while using NuvaRing.
If a ring breaks, discard it and use a new ring.
May 12, 2015
- Hatcher RA, et al. Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media; 2011:343.
- NuvaRing (prescribing information). Whitehouse Station, N.J.: Merck & Co. Inc.; 2013. http://www.nuvaring.com. Accessed Nov. 18, 2014.
- Kerns J, et al. Contraceptive vaginal ring. http://www.uptodate.com/home. Accessed Nov. 19, 2014.
- Roumen JF, et al. The contraceptive vaginal ring, NuvaRing, a decade after its introduction. The European Journal of Contraception and Reproductive Health Care. 2012;17:415.