What happens if nuvaring breaks
The vaginal ring is a hormonal birth control contraceptive device for women. It's a flexible, latex-free plastic ring that's inserted into the vagina. It contains the hormones estrogen and progesterone, which are released over a three-week period. You wear the vaginal ring for three weeks, and then remove it — allowing menstruation to occur — and then insert a new ring after a week. Similar to combination birth control pills, the vaginal ring prevents pregnancy by releasing hormones into your body.
The hormones suppress ovulation — keeping your ovaries from releasing an egg. There are two vaginal ring hormonal contraceptives approved by the Food and Drug Administration and available in the United States: NuvaRing and Annovera. To use these products, you'll need a prescription from your health care provider. Vaginal rings aren't appropriate for everyone. Your health care provider may discourage use of vaginal rings if you:.
About 1 out of women will get pregnant in a typical year of using a vaginal ring. The vaginal ring doesn't offer protection from sexually transmitted infections. Your health care provider will review your medical history and check your blood pressure.
Talk to your health care provider about any medications you're taking, including nonprescription and herbal products. Your health care provider will determine the appropriate timing for you to start using a vaginal ring based on your menstrual cycle and your previous birth control method.
You may need to take a pregnancy test and use a nonhormonal backup method of contraception for one week when you start using a vaginal ring. A backup method of contraception may not be necessary if you previously used combination birth control pills or the skin patch Xulane , and you insert a vaginal ring on any day up to the day you would have started your new pack of pills or applied a new skin patch.
A vaginal ring is inserted deep into the vagina. The exact placement of the vaginal ring in the vagina doesn't change its effectiveness. In some studies of women who used NuvaRing, the risk of getting a blood clot was similar to the risk in women who used combination birth control pills.
Other studies have reported that the risk of blood clots was higher for women who use combination birth control pills containing desogestrel a progestin similar to the progestin in NuvaRing than for women who use combination birth control pills that do not contain desogestrel. It is possible to die or be permanently disabled from a problem caused by a blood clot, such as heart attack or stroke.
Some examples of serious blood clots are blood clots in the:. To put the risk of developing a blood clot into perspective: If 10, women who are not pregnant and do not use hormonal birth control are followed for one year, between 1 and 5 of these women will develop a blood clot. The figure below shows the likelihood of developing a serious blood clot for women who are not pregnant and do not use hormonal birth control, for women who use hormonal birth control, for pregnant women, and for women in the first 12 weeks after delivering a baby.
Based on a model assumption that pregnancy duration is 9 months, the rate is 7 to 27 per 10, woman-years. Some women have spotting or light bleeding during NuvaRing use. If these symptoms occur, do not stop using NuvaRing.
The problem will usually go away. Other side effects seen with NuvaRing include breast discharge; vaginal injury including pain, discomfort, and bleeding associated with broken rings; and penis discomfort of the partner such as irritation, rash, itching. There have been reports of the ring becoming stuck to the vaginal tissue and having to be removed by a healthcare provider.
Call your healthcare provider if you are unable to remove your NuvaRing. Tell your health care provider about any side effect that bothers you or that does not go away. These are not all the possible side effects of NuvaRing. For more information, ask your health care provider or pharmacist. Call your health care provider for medical advice about side effects. Your chance of getting pregnant depends on how well you follow the directions for using NuvaRing.
The better you follow the directions, the less chance you have of getting pregnant. NuvaRing is non-biodegradable so it will not dissolve. It releases a low dose of hormones into your body over the course of 3 weeks. After that time, you need to remove it, take a week off from NuvaRing, and insert a new one 7 days after removal.
It is important to consult with your health care provider to make sure you are not pregnant before starting NuvaRing. When you start using NuvaRing depends on your current birth control situation. Talk to your health care provider and read the Prescribing Information for more details. Also read some basic directions on how to start NuvaRing. NuvaRing may move around slightly within your vagina. This is normal. If you do feel discomfort, NuvaRing is probably not fully inserted.
In that case, just use your finger to gently push the NuvaRing as far as you can into your vagina. Rest assured, there is no danger of NuvaRing being pushed too far up in the vagina or getting lost. The cervix the narrow, lower end of the uterus will block NuvaRing from going any farther. NuvaRing can accidentally slip out of the vagina while removing a tampon, during intercourse, or straining during a bowel movement.
Some women have accidentally inserted NuvaRing into their bladder. If you have pain during or after insertion and you cannot find NuvaRing in your vagina, call your health care provider right away. During intercourse, some sexual partners may feel NuvaRing in the vagina. Hormonal birth control methods do not seem to cause breast cancer.
However, if you have breast cancer now or have had it in the past, do not use hormonal birth control, including NuvaRing, because some breast cancers are sensitive to hormones. Women who use hormonal birth control methods may have a slightly higher chance of getting cervical cancer.
However, this may be due to other reasons such as having more sexual partners. NuvaRing can slip or accidentally come out of be expelled from your vagina during sexual intercourse, bowel movements, use of tampons, or if it breaks.
During Weeks 1 and 2, you may not be protected from pregnancy. Reinsert the ring as soon as you remember. Use another birth control method, such as male condoms with spermicide, until the ring has been in place for 7 days in a row. During Week 3, do not reinsert the NuvaRing that has been out of your vagina; but throw it away in your household trash away from children and pets.
Use another birth control method, such as male condoms with spermicide, until the new NuvaRing has been used for 7 days in a row, following one of the two options below:.
Option 1. Insert a new ring right away to start your next 21 day NuvaRing use cycle. You may not have your regular period but you may have spotting or vaginal bleeding. Option 2. Insert a new ring no later than 7 days from the time the previous ring was removed or expelled. During this time, you may have your period. Note: You should only choose to do option 2 if you used NuvaRing for 7 days in a row, prior to the day that your previous NuvaRing was accidently removed or expelled.
Rest assured that once inserted in the vagina, there is no risk of NuvaRing being pushed too far up or getting lost. There have been some reports of women accidentally inserting NuvaRing into their bladder. If you are experiencing pain during or after insertion and you cannot find your NuvaRing in your vagina, call your health care provider right away.
You must use another birth control method, such as male condoms with spermicide, until the new NuvaRing has been used for 7 days in a row. NuvaRing may break, causing the ring to lose its shape.
If the ring stays in your vagina, this should not lower the effectiveness of NuvaRing at preventing pregnancy. If NuvaRing breaks and slips out of your vagina, throw the broken ring in your household trash out of the reach of children and pets and immediately insert a new ring.
Use of tampons will not reduce the contraceptive efficacy of NuvaRing. It can also have good side effects. Many women find their periods get lighter and less painful, and this can be helpful with anemia low iron. Some women also find that their acne improves. Women who us the ring may have a significantly smaller risk of developing ovarian and endometrial uterine cancers.
They may also have a much lower risk of having a serious pelvic infection that can affect future fertility. The NuvaRing tends to have less negative side effects than birth control pills or patches.
The most significant negative effect is a slightly increased risk of blood clots deep venous thrombosis, DVT. There is a lower risk of blood clots when on the ring than there is during pregnancy. It is highest in the first months of use. Other side effects are headaches, vaginal wetness, decreased sex drive, nausea, and breast tenderness.
Often these go away after the first three months. If you want to stop using the NuvaRing, talk to someone first to lessen the chance of pregnancy.
If you have any of the following symptoms see a doctor immediately as they may be signs of a serious problem:. Back to Birth Control Methods. Summary: What is it? How does the NuvaRing work?
How do you use the NuvaRing? When do you start the NuvaRing? When do you change the NuvaRing? You can use the ring in the following ways: Conventional Use: Some doctors and the instructions that come with the Nuvaring may recommend that you leave the NuvaRing in for 21 days and then take a seven day break, which will cause your period to come. Shorter Breaks: Research has shown that it is safe and more effective to only leave the ring out for three or four days per month.
Many women therefore leave their NuvaRing in for 25 days and then take a three day break before putting their new one in, or 24 days with it in and four days out. If you do this, your period should start in the time the NuvaRing is out.
Never take a break that is longer than seven days. Continuous Use: You can also simply leave the NuvaRing inside for days and then change it without a break. Change your NuvaRing on the 28th day every 4 weeks or on the same day each calendar month, putting the new one in immediately after you remove the old one. This will also make the NuvaRing more effective in protecting against pregnancy.
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