Nuvaring when your period comes. How does the menstrual cycle change after NuvaRing installation? Non-standard situations related to NuvaRing and recommendations for them

The human body is a complex and multifaceted mechanism in its structure and functionality. The female body, the main mission of which, according to nature’s plan, is fruiting and childbirth, is distinguished by the most delicate and complex internal structure. The use of any synthetic means to protect against unwanted pregnancy changes the natural processes in the reproductive system and primarily affects the menstrual cycle. How are your periods after NuvaRing installation, and what should you pay attention to when using a vaginal ring?

Cyclic changes in the reproductive system: what you need to know

The most important task - reproducing their own kind - lies with the woman. A girl’s preparation for the role of mother begins in adolescence through certain physiological processes combined into a full cycle.

The menstrual cycle is a complex physiological program that the body goes through every month to prepare for conceiving and bearing a child. Menstrual flow begins in girls between the ages of 10 and 16 years, and its physiological cyclicity is established throughout the year.

According to medical standards, a normal menstrual cycle lasts 28 days (deviations from this figure within plus or minus a week are allowed). Its beginning should be considered the first day of menstruation (mensis), and the end should be the last day before new bleeding.

During this entire time period, serious cyclical changes occur in the woman’s body, divided into several main phases:

1. The first stage, the duration of which normally does not exceed 7 days, is considered to be the period in which the unfertilized egg is rejected along with the endometrium, followed by their expulsion from the body in the form of bleeding. Under normal conditions, the volume of fluid lost does not exceed 100 ml.
2. The second stage, lasting about 14 days, is called follicular and is defined as the time of maturation of follicles under the influence of follicle-stimulating hormone. At this time, the ovaries also produce estrogen, under the influence of which the endometrium is renewed, and the uterus prepares for the possible reception of a fertilized egg.
3. At the third stage, ovulation occurs - the release of a mature egg from the follicle and its further path along the fallopian tube to the uterus, where the formation of the epithelial layer just ends.
4. The final stage is called the phase of the corpus luteum, which is formed in the ovary at the site of the released egg. The viability of the corpus luteum does not exceed 16 days, during which it manages to reproduce in sufficient quantities the hormone progesterone, which, in combination with estrogen, can support pregnancy in the event of fertilization. For this phase, the basal temperature remains at 37 degrees. In the absence of conception, the corpus luteum regresses. Progesterone levels drop, signaling the destruction and rejection of the uterine epithelium (menstruation). This is where the cyclical changes end to give way to new ones.

It must be said that not every girl’s body is able to correctly carry out “restructuring”, therefore during such periods it is especially necessary to listen to your internal state and seek the advice of a doctor in the following cases:

• Constant serious malaise, pain and discomfort during and before menstruation.
• If the monthly discharge is too scanty or excessively abundant.
• If menstruation remains irregular a year after menarche (the first menstruation in a girl’s life).
• Lack of menstruation in a girl who has reached 15-16 years of age (amenorrhea).

NuvaRing and the menstrual cycle

Entering puberty means a turning point in a girl’s life towards motherhood. However, for pregnancy to be timely, proceed without problems and bring only joy, it must be desired and prepared accordingly. Therefore, the possibility of planning childbirth has long been one of the key topics for discussion among female audiences.

Over time, thanks to the efforts of scientific developers, this desire of the fairer sex came true through the creation of a whole arsenal of various contraceptives. Among all this diversity, one can highlight one of the young, but quite progressive scientific inventions - the drug NuvaRing.

NuvaRing is a plastic band made of anti-allergenic colorless polymer material, supplied with hormones (estrogen and progesterone) and intended for intravaginal use. The contraceptive is placed into the vagina at the beginning of each cycle and releases a specific dose of hormones each day. The drug also thickens the cervical secretion, which successfully prevents the occurrence of accidental pregnancy.

Wearing the vaginal ring is designed for a three-week period, after which it is removed and the time of menstruation begins. Correct administration and use of NuvaRing in accordance with the attached instructions will provide high protection against unwanted pregnancy (0.65 according to the Pearl index).

It is worth noting that this intimate device can be not only an effective contraceptive. The drug has a positive effect on the menstrual cycle, which is successfully used by obstetricians and gynecologists in the following areas:

• Normalization of the menstrual cycle and the fight against menorrhagia (heavy and prolonged menstruation).
• Reducing blood loss during heavy bleeding and preventing anemia.
• Improving well-being during critical days.
• Elimination of premenstrual syndrome.

Non-standard situations related to NuvaRing and recommendations for them

Considering all the positive characteristics of the vaginal ring, we must not forget that each woman’s body is individual and may not immediately take a contraceptive for granted. Therefore, the intention to use NuvaRing, its placement and subsequent monitoring should only be carried out under the supervision of a qualified physician.

What difficulties and problems might a woman face if she decides to give preference to this type of contraception? To answer this question, it is necessary to turn to medical practice, which has summarized what has been collected over more than ten years of using the NuvaRing ring.

Typical complaints that women have when using a vaginal ring:

• Scanty menstruation (compared to normal heavy flow). This condition should not frighten a woman, since while using NuvaRing, menstruation should become less abundant and longer. On average, menstruation on NuvaRing lasts 3-5 days and requires changing absorbent pads no more often than every 3 hours. This is a completely normal and, moreover, expected phenomenon when using a vaginal ring.
• The appearance of spotting and spotting in the middle of the cycle indicates the female body’s adaptation to the hormonal drug and does not require treatment. Discharge occurs approximately from 7 to 14 days and does not require the use of absorbent pads (thin daily products for intimate hygiene are sufficient). The situation normalizes after 3 months of using the ring. For some women, the adaptation period lasts up to 6 months.
• The appearance of scanty bleeding at the end of the cycle before the expected menstruation is also a common side effect of the drug and does not require special therapy. The cycle normalizes after 3-6 months.

Important! If the bleeding gets worse, there is no need to wait. In such a situation, it is necessary to consult a doctor as soon as possible.

• Lack of menstruation (amenorrhea) with the use of the NuvaRing vaginal ring is rare. If your period does not come within a 7-day break, you should take a pregnancy test. Even the most effective contraceptive drug does not provide 100% protection. In a doubtful situation, it is worth taking a test for human chorionic gonadotropin (hCG) and conducting ultrasound diagnostics. If pregnancy is not confirmed, amenorrhea is considered normal and does not require treatment. If the situation repeats repeatedly, you should consult a doctor - such a symptom may indicate a gynecological pathology.

It is worth considering that the absence of menstruation can be caused by stress, a strict diet and failure to follow the instructions when installing and using a vaginal ring.

• Amenorrhea after discontinuation of the vaginal ring should also not frighten a woman. The body needs time to adjust to a new rhythm and normalize the production of its own sex hormones. If your period is late, you should take a pregnancy test or donate blood for hCG. If pregnancy is not confirmed, you just need to wait until the cycle is restored. On average, this takes about 2-3 months. If menstruation does not come within the specified period, you need to consult a doctor.

Finally, as advice, it should be recalled that, regardless of health status and age, every woman is advised to visit an obstetrician-gynecologist at least once a year. If a woman is using any hormonal contraception, she should see her doctor every six months.

Or frequently asked questions about the NuvaRing hormonal ring, which the doctor hears at every appointment.

What is NuvaRing?

is an elastic ring that is inserted deep into the vagina. The system is installed in the first days of the menstrual cycle and remains in the genital tract for 21 days. The contraceptive ring contains the female sex hormones estrogen and progesterone. These substances are gradually released and enter the bloodstream, blocking ovulation and making pregnancy impossible. Hormones also make the cervical mucus viscous so that nimble sperm do not penetrate inside and fulfill their intended purpose.

Today, the NuvaRing vaginal ring is considered one of the most effective contraceptives with a minimal amount of hormones. This fact makes the system popular with both young and older women. What should you know about NuvaRing and how to use this contraceptive correctly?

Who is NuvaRing suitable for?

The contraceptive ring is a good choice for different categories of women:

• Young and nulliparous women with one sexual partner.
• After childbirth and completion of breastfeeding.
• In the premenopausal period (in the absence of chronic pathology that can become a contraindication).

Why is NuvaRing better than birth control pills?

The vaginal ring has three clear advantages over COCs with a similar composition:

• The dosage of estrogen is lower than in any hormonal pills.
• The drug does not pass through the gastrointestinal tract and does not affect digestion.
• You don’t need to remember to take the pills every day - just insert the ring once and forget about it for 21 days.

Can NuvaRing be given to nursing mothers?

The instructions for using the contraceptive ring do not recommend using NuvaRing during lactation. You should wait until breastfeeding is completed and only then insert the ring. Nursing mothers can use mini-pills (purely progestin preparations) as contraception. Don't forget about condoms.

Can a woman put on a contraceptive ring herself or should she go to a doctor?

NuvaRing is simple, convenient and affordable. Any woman can insert a ring on her own without any problems. To do this, you need to take a comfortable position - squatting, standing or lying - and insert the ring as deeply as possible. If any difficulties arise, you can make an appointment with a doctor. The doctor will insert the ring and then tell the patient in detail how to do it at home.

Can a man feel the ring during sex?

No, NuvaRing is not felt at all during sexual intercourse.

Can a woman feel the vaginal ring?

No, if the NuvaRing is installed correctly, it is not felt in the vagina.

Why doesn't the ring fall out?

NuvaRing, inserted deeply, is securely fixed into the vagina by the muscles. In addition, the ring lies horizontally in the genital tract, like on a shelf, and the likelihood of it falling out is extremely low.

Can the ring fall out?

It's rare, but it happens. In this case, you need to wash the ring with warm or cool water and carefully insert it back into the vagina. The contraceptive effect does not suffer if less than 3 hours have passed since the ring fell out.

The ring fell out, but I didn’t have time to quickly put it back in place. What to do?

If more than 3 hours have passed since the ring fell out or was removed, you need to proceed according to the following scheme:

1. If such a problem occurs in the 1st or 2nd week of using the NuvaRing ring, you need to return it to its place as quickly as possible. The contraceptive effect of the drug is reduced, and for some time the woman will not be protected from unwanted pregnancy. It is recommended to additionally use a condom for the next 7 days.
2. If the ring falls out during the 3rd week of use, it should be thrown away and a new one should be inserted immediately. In this case, there will be no menstrual-like bleeding, but scanty spotting may be observed. This is normal, there is no need to panic. The ring is removed after the prescribed 21 days, then a break is taken for 7 days and a new drug is introduced.
3. If a woman does not want to get a new ring immediately, she can wait for the withdrawal bleeding and insert NuvaRing after 7 days. This option is only possible if the ring never falls out during the first two weeks. If the problem has occurred before, see point 2.

Is it possible to remove a vaginal ring during sex?

Yes, but this makes no sense, because NuvaRing does not feel like a woman or a man. If the ring is nevertheless removed, it must be returned within 2-3 hours and no later.

Can a NuvaRing sink in too deep?

No, the contraceptive ring is securely attached to the vagina. It will not fall into the uterus, since the entrance to the reproductive organ is blocked by a closed pharynx. The ring has nowhere to go from the woman's genital tract, and even during sex it will not penetrate too deeply.

Is it possible to leave the NuvaRing ring in the vagina for 4 weeks?

This is acceptable because the contraceptive effect of the system lasts up to 28 days. After 4 weeks, the ring must be removed: hormone levels drop, and the woman loses protection against unwanted pregnancy.

Is it possible to freeze a NuvaRing?

You can store the birth control ring in the refrigerator for up to 12 hours. It is not recommended to freeze the system in the freezer. If you need to take a contraceptive with you (for example, when traveling to another city), use a special cooler bag.

Is it possible to cancel periods?

Yes, you can insert a new ring without a week's break. Menstruation will not come, but spotting may occur in the middle of the cycle. The new ring can be left in the vagina for 21 days (as usual).

How to postpone the date of menstruation when using the NuvaRing ring?

It’s very simple: you just need to insert a new ring not after 7 days, but, for example, 5 or 6 after removing the previous one. It is important to know: the shorter the break, the higher the likelihood of spotting in the middle of the cycle.

Can girls under 18 years old use the birth control ring?

The safety of NuvaRing has not been studied in adolescents. An in-person consultation with a doctor is required.

Should I use a ring if I have uterine prolapse?

With this pathology, the NuvaRing may fall out. It is recommended to use other means of contraception.

Why can't you take antibiotics if you have a ring?

This is not entirely true. If the doctor has prescribed antibacterial drugs, they must be taken. The problem is that when using some antibiotics (in particular ampicillin and tetracycline), there is a decrease in the contraceptive effect. While a woman is taking antibiotics, she should additionally use condoms - for the entire period of treatment and for 7 days after completing the course of therapy.

Can a NuvaRing break?

Yes, this is possible. The risk of ring rupture increases with the simultaneous use of vaginal suppositories against a fungal infection (thrush). During treatment, you must additionally use condoms and monitor the condition of the NuvaRing.

Can I use a birth control ring with tampons?

Yes, the use of tampons does not affect the functionality of NuvaRing. In rare cases, the ring may fall out after removing the tampon.

Does NuvaRing cause cervical cancer?

It is believed that the main cause of malignant lesions of the cervix is ​​the human papillomavirus (HPV), but not the use of hormonal contraceptives. Statistics show that women who have used NuvaRing are more likely to develop cervical cancer, but gynecologists attribute this to regular examinations by a doctor and annual tests (smear for oncocytology). It is worth noting that in this situation, the disease is usually detected in the early stages, when it is much easier to cure.

How quickly can you get pregnant after removing the NuvaRing?

Fertility restoration occurs within 1-3 months after discontinuation of the drug. This means that a woman can become pregnant in the first cycle after removing the ring. In some cases, conception of a child occurs after 3-12 months.

How does the menstrual cycle change after the installation of a vaginal ring?

After the introduction of NuvaRing, the gradual release of hormones begins. The menstrual cycle becomes monotonous. The level of your own hormones remains stable. Menstruation, as a rule, becomes less abundant and its duration decreases. Menstrual-like bleeding due to NuvaRing occurs every 28 days strictly according to schedule.

How much does NuvaRing cost?

The average price for a contraceptive ring is about 1,000 rubles.

It has been replenished with a new one – the Nuvaring vaginal ring. This is a comfortable and most harmless method of contraception for the body. But the main difficulty that Nuvaring can create is the absence of periods. With the cycle, when using it, after stopping, other difficulties are possible.

Read in this article

Operating principle of Nuvaring

To protect against pregnancy, Nuvaring is inserted into the vagina on one of the days of menstruation, preferably on the first. The round plate takes on the contours of the organ and is not felt. When exposed to heat, the product begins to release estrogens and progestogens. Their influence extends to the endometrium and ovaries. Hence the contraceptive effect.

Nuvaring is designed to be worn for 22 days, after which the product is removed and a week-long break is taken. This period of time will coincide with critical days. But in practice, women have to deal with the fact that menstruation does not come for a long time when using Nuvaring or brings unpleasant surprises.

Nuvaring and menstruation: details

Sometimes, if you don’t have your period for a long time while using the Nuvaring ring, it doesn’t mean anything serious. But even more careful medical supervision is still necessary, since hormonal contraception is an intervention in the functioning of the body.

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• Previously asked:

  Hello! I'm only using the ring for the second cycle. Remove the ring after a week, but menstruation has already begun. What to do? Leave it and remove it after a week? The doctor prescribed it to me to treat hyperplasia.

  Good afternoon! Yes, this happens. There are several options. But what I prefer most in such situations is not to take it out now, but to do it in time, but immediately put in a new ring without interruption. All the best!

  Daria Shirochina (obstetrician-gynecologist)

  Good afternoon Yes, it is possible, but it all depends on the period for which you were offered to continuously wear the ring. I welcome no more than 3-6 months. Your fibroids are very small in size, even if you use the ring strictly according to the instructions intermittently, its growth will slow down. All the best!

  Good afternoon, I have been using Novoring for almost a year. By coincidence, I was unable to remove the ring at the appointed time. The ring was removed 2 days from the required date. It’s already day 6 and my period still hasn’t arrived. Previously, there were no delays; critical days arrived exactly 3 days later. Tell me, is this normal or should I see a doctor?

  Daria Shirochina (obstetrician-gynecologist)

  Good afternoon, Yulia! It's okay, two days is not a long time, but enough to delay your period a little. Don't worry, the discharge should appear, just a couple of days later. All the best!

  Hello! Tell me, I want to delay my period by 4-5 days, can I do this with the help of Jess if I have never taken it before, and how does this happen? To delay my period, I am advised to insert a ring at least 3-2 days before the scheduled onset of my period , supposedly then they won’t be there at all until you pull them out, is that true? And will this method help if I have never used Nuvaring?

  Anastasia

  Good afternoon The question is, I’ve been using Nuvaring for 6 days, the first time, my period still can’t end. Previously, it took 5-6 days, but on the 6th day, it’s just a smudge, just a little bit... and there’s still blood, just a little bit, I manage every day, but still blood... how long should I wait before I start to panic?

  Daria Shirochina (obstetrician-gynecologist)

  Good evening, Anastasia! During the first month there may even be periodic spotting, sometimes bloody discharge. This is the body being rebuilt, no big deal. But if this happens in the second month, then it is better to replace this drug, the ring, simply with tablets. All the best!

  Daria Shirochina (obstetrician-gynecologist)

  Hello, Yana! As for Nuvaring, it may not work out, or the cycle may actually go wrong and your period will be delayed. But it is better to start taking any contraceptives from the beginning of the cycle, and start the next pack without interruption. So you won’t have a period for two months, it’s okay, the main thing is not to get carried away with such things. All other methods are less reliable - prolonged use of duphaston, etc. All the best!

  Daria

  Good afternoon, I have been wearing Novoring for 3 years. Every day in the morning and evening I take it out for 30 seconds for hygiene procedures. On October 20, I inserted another ring, so it should be taken out on November 10. But for some reason I started bleeding on November 2nd while wearing the ring. Please tell me what is the reason and what should I do?

  Daria Shirochina (obstetrician-gynecologist)

  Hello, Daria! Sometimes there are similar violations when using Nuvaring. I don’t quite understand why you remove the ring even for a few seconds. The only thought that came to my mind was douching. I just want to warn you that if you do this regularly, you only disrupt the microflora in the vagina and “wash out” beneficial lactobacilli. I do not recommend this kind of procedure. About the allocations. There are several options.
  1. You don’t have to remove the ring, then install the next one without interruption.
  2. Remove now, take a week off, then the next. At this time, there may still be discharge, or there may not be, it all depends on the intensity of the discharge.
  All the best!

  Anastasia

  Before using Nova Ring, I visited a doctor to make sure that everything was in order and that I could be protected in this way, the doctor did not identify any contraindications, the tests were normal, the cycle was without disturbances. I placed it on the 1st day of my period. and then it started - heavy discharge, dizziness, on the 8th day it seemed to become less, but by the evening it all happened again! At first I thought it was an addiction, but heavy discharge (not spotting) for almost 2 weeks (12 days) plus the condition of the “hose” lack of intimate intimacy (what kind of intimacy is there when this happens) led me to the idea that this drug is still unknown how it affected my an organism that did not give such failures!!! and the manufacturer does not bear any responsibility! It feels like they are experimenting on people! such a manufacturer!

  Anastasia

  Before using Nova Ring, I visited a doctor to make sure that everything was in order and that I could prevent myself from being injured in this way. The doctor did not identify any contraindications: the tests were normal, the cycle was without disturbances. I put it on the 1st day of my period and didn’t notice it for a second. And then it started - heavy discharge, dizziness, on the 8th day it seemed to become less, but by the evening it all happened again! At first I thought it was an addiction, but heavy discharge (not spotting) for almost 2 weeks (12 days), plus the state of the “hose” and the lack of intimacy (what kind of intimacy is there when this happens) brought me to the conclusion that this drug has an unknown effect on my an organism that did not give such failures!!! and the manufacturer does not bear any responsibility! It feels like they are experimenting on people! minus for such a manufacturer!

Novaring is a modern contraceptive in the form of a ring for internal vaginal administration. Made in the Netherlands. The manufacturer presented the hormonal product as safe, reliable, and easy to use. The cost of products is from 1500 to 4000 rubles. The action of Nuvaring is aimed at inhibiting ovulation. The gestagen component etonogestrel interferes with the production of the hormones LH and FSH and prevents follicle maturation. There is a serious interference in the normal functioning of the reproductive system of the female body. When used correctly, pregnancy is 100% excluded. But how does this affect the monthly cycle? What should menstruation be like using Nuvaring?

Instructions for use of the new drug

Wearing the ring is designed for 22 days. During this period, the product protects against conception and unplanned pregnancy. After its removal, menstruation should begin. A break is taken for 1 week, a new ring is inserted. It is necessary to remember the day and exact time of Nuvaring administration, since it will have to be removed exactly 3 weeks later at the same time. And a week later, put on a new ring.

Menstruation should begin 2 days after extraction. Its duration when wearing the ring is about 5 days. At the moment when it is necessary to install a new contraceptive, menstruation may not stop, which is not a reason to cancel the ring.

• The start of using Nuvaring occurs on the 1-2 day of menstruation. It is possible to insert the ring until the 5th day of menstruation, but additional contraceptives should be used during the week to prevent pregnancy.
• When using contraceptives in the form of pills, a woman can switch to rings on any day of the cycle if she is sure that she is not pregnant. But it’s better to do this on the last day free from pills.
• When using contraceptives in the form of a mini-pill, you can insert the ring on any day of the cycle. If an intrauterine device was used, on the day of removal. When using an injection, Nuvaring is administered on the day of the scheduled injection. Instead of an injection. In all these cases, additional contraceptives must be used in the first 7 days of using the ring to prevent conception.
• After an abortion, Nuvaring is administered on the day of the operation. After childbirth and late abortion - 4 weeks later.

Manufacturers of the new contraceptive allow deviations in the monthly cycle if the ring is used incorrectly.

The effect of Nuvaring on menstruation

Using Nuvaring changes the course of events of the entire monthly cycle. With the normal functioning of the reproductive system, numerous transformations occur under the influence of hormones. They prepare the body for pregnancy, and in case of its absence, they cause menstruation. The Nuvaring hormonal ring suppresses the production of estrogen and other hormones that should ensure the development of the egg. The ovaries cannot work as usual - conception does not occur. The increased level of progesterone lasts until the end of the 22nd day of wearing the ring. Once it is extracted, the hormone levels decrease, causing menstruation. Theoretically, everything should be like this. In practice, a woman will experience surprises with her monthly cycle when using this type of contraceptive.

The first period with Nuvaring should begin 2 days after the ring is removed. In practice, a woman may face 2 scenarios. Your period will not come at all. Menstruation will come, but it will last for a very long time. Both the first and second cases are considered normal when using Nuvaring. A new ring is inserted a week later at the prescribed time. Bloody, brown discharge may be present throughout the month. They do not pose a danger to the body and are evidence of the adaptation of the reproductive system to new conditions. This picture can be observed for 3 months. You should consult a gynecologist if menstruation does not start in the second cycle, or bleeding appears in the middle. With Nuvaring, periods should be short.

1. Changes in the nature of menstruation

Menstrual flow changes due to the same reason of hormone imbalance. In general, the Nuvaring ring should save a woman from heavy bleeding that existed before its use. The hormonal ring prevents the development of the epithelial layer, which is shed during menstruation, accompanied by bleeding. Inhibits ovarian function. As a result, the menstrual flow becomes scanty. But in the first 3 months of using Nuvaring, the opposite phenomenon occurs. Menstruation becomes heavy. Experts attribute this to the reason for the body’s adaptation to contraceptives. If heavy periods do not stop after 3 months of use, consult a doctor. Perhaps the contraceptive is simply not suitable. With Nuvaring your periods are scanty.

One of the features of using Nuvaring is the ability to delay the onset of menstruation. Provided that the contraceptive is used throughout the entire cycle, a new ring is inserted without waiting for the onset of menstruation. In this case, with Nuvaring, periods will appear only in the next cycle. Hormone levels are kept high by the new contraceptive. Conducting such an experiment with menstruation is allowed no more than once a year. This is a lot of stress for the body and there will be undesirable consequences.

Restoring the monthly cycle after stopping Nuvaring

With prolonged use of Novoring for more than 1 year, problems arise with restoring the cycle. After discontinuation of Nuvaring, your period should begin no later than 14 days. If this happens, the woman can rejoice. The body is ready for normal functioning, the cycle will be restored this month. In most cases, this does not happen. A woman has to consult a gynecologist, undergo an examination, and take a hormone test. The culprit is a long-term imbalance of hormones, which differs from the natural process. For the reproductive system to start working as before, some time must pass. The reason for the absence of menstruation after stopping Nuvaring:

• Pregnancy. Even the most modern reliable tool can fail. Pregnancy occurs when Nuvaring is used incorrectly. In the first week it is necessary to use additional contraception. If this was not done, the reason for the absence of menstruation during Nuvaring may be pregnancy. A test needs to be done.
• Stress. Nuvaring affects not only the functioning of the reproductive system, but also internal organs and other systems. The central nervous system is primarily affected. It should control the entire process of the monthly cycle and promote the production of hormones. Nuvaring breaks all stereotypes. The body cannot quickly adapt to new conditions. He experiences a lot of stress both when starting to use Nuvaring and when stopping it.
• Hormonal disbalance. Each woman's reproductive system is individual. Nuvaring makes it work according to the standard. As a result, the balance of hormones changes greatly. It will take time for everything to return to normal. In some cases, the doctor prescribes hormonal medications to restore menstruation after Nuvaring.

Before you start using Nuvaring, you need to evaluate the pros and cons. “Modern” does not mean safe!

Women's reviews of Nuvaring

“With Nuvaring, my period always started 2 days before I got it out. This continued for 3 cycles in a row. Then the delay was 3 days after extraction. And after 6 months of use after Nuvaring, my periods disappeared. The doctor suggested this contraceptive to me after inflammation of the uterus. And after the withdrawal I had to undergo hormonal therapy to restore the cycle!”

“The discomfort from using Nuvaring lasted 2 months. During this time, I learned to walk with him inside, constantly correcting him. Menstruation was heavy twice. Smeared in the middle of the cycle. From 3 months everything went like clockwork. My period comes on time after taking Nuvaring, there are no side effects. All that remains is to enjoy life. I’m very pleased!”

“Novaring didn’t work for me. There was heavy bleeding, and not only during menstruation. The doctor said that the dose of hormones was not suitable for me. She prescribed hormonal pills. In general, I heard that those who have used oral contraceptives for a long time will not be able to use rings. Since the dose of hormones is relatively low, it causes bleeding. I had no luck with him!”

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Can you feel the ring during sex? Can it be used for uterine prolapse? What to do if the ring falls out? The gynecologist at the ARS Medical Center, Ilze Widnere, answers.

How does the ring perform its functions? How is it different from other methods of contraception? What are the pros and cons of the ring?

The size of the hormonal ring is 54 mm and 4 mm thick - it is non-absorbent, smooth and elastic. It contains 120 µg etonogestrel and 15 µg ethinyl estradiol. These hormones prevent ovulation, preventing pregnancy from occurring.

Nuvaring hormones begin to work when they come into contact with the uterine mucosa and enter the blood circulation. Every day, a small amount of hormones are released that help thicken the lining of the uterus, preventing ovulation and subsequent pregnancy.

The vaginal ring provides stable hormone levels for three weeks. After three weeks, the ring must be taken out on the same day and time, then one week without a ring follows. At this time, menstruation begins. It is strictly necessary to remember and follow the fact that after a free week, when your period comes, you need to insert a new ring again on the same day and time.

Unlike other methods of contraception, you use the ring once a month, it has the smallest possible dose of hormones and high contraceptive effectiveness, there are no surges in hormone levels during the day, it also has less effect on weight, and does not cause diarrhea and vomiting. The woman inserts the ring herself. The Nuvaring ring is small, discreet and reduces pain during menstruation.

What side effects are possible?

Side effects may occur in 1 to 2.5% of users.

The most common of them:

• Stomach ache,

• Nausea,

• Vaginal discharge and milk fungus proliferation,

• Unpleasant sensations in the vagina,

• Itching in the genital area,

• Migraines and headaches,

• Depression,

• Decreased sexual desire

• Sensitive breasts

• Painful periods

• Weight gain

• Ring falling out.

What happens to the ring during menstruation? Can I use tampons?

Using a vaginal ring, you can use sanitary tampons. Perhaps some inconvenience will appear the first time you use it, when the ring needs to be inserted on the first day of your period. If the ring slips out for some reason, the main thing is to notice and insert it back.

Then your period will always begin after the ring is removed, then you will have a free week. A new ring will need to be inserted in 7 days; by that time, your period will most likely have ended.

Does a ring get in the way during sex? Does your partner feel it? Can I pull it out during sex?

Most men don't feel this ring. It is acceptable that the hormonal ring is not in the vagina for 2-3 hours, for example, it falls out during sex. But then you need to remember that the ring needs to be rinsed with warm or cold water and put back in.

Can young girls use the ring between the ages of 16-25?

The ring is intended for women of any reproductive age. But each case must be considered individually, in consultation with a gynecologist.

What is the cost of the ring in comparison with other contraceptives - pills, patch?

The price of “Nuvaring” in pharmacies is 11 – 12 lats.

Can I use a ring if I have uterine prolapse?

Some women feel the ring fly out, especially if the vaginal walls are drooping. In this case, you should consult your doctor about another method of contraception.

What is the hormone level in the ring?

The ring contains 120 µg etonogestrel and 15 µg ethinyl estradiol. These hormones prevent ovulation, preventing pregnancy from occurring. This is a low-hormone contraceptive.

In the near future, answers to questions about other types of contraception will be published on the Mom’s Club portal

Mom's Club reserves the right to use the added content at its discretion

http://www.maminklub.lv

Here's another read, the gynecologist writes, maybe it will be useful

"Qlaira belongs to the class of NOCs - natural oral contraceptives - and contain two types of hormones. One of them - estradiol valerate (E2B) - after entering the body is converted into the hormone estrogen. And the second (progestin) has a beneficial effect on the endometrium and reduces the level male hormones, which improves the condition of the skin and hair. The effect on the endometrium leads to a decrease in menstrual flow. Several studies have shown the same numbers - as a result of taking Qlaira, the amount of blood loss is reduced by more than 70%. situations, and for women suffering from heavy and prolonged periods, this is simply a salvation. In such cases, Klaira will help maintain both quality of life and performance.

The tablets are taken daily, without breaks. The wafer contains 26 active tablets and 2 “pacifiers”, which is very convenient for controlling your cycle. A dynamic dosing regimen is used: depending on the day of the cycle, the level of one hormone in the tablets gradually decreases and the level of another increases.

The contraceptive effectiveness of Qlaira is very high - pregnancy occurs in only 3.4 women out of 1000 who took the pills. The studies were conducted among women aged 18 to 50 years. The Pearl Index of 0.34 is a very good indicator of reliability.

Thus, Qlaira is a unique drug that will solve not only the issue of contraception, but will also facilitate menstruation.

From the point of view of the medical principle of “do no harm,” I also like Klaira - today it is the safest oral drug, it is completely unique due to the presence of natural female hormones." from here svetlanabergal.livejournal.com/27115.html

wow, my breasts have grown, it’s really great))) I still think that in order to find something of her own, a woman needs to try many drugs, all people are different and everyone needs an individual approach, as they say, what you have seems to me to be a clear example, 1 drug came up and the second one was definitely not yours...

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The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Introduction

Doctors around the world are trying to create remedies contraception maximally convenient for women, safe, comfortable to use. Therefore, new, unfamiliar products appear in pharmacies from time to time. contraception; How to use them is not very clear. Currently in Russia, such contraceptives include the hormonal ring NuvaRing(although women all over the world have been using this remedy for more than a decade). We will try to give as complete an idea as possible about this method of contraception.

What is NuvaRing?

NuvaRing is a contraceptive in the form of an elastic, smooth, transparent ring that is inserted into a woman’s vagina and remains there for three weeks. Inside the female body, the ring changes its shape, occupying the optimal position in accordance with the individual characteristics of the physique. The flexible, soft ring does not cause any discomfort and does not remind you of yourself in any way.

With NuvaRing you don’t need to limit your physical activity: you can safely engage in any sport, including running, swimming, and horse riding. During sexual relations, the ring is not felt at all by the partners and does not create any inconvenience.

The dimensions of the ring are the same for everyone: thickness - 4 mm, diameter - 54 mm. This size is suitable for every woman, regardless of her height, weight and age, as it is able to mold to the individual contours of the body.

NuvaRing is produced in the Netherlands in one single form: in the form of a ring. There are no NuvaRing tablets. NuvaRing 1 and NuvaRing 3 differ in the number of rings in the package (one ring or three).

Composition and principle of action

Shell contraceptive ring consists of anti-allergic material. Under the shell, the NuvaRing ring contains a minimum dose of two female sex hormones (estrogen and progestogen). This dose is less than even that contained in any of the microdosed birth control pills.

When the NuvaRing ring is inserted into the vagina, its shell heats up to the temperature of the human body (34-42 o) and becomes permeable to the hormones contained inside the ring. Released from under the membrane, hormones act directly on the uterus and ovaries. Other organs remain outside the influence of hormones.

The dose of hormones contained in NuvaRing is enough to suppress the maturation of the egg and its release from the ovary. As a result, pregnancy becomes impossible.

Advantages of the method

• Reliability and high efficiency of contraceptive action.
• Ease of use: replacement only once a month.
• The body is minimally affected by hormones due to their low dosage.
• Hormones act only locally, without putting unnecessary stress on the liver, stomach and intestines.
• A woman’s weight does not increase when using NuvaRing.
• The regularity of the menstrual cycle is restored (if it was disrupted). Menstruation becomes less painful.
• The use of NuvaRing reduces the risk of ovarian and uterine cancer.
• Ensuring a full, natural, harmonious sex life.
• Rapid restoration of ovulation and fertility (within 4-5 weeks after removal of the hormonal ring).
• If desired, a woman can keep the use of NuvaRing secret: the partner will not feel the presence of the ring in the vagina.

Disadvantages of the method

There are only three disadvantages:

1. The method of contraception is psychologically unusual.
2. The presence of a fairly extensive list of contraindications.
3. NuvaRing, like other hormonal contraceptives, does not provide protection against sexually transmitted diseases, including AIDS (HIV infection).

Technique of use (how to insert NuvaRing)

The woman inserts the contraceptive ring into the vagina on her own, choosing a comfortable position for this: lying down, squatting, or standing, leaning her back against the wall and raising one leg. The ring is inserted during menstruation (on the 1st – 5th day). Hands must be washed clean. NuvaRing should be squeezed with your fingers, reducing its diameter, and inserted as deep as possible into the vagina. The smooth ring will slide inside the body without hindrance. If you feel uncomfortable after this, adjust the ring with your fingers. Once in the correct position, it will become imperceptible. It doesn’t matter where exactly the NuvaRing is fixed in the vagina: an indicator of correct insertion is the absence of discomfort.

After insertion of the contraceptive ring, it is not removed for three weeks. If NuvaRing is accidentally removed (for example, together with a tampon), it is washed with warm water and returned to its original place.

When the time comes to remove the hormonal ring, it is carefully pulled out by hooking it with the index finger or pinched between the middle and index fingers.

Application

The effect of one NuvaRing ring is designed for the duration of one menstrual cycle. The ring placed inside the vagina is removed on the 22nd day after insertion. In order not to lose your calculations, remember: remove the ring on the same day of the week on which it was inserted (introduced on Wednesday - remove it three weeks later on Wednesday; inserted on Friday - remove it three weeks later on Friday). It is better, of course, to mark the day of insertion and the day of removal on the calendar in advance.

After removing the ring, a 7-day break is required. On the 8th day, a new ring can be inserted.

If the patient has not previously used hormonal contraceptives, NuvaRing is administered, as mentioned above, between the 1st and 5th days of menstruation (no later than the 5th day).

If a woman switches to using NuvaRing after taking combined hormonal pills, the ring is inserted after a week-long break in contraception, on the day when she was supposed to start taking pills from the new package.

After taking the mini-pill, NuvaRing can be administered any day. After using intrauterine systems or implants - the next day after removing the IUD or implant. After injection contraception - on the day when the next injection is due.

In any case, during the first week of using NuvaRing it is recommended to additionally use a condom as a barrier method of contraception.

Use of NuvaRing after abortion or childbirth
If the abortion was performed in the first three months of pregnancy, NuvaRing can be administered immediately after the abortion. In this case, you do not need to use an additional condom.

If for some reason the hormonal ring was not inserted immediately after the abortion, you should wait until menstruation and insert NuvaRing from the 1st to the 5th day (plus using a condom for a week).

If the abortion took place in the second three weeks of pregnancy, then, just as after childbirth, you can start using NuvaRing only three weeks after the abortion. There is no need to use a condom.

If they want to introduce NuvaRing later than 21 days after childbirth or abortion, and during the intervening period there has been sexual intercourse, you need to wait until the first menstruation begins (to make sure there is no new pregnancy). Using a condom for a week is mandatory.

Break in use

If a woman, for any reason, violates the regimen of using NuvaRing and takes a break from using the contraceptive ring for more than 7 days, the contraceptive effect may be lost. The longer the break, the greater the risk of unwanted pregnancy. To prevent this from happening, you must follow these recommendations:
1. If there is an extended break in using NuvaRing, you need to insert a new ring into the vagina as soon as possible (plus using a condom for a week).
2. If the ring was removed accidentally, there are 2 possible scenarios:

• If NuvaRing was outside the vagina for less than three hours, the contraceptive effect of the hormones will not be interrupted. The ring should be returned to its place as soon as possible.
• If the hormonal ring is removed from the vagina for more than three hours, the contraceptive effect may be reduced. The ring, as in the previous case, must be immediately returned inside the vagina, and not removed from there for at least 7 days (plus the use of a condom for a week). Even if this episode occurred during the 3rd week of using NuvaRing, when the ring would soon have to be removed, you will have to extend the period of its use beyond 3 weeks (until 7 days have passed since the ring was returned to its place). Only then can the NuvaRing be removed and a new ring put in a week later.

Extended Use

If a woman forgot to take out NuvaRing in time, and the ring was inside the vagina for 3 to 4 weeks, the contraceptive effect remains. The ring is removed as usual, and a new one is inserted a week later.

If NuvaRing remains in the vagina for more than 4 weeks, its contraceptive effect is reduced, and after removing the ring, a new one can be inserted only after making sure there is no pregnancy, i.e. waiting for the start of menstruation.

Menstruation and bleeding during and after NuvaRing use
cancellations

A break in the use of NuvaRing in most women causes bleeding associated with the cessation of hormonal effects. Bleeding begins 2-3 days after extraction
contraceptive ring, and may stop after the introduction of a new ring (but maybe earlier).

In some women, a break in the use of Nuvaring is not accompanied by bleeding. This option can be considered normal if the hormonal ring was used strictly according to the recommendations, and the absence of bleeding was noted once.

While NuvaRing is in the vagina, irregular, slight spotting may occur. It is also possible that there may be sudden onset of severe bleeding. Minor discharge does not require visiting a doctor, but with heavy bleeding you should urgently see a gynecologist.

Cancellation of NuvaRing

Cancellation of NuvaRing does not require any special preparation. The contraceptive ring is simply removed when you decide to stop using contraception.

Pregnancy after stopping the contraceptive ring

After removing the NuvaRing ring, the effect of hormones on the female body stops. The ovulation process is restored, i.e. maturation of a normal egg. Within 4-5 weeks after discontinuation of NuvaRing, conception and a full, normal pregnancy may occur. There are no consequences after using the vaginal ring.

Side effects

When using the NuvaRing hormonal ring, side effects are quite rare. Typically, these phenomena occur at the beginning of using the product, and soon go away on their own, without requiring treatment.

Side effects include the following symptoms:

• Reactions of the central nervous system - dizziness, headache, mood swings, anxiety.
• Reactions of the digestive organs - nausea, sometimes abdominal pain, diarrhea, vomiting.
• Reactions of the endocrine system - changes in body weight (weight gain or loss may be noted), some increase and engorgement