Everything You Need to Know About Vaginal Contraceptive Rings

How Vaginal Contraceptive Rings Work

Types of Vaginal Contraceptive Rings

There are three main types of vaginal contraceptive rings available, each containing synthetic hormones that prevent pregnancy. They differ in their usage duration and specific hormone combinations.

• The first type is a well-known brand that contains etonogestrel (a synthetic progestin) and ethinyl estradiol. You need to insert a new ring each month.
• The second type is a generic version that works similarly but is generally less expensive.
• The third type can be used for an entire year. It contains segesterone acetate (a synthetic progestin) and ethinyl estradiol. You remove it for one week each month, wash it, and store it in its case.

How to Use a Vaginal Contraceptive Ring

How to Insert and Remove a Vaginal Contraceptive Ring

• Inserting a vaginal contraceptive ring is simple and can be done at home.
• The ring can stay in place during sex and other physical activities. It won’t get lost in your body.
• When it’s time to remove the ring, hook your finger through the ring and gently pull it out. If you’re using Annovera, wash and dry the ring before storing it in its case.

Storage

• Store at room temperature, away from direct sunlight and moisture. For Annovera, wash and store in its case during the ring-free week.

Schedule

• Cyclic Use: Insert the ring for three weeks, then remove it for one week to allow for bleeding. Insert a new ring at the end of the fourth week. For the year-long type, use the same ring for a year.
• Continuous Use: Insert the ring for four weeks, then replace it immediately with a new one without leaving a week for your period. This is an off-label use and may cause breakthrough bleeding.

Backup Contraception

If you forget to insert a new ring on time or if the ring is out of your vagina for more than 24 hours during the three weeks of use, use a backup method like condoms for seven days to ensure continuous pregnancy prevention.

Understanding how to use and manage your vaginal contraceptive ring can help you maximize its effectiveness and convenience.

Effectiveness and Benefits

A vaginal contraceptive ring is a highly effective form of birth control. When used correctly, it is over 99% effective at preventing pregnancy. However, with typical real-world use, which accounts for human error, its effectiveness is around 91%. This means that up to nine users out of 100 might get pregnant each year if the ring is not used exactly as prescribed.

Health Benefits

Using a vaginal contraceptive ring has several health benefits. Many users experience lighter periods and reduced menstrual cramps. The hormones in the ring can also help with acne and make periods more regular. Additionally, the ring can reduce the risk of ovarian cysts, fibroids, and certain breast diseases.

Side Effects and Risks

While the vaginal contraceptive ring is generally safe, it can cause some side effects. Common side effects include:

• Spotting between periods
• Nausea
• Breast tenderness
• Headaches
• Weight gain
• Vaginal irritation

These side effects often improve after a few months of use. However, there are rare but serious risks associated with the ring, such as:

• Blood clots
• Heart attack
• Stroke
• Toxic shock syndrome (TSS)
• Gallstones (if you have a history of gallbladder disease)
• High blood pressure
• Noncancerous liver tumors

If you experience any severe symptoms, contact your doctor immediately.

Who Should Not Use Vaginal Contraceptive Rings

The vaginal contraceptive ring is not suitable for everyone. You should avoid using it if you have any of the following conditions:

• History of blood clots, heart attack, or stroke
• Breast cancer or other hormone-sensitive cancers
• Pregnancy or suspect you might be pregnant
• Over 35 years old and smoke cigarettes
• Hepatitis or liver problems
• Uncontrolled high blood pressure
• Diabetes
• Unexplained vaginal bleeding
• Allergies to any ingredients in the ring
• Severe migraines

Additionally, certain medications can interact with the ring, making it less effective. These include some antibiotics, anti-seizure drugs, and treatments for hepatitis C and HIV. Always inform your doctor about any medications or supplements you are taking.

Understanding the effectiveness, benefits, side effects, and contraindications of the vaginal contraceptive ring can help you make an informed decision about whether it is the right birth control method for you.

Next, let’s address some frequently asked questions about using a vaginal contraceptive ring.

FAQs About Vaginal Contraceptive Rings

Can I use tampons with the vaginal ring?

Yes, you can use tampons with a vaginal contraceptive ring. Just be careful not to pull out the ring when removing your tampon. If the ring does come out, rinse it with warm water and reinsert it as soon as possible.

Can my partner feel the vaginal ring during sex?

Your partner might feel the ring during sex, but it’s usually not a problem. If it is uncomfortable, make sure the ring is inserted correctly. You can also remove the ring during sex, but remember to keep track of the time. For one type, the ring can be out for up to 2 hours, and for another, up to 3 hours. Always rinse it with warm water before reinserting.

What if the ring gets expelled?

Sometimes the ring can slip out, especially during sex or when removing a tampon. If this happens, rinse it with warm water and put it back in right away. If it has been out for more than the allowed time, use backup contraception like condoms for the next 7 days.

Does the vaginal ring protect against STDs?

No, the vaginal contraceptive ring does not protect against sexually transmitted infections (STIs). To protect yourself from STIs, use condoms every time you have sex. Condoms are the only birth control method that also protects against STIs.

Can I use the ring after taking emergency contraception?

Yes, you can start using the vaginal ring after taking emergency contraception. If you took Plan B or another levonorgestrel emergency contraception pill, you can start the ring right away but use a backup method, like condoms, for 7 days. If you took ella, wait 6 days before starting the ring and use backup contraception for 7 days after starting the ring.

What is dual protection?

Dual protection means using condoms along with the vaginal ring. This combination provides excellent protection against both pregnancy and STIs. Using both methods together offers the best overall protection for your sexual health.

Contraception Advice from Your Doctor

The vaginal contraceptive ring is a highly effective and convenient option for preventing pregnancy. With proper use, it offers up to 99% effectiveness, making it a reliable choice for many women. Beyond pregnancy prevention, the ring can also offer additional health benefits like lighter periods and relief from menstrual cramps.

However, it’s important to be aware of potential side effects and risks and to consult with a healthcare provider to determine if this method is right for you. If you have any underlying health conditions or are on certain medications, a different form of contraception might be more suitable.

At Lona Sasser Obstetrics & Gynecology, we are committed to providing comprehensive and compassionate care.

If you have any questions or want to schedule an appointment, reach out. You can call us at (954) 340-1050 or book online. We are here to help with all your reproductive health needs.

Your health and comfort are our top priorities. Let us help you find the best contraceptive method for your lifestyle.

Photo by Reproductive Health Supplies Coalition on Unsplash