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Vaginal Ring

93%-99% effective

Put in and take out once a month

Costs up to $200, but can be $0

Table of Contents

Description

The birth control ring is a small flexible ring you place vaginally once a month to prevent pregnancy. During that time it releases hormones continuous through the day and night.

There are two rings – Nuvaring (generic is EluRyng) and Annovera.

How Does NuvaRing Work?

Each NuvaRing lasts for up to 5 weeks. You take your old NuvaRing out of your vagina and put in a new one about once a month, depending on the ring schedule you choose. You can also use NuvaRing to safely skip your period if you want to.

How Does Annovera work?

One Annovera ring lasts for 1 year (13 cycles). You put the Annovera ring in your vagina for 21 days (3 weeks), then take it out for 7 days — Annovera comes with a case to safely store it during your ring-free week. After 7 ring-free days, put Annovera back in your vagina.

Efficacy

When used perfectly, the ring is 99% effective at preventing pregnancy. However, because it’s easy to make a mistake, its typical use effectiveness is about 93% — meaning around 7 out of 100 people using the ring may get pregnant each year.

Using the ring on schedule is key to making it work as well as possible. Even with perfect use, there’s still a small chance of pregnancy, but it’s very low.

Side Effects

Like all medicines, the birth control ring can cause some side effects. Many people use it without any problems, and for those who do, most side effects improve or go away within 2–3 months. You can track any changes or symptoms with our app.

Common side effects may include:

  • Spotting or bleeding between periods
  • Breast tenderness
  • Nausea
  • Headaches
  • Increased vaginal wetness

These effects don’t happen to everyone and often resolve on their own.

Birth control should not make you feel unwell. If side effects continue to bother you after 3 months, talk with your nurse or doctor about other birth control options. Do not stop using the ring without switching to another method first, or you may lose protection against pregnancy.

Rare but serious risks:
Although very uncommon, birth control methods containing estrogen (including the ring) can slightly increase the risk of certain serious conditions. For full details, read the package insert that came with your birth control ring or talk with your nurse or doctor.

Not sure
which option is right for you?

Our providers can help you choose the method that fits your body and your life. Schedule a consultation today.

FAQ's

Spokane OBGYN

The birth control ring has both estrogen and progestin in it. It has several ways to prevent pregnancy, it can stop a sperm from meeting an egg for fertilization. It also stops ovulation and it thickens cervical mucus making it harder for sperm to swim to the egg.

Store at room temperature and away from sunlight for up to 4 months (16 weeks). If you are using a NuvaRing later than this then keep in the refrigerator (not in the door of the fridge).

Keep Annovera at room temperature when out, away from others. When taking out you can use a mild soap water to rinse off then pat dry, and store in the case.

Do not use with silicone or oil based lubricants, but you can use with water-based lubricants
Do not use with Phexxi gel

It is 99% effective, but in regular real-world use it is 93% effective in preventing pregnancy.

Some side effects can happen for some people but not everyone, many can use the ring without issues. Headaches, nausea, sore breasts, changes in periods , spotting, vagina lubrication changes. Most side effects go away within 2-3 months.

You can but your breast milk supply may decrease while on the ring the first 3 weeks after giving birth

Wash and dry your hands, then place while lying down, squatting or standing up with one leg up on a chair
Remove the ring from its wrapper, pinch it together using thumb and index finger so the sides touch
Then spread the labia of the vulva and place the ring as far as it will go in the vagina

Wash or dry your hands, in the lying down, squatting or standing with one leg up on a chair place a finger vaginal and reach until you feel it then hook the ring with your finger and pull out

Easy and comfortable to wear
You do not need to remember it daily
It is flexible enough to fit most vaginas
It is safe for women with latex allergy
It can be removed at time of desiring a pregnancy
It is private
Less hormonal side effects than other contraceptives

It can have side effects and does not protect against sexually transmitted infections

They are 91-99% effective, if you do not place the ring correctly it can reduce how effective it protects against pregnancy

This can happen on occasion, whether from taking out a tampon, having vaginal sexual intercourse, straining for a bowel movement. Rinse it off in water and reinsert as soon as you can.

Sometimes they can, but they are unlikely to have any negative effects from the ring. If you remove your ring for sexual intercourse, it needs to be put back in within 3 weeks.

If you remove a ring during sex, the NuvaRing and ElyRyng are effective for up to 3 hours, Annovera is effective for 2 hours.

Construction Notice

The City of Spokane Valley is improving the Pines & Mission Intersection near our Spokane Valley location. 

Starting April 15th, 2024, most of the work will happen between 8:00 PM and 6:00 AM, with some daytime work too.

They’ll try to limit traffic disruptions, keeping the intersection open and businesses accessible but please plan accordingly when visiting our Spokane Valley office.

Click below for more details:

We can expect minor traffic changes mostly around the northeast and southeast corners of the intersection. This involves digging for the wall, upgrading traffic and pedestrian signals at Pines & Mission intersection, and improving its northeast and southeast corners.

Traffic revisions involve closing westbound Mission Avenue and the northwest shoulder of Pines Road near the 190 offramp, with ongoing modifications to traffic signals, retaining wall construction, sidewalk improvements along northwest Mission Ave, and prep work for repaving Pines Road and Mission Ave.

Traffic changes will close westbound Mission Avenue and part of the northwest Pines shoulder, limit center lanes on the east side of Mission and the south of Pines, pave parts of Mission Avenue and Pines Road, and reconstruct the traffic island at the Pines Road and Mission Avenue intersection.

Mission Avenue will be fully closed from the Pines intersection westbound to just before Applebee’s parking lot’s west driveway, with center lane restrictions on eastbound Mission. The project involves grinding existing asphalt, paving new asphalt, adding traffic islands, installing new road markings and signs, and landscaping the northwest quadrant of Mission and Pines.

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