Etonogestrel and Ethinyl Estradiol
Buy Nuvaring Vaginal Ring Online
NuvaRing is a contraceptive vaginal ring containing etonogestrel and ethinyl estradiol used to prevent pregnancy. It offers a convenient, once-a-month application with fewer hormone doses than many oral contraceptives. NuvaRing works by releasing hormones that prevent ovulation, thicken cervical mucus, and alter the uterine lining. It may also regulate menstrual cycles, reduce cramps, and lower the risk of certain cancers. Common side effects include headaches, nausea, and changes in menstrual cycles. It’s important to use NuvaRing as directed and consult a healthcare provider about potential interactions and whether it’s the right contraceptive option for you.
Product Overview
NuvaRing is a flexible, contraceptive vaginal ring containing the hormones etonogestrel and ethinyl estradiol, designed to prevent pregnancy. It is inserted into the vagina and left in place for three weeks, during which it continuously releases hormones that work to suppress ovulation, thicken cervical mucus to hinder sperm movement, and alter the uterine lining to prevent fertilized egg implantation.
NuvaRing is known for its convenience. It requires only a once-a-month application, which reduces the daily adherence needed with oral contraceptives. It provides a lower hormone dose, potentially resulting in fewer side effects while offering effective pregnancy prevention. Additional benefits include the potential to regulate menstrual cycles, reduce menstrual cramps, and lower the risk of ovarian and endometrial cancers.
However, NuvaRing may cause side effects, such as headaches, nausea, changes in menstrual cycles, and vaginal irritation. It is essential to discuss any pre-existing conditions or other medications with a healthcare provider to avoid harmful interactions, such as those with certain antibiotics or antifungal medications. Additionally, smoking while using NuvaRing, particularly in women over 35, can increase the risk of serious cardiovascular events.
Uses of Nuvaring Vaginal Ring
- It is indicated for women to prevent pregnancy.
Benefits of Nuvaring Vaginal Ring
- Provides effective contraception when used correctly.
- Convenient once-a-month application, reducing daily medication reminders.
- Lower hormone dose compared to many oral contraceptives.
- May result in more consistent hormone levels than daily pills.
- Can help regulate menstrual cycles and reduce menstrual cramps.
- May improve acne in some users.
- Doesn’t interfere with sexual intercourse.
- Easy to insert and remove without healthcare provider assistance.
- Reversible method of birth control; fertility typically returns quickly after discontinuation.
- May reduce the risk of ovarian and endometrial cancers.
- Can be used to skip periods if desired (under medical guidance).
- Not affected by vomiting or diarrhea, unlike oral contraceptives.
- May reduce symptoms of premenstrual syndrome (PMS) in some users.
Side Effects of Nuvaring Vaginal Ring
Common Nuvaring Vaginal Ring side effects may include:
- Scalp hair loss
- Breast pain or swelling
- Dizziness
- Vaginal infections/irritation
- Darkening of facial hair
- Vaginal itching/discharge
- Excessive hair growth
- Weight fluctuations
- Headache
- Tiredness
- Nausea
- Nervousness
- Changes in Menstrual cycle
- Stomach cramps
- Reduced sex drive
- Bloating
- Changes in appetite
- Vomiting
[Note: This list is not exhaustive, if you notice any other symptoms that are not mentioned above, consult your doctor immediately.]
Nuvaring Dosage
Forms & Strengths
It comes in the form of a vaginal ring with a strength:
- 0.12mg/0.015mg (released per day)
Recommended Dosages
After Childbirth
- Non-Breastfeeding: Wait at least four weeks postpartum before starting NuvaRing due to the increased risk of blood clots.
- Breastfeeding: Do not use NuvaRing until you have stopped breastfeeding.
- Additional Contraception: Use a backup contraceptive method (for example, male condoms with spermicide) during the first week after starting NuvaRing postpartum.
If No Hormonal Contraceptive Was Used in the Previous Cycle
- Day 1 Start: Insert NuvaRing on the first day of your menstrual period for immediate protection.
- Day 2-5 Start: You can also start between Days 2-5 of your cycle, but use a barrier method (e.g., condoms with spermicide) for the first week.
For Pregnancy Prevention
- Usage Cycle: Insert NuvaRing for three weeks, then remove it for a one-week break, during which you will typically have a withdrawal bleed.
- New Ring: Insert a new ring exactly seven days after removing the old one.
Switching From a Combined Hormonal Contraceptive (CHC)
- Timing: Switch to NuvaRing on any day, but no later than the day after your usual hormone-free interval ends.
- Consistency: Ensure you have been using your previous method correctly or confirm you are not pregnant.
After Abortion or Miscarriage
- First Trimester: Start using NuvaRing within five days of a complete first-trimester abortion or miscarriage without needing additional contraception.
- Second Trimester: Wait at least four weeks after a second-trimester abortion or miscarriage due to the increased risk of blood clots.
Switching From a Progestin-Only Method
- Pills (POP): Start NuvaRing the day after your last progestin-only pill.
- Implant/IUS: Start NuvaRing on the day your implant or intrauterine system (IUS) is removed.
- Injectable: Start NuvaRing on the day your next injection is due.
- Additional Contraception: In all cases, use a barrier method (e.g., condoms with spermicide) for the first seven days after switching.
How to Use a Nuvaring Vaginal Ring?
To use NuvaRing correctly, follow the instructions provided by your healthcare provider. Always read the patient information leaflet with the medication for detailed steps.
Inserting NuvaRing:
- Start by washing and drying your hands thoroughly.
- Open the resealable NuvaRing package and remove the ring. Keep the packaging to dispose of the ring later.
- Fold the ring so the sides touch each other.
- Gently insert the ring into your vagina as far as you can, using your index finger to push it in. There is no fixed position, so place it where it feels comfortable.
- Once inserted, some people may feel the ring, while others may not. Either way, it will stay securely in place and won’t dissolve in your body.
Removing NuvaRing:
- Wash your hands thoroughly with soap and water, then dry them.
- Insert your index finger into your vagina and gently pull the ring out.
- Place the used ring in the resealable pouch with the product and discard it properly.
Missed Dose
NuvaRing doesn’t require daily insertion—it’s used for three weeks. However, consult your healthcare provider if you frequently forget to remove or reinsert the ring or if it’s accidentally expelled. They can suggest alternative birth control methods or a different form of contraception that may be easier for you to manage.
[Note: Do not take two doses of Nuvaring Vaginal Ring at the same time to compensate for a missed dose. This can increase your risk of experiencing side effects.]
Overdose
Overdosing on NuvaRing or other combined hormonal contraceptives (CHCs) generally doesn’t cause serious side effects. In rare cases, it may lead to nausea or withdrawal bleeding.
[Note: If you notice you have taken too much medication, call your local emergency number immediately.]
How Does Nuvaring Vaginal Ring Work?
NuvaRing is a vaginal ring that releases artificial forms of estrogen and progesterone, the same hormones found in birth control pills. These hormones prevent pregnancy in three ways: First, they suppress ovulation, which means the ovaries do not release an egg, so there is nothing for sperm to fertilize. Second, they thicken the cervical mucus, making it difficult for sperm to swim through the vaginal canal to reach an egg. Finally, they alter the lining of the uterus (endometrium), making it harder for a fertilized egg to implant and develop.
Important Safety Precautions
- Smoking while using NuvaRing increases the risk of serious cardiovascular events, especially in women over 35. It’s not recommended for smokers in this age group.
- Inform your doctor if you’re allergic to estrogens, progestins, or any other substances.
- Discuss your medical history, particularly if you have high blood pressure, blood clots, high cholesterol, heart disease, liver issues, or diabetes.
- Monitor blood sugar levels if you have diabetes.
- Inform your doctor before surgery or prolonged immobility, which may increase clotting risk.
- Minimize sun exposure to avoid skin darkening.
- Do not use it if pregnant; consult your doctor post-pregnancy.
- Discuss potential effects on milk production and the nursing baby with your doctor.
- NuvaRing does not protect against sexually transmitted infections (STIs).
Storage
- Before giving the product to the user, store it at a temperature between 2°C and 8°C. After dispensing, it can be stored at 25°C for up to four months, with short-term exposure allowed between 15°C and 30°C.
- Do not flush the product down the toilet.
- Keep it out of reach and sight of children and pets.
Nuvaring Vaginal Ring Interactions
Certain drugs may interact with NuvaRing, potentially causing harmful or life-threatening effects.
- Omaveloxolone
- Upadacitinib
- Baricitinib
- Carbenicillin
- Pacritinib
- Boceprevir
- Carfilzomib
- Eslicarbazepine
[Note: This list of interactions isn’t complete. Talk to your doctor if you notice any interaction with food, over-the-counter drugs, prescriptions, or supplements.]
Nuvaring Vaginal Ring Alternatives
- Depo Provera
- Annovera (ethinyl estradiol/progesterone acetate)
- Lo Loestrin Fe (ethinyl estradiol/norethindrone)
- Mirena (levonorgestrel)
- Norethindrone
- Yaz
- Depo-SubQ Provera 104 (medroxyprogesterone acetate)
- Kyleena
- Sprintec
- Eluryng
- Nexplanon
- Skyla
- Paragard (intrauterine copper)
[Note: Your healthcare provider will choose which Nuvaring Vaginal Ring alternative is best for you. Taking or consuming them by yourself may cause serious side effects.]
Frequently Asked Questions
Can I use condoms with NuvaRing?
Yes, you can use condoms with NuvaRing. Using condoms alongside NuvaRing provides extra protection against sexually transmitted infections (STIs) and can act as a backup if the ring isn’t used correctly.
Can I use NuvaRing during my period?
Yes, you can use NuvaRing during your period. It’s recommended to insert the ring on the first day of your menstrual cycle to maintain consistent hormone levels and effective pregnancy prevention.
What are the contraindications for using NuvaRing?
NuvaRing should not be used by women who have:
- Known allergies to any of its components
- A history of breast cancer
- Are pregnant
- A high risk of blood clots
- Liver tumors or liver disease
- Are taking certain Hepatitis C medications
- Unexplained vaginal bleeding
Is a particular device needed to insert NuvaRing?
No special device is required. NuvaRing is designed to be easily inserted and removed by hand. If unsure about the process, you can ask your healthcare provider for a demonstration.
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