"Nov. 20, 2012 -- Oral contraceptives should be made available without a prescription to reduce unintended pregnancies, according to a newly published opinion by the American College of Obstetricians and Gynecologists (ACOG).
NuvaRing Patient Information including How Should I Take
In this Article
- What is ethinyl estradiol and etonogestrel (NuvaRing)?
- What are the possible side effects of this medication (NuvaRing)?
- What is the most important information I should know about this medication (NuvaRing)?
- What should I discuss with my healthcare provider before using this medication (NuvaRing)?
- How should I use this medication (NuvaRing)?
- What happens if I miss a dose (NuvaRing)?
- What happens if I overdose (NuvaRing)?
- What should I avoid while using this medication (NuvaRing)?
- What other drugs will affect ethinyl estradiol and etonogestrel (NuvaRing)?
- Where can I get more information?
What should I discuss with my healthcare provider before using this medication (NuvaRing)?
This medication can cause birth defects. Do not use if you are pregnant. Tell your doctor right away if you become pregnant, or if you miss two menstrual periods in a row. If you have recently had a baby, wait at least 4 weeks before using an ethinyl estradiol and etonogestrel vaginal ring.
You should not use this medication if you have:
- untreated or uncontrolled high blood pressure;
- heart disease, circulation problems, history of heart attack, stroke, or blood clot;
- a history of hormone-related cancer such as breast or uterine cancer;
- unusual vaginal bleeding that has not been checked by a doctor;
- severe migraine headaches (with aura, numbness, weakness, or vision changes), especially if you are older than 35;
- liver disease or liver cancer, a history of jaundice caused by pregnancy or birth control pills; or
- if you smoke and are over 35 years old.
To make sure you can safely use a vaginal ring tell your doctor if you have any of these other conditions:
- high blood pressure, varicose veins, high cholesterol or triglycerides, or if you are overweight;
- a history of depression;
- diabetes, underactive thyroid, gallbladder disease;
- seizures or epilepsy;
- a history of irregular menstrual cycles, toxic shock syndrome, or easy vaginal irritation;
- prolapsed (dropped) uterus, bladder, or rectum;
- severe constipation; or
- a history of fibrocystic breast disease, lumps, nodules, or an abnormal mammogram.
The hormones in this medication can pass into breast milk and may harm a nursing baby. Ethinyl estradiol and etonogestrel may also slow breast milk production. Do not use if you are breast feeding a baby.
How should I use this medication (NuvaRing)?
Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. This medication comes with patient instructions for safe and effective use. Follow these directions carefully.
Your doctor will tell which day of your menstrual cycle to insert the first vaginal ring you use. During the first 7 days of using your first vaginal ring, you may need to use back-up birth control, such as condoms or a spermicide. Avoid using a diaphragm. Follow your doctor's instructions.
The vaginal ring should be left in place for 3 full weeks. Remove the ring after 3 weeks, on the same day of the week it was inserted at about the same time of day. Allow 1 full week to pass before inserting the new ring.
Your period should start during the week you do not wear a vaginal ring. Insert the new ring on the same day of the week it was inserted in the last cycle, even if your menstrual period has not ended yet.
The ethinyl estradiol and etonogestrel vaginal ring will not prevent pregnancy if you wear it only during intercourse. You must wear the ring for 3 full weeks, followed by 1 full week without a ring. The timing of ring insertion and removal is very important for this medicine to be effective as a form of birth control.
The ring does not need to be removed during sexual intercourse. If the ring is bothersome, you may remove it, rinse it with warm water, and reinsert it after intercourse. Do not leave the ring out for longer than 3 hours.
If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medication for a short time. Any doctor or surgeon who treats you should know that you are using the vaginal ring.
Store unused vaginal rings at room temperature away from moisture, heat, and light. To dispose of a used vaginal ring, place it in the foil pouch it came in and throw it away where children and pets cannot get to it. Do not flush the ring down a toilet.
Additional NuvaRing Information
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NuvaRing User Reviews
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