FAQs

How does it work?

The hormones in the Nuva Ring are slowly released and absorbed through the lining of the vagina (vaginal mucosa) into the bloodstream. The hormones prevent ovulation so that no egg is released from the ovaries. It thickens the cervical mucus making it harder for sperm to travel into the uterus, and thins the lining of the uterus to prevent a fertilized egg from implanting inside the uterus.

How do I start using it?

Insert one ring into the vagina using any position that is comfortable (e.g. squatting or lying down). Press the edges of the ring together and place one end into the opening of the vagina. Push the ring high into the vagina. There is no exact position that is crucial for placement of the ring. As long as you are comfortable, the ring is placed correctly. The hormones will be absorbed into the bloodstream regardless of where the ring is placed inside the vagina.

Leave the ring in place for 3 weeks (21 days). Do not remove for intercourse. After 21 days, remove the ring for 7 days. Hook your index finger over the edge of the ring and gently pull it out. Discard the ring in the foil package provided and throw into garbage. Do not flush down the toilet.

When does it start working?

If you start on the last day of your period, or on the day after an abortion, it will start working right away. If you start in between your periods, then it takes 7-10 days to be effective. Use condoms or abstain from sex until it is working.

Can I use tampons with a ring inserted?

Yes, you can. Usually you bleed only when the ring is removed, but if you have breakthrough bleeding, you can use a tampon.

Can I use the ring if I have yeast or a vaginal infection?

Yes, there is no infection that will get worse if a ring is left in place. There is no infection that is caused by the ring. You can use yeast treatment at the same time the ring is inside.

What if I am late putting in the next ring after a period?

That’s a concern. If you have had intercourse, you should seek emergency contraception (the morning after pill, or a copper IUD) and put a new Nuva Ring in right away. Don’t rely on the Nuva Ring for 7-10 days.

Can I use 2 rings back-to-back to skip my period?

Yes, but only use 2 rings back to back, for 3 weeks each. Using 3 or more rings continuously without a break is not recommended.

What are danger signs that something is wrong?

There is a small but serious risk of blood clotting with using the ring. If there is a clot forming, you may have pain in your calf or thigh, chest pain, severe headaches or vision problems. Seek help at the emergency department right away.