DailyMed - ELURYNG- etonogestrel and ethinyl estradiol ring (2023)

EluRyng™ (el’ ue ring)

(etonogestrel and ethinyl estradiol vaginal ring)


What is the most important information I should know aboutEluRyng?

Do not use EluRyng if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from combination hormonal contraceptives (CHCs), including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke.

Hormonal birth control methods help to lower the chances of becoming pregnant. They do not protect against HIV infection (AIDS) and other sexually transmitted infections.

What is EluRyng?

EluRyng (el’ ue ring) is a flexible birth control vaginal ring used to prevent pregnancy.

EluRyng contains a combination of a progestin and estrogen, 2 kinds of female hormones. Birth control methods that contain both an estrogen and a progestin are called combination hormonal contraceptives (CHCs).

How well does EluRyng work?

Your chance of getting pregnant depends on how well you follow the directions for using EluRyng. The better you follow the directions, the less chance you have of getting pregnant.

Based on the results of a US clinical study, approximately 1 to 3 women out of 100 women may get pregnant during the first year they use EluRyng.

The following chart shows the chanceof getting pregnant for women who use different methods of birth control. Each box on the chart contains a list of birth control methods that are similar in effectiveness. The most effective methods are at the top of the chart. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant.

DailyMed - ELURYNG- etonogestrel and ethinyl estradiol ring (1)

Who should not use EluRyng?

Do not use EluRyng if you:

  • smoke and are over 35 years old
  • have or have had blood clots in your arms, legs, eyes, or lungs
  • have an inherited problem with your blood that makes it clot more than normal
  • have had a stroke
  • have had a heart attack
  • have certain heart valve problems or heart rhythm problems that can cause blood clots to form in the heart
  • have high blood pressure that medicine can't control
  • have diabetes with kidney, eye, nerve, or blood vessel damage
  • have certain kinds of severe migraine headaches with aura, numbness, weakness, or changes in vision, or have any migraine headaches if you are over age 35
  • have liver disease, including liver tumors
  • take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. This may increase levels of the liver enzyme “alanine aminotransferase” (ALT) in the blood
  • have unexplained vaginal bleeding
  • are pregnant or think you may be pregnant. EluRyng is not for pregnant women.
  • have or have had breast cancer or any cancer that is sensitive to female hormones
  • are allergic to etonogestrel, ethinyl estradiol or any of the ingredients in EluRyng. See the list of ingredients in EluRyng at the end of this leaflet.

Hormonal birth control methods may not be a good choice for you if you have ever had jaundice (yellowing of the skin or eyes) caused by pregnancy or related to previous use of hormonal birth control.

Tell your healthcare provider if you have ever had any of the conditions listed above. Your healthcare provider can suggest another method of birth control.

What should I tell my healthcare provider before using EluRyng?

Before you use EluRyng tell your healthcare provider if you:

  • have any medical conditions
  • smoke
  • are pregnant or think you are pregnant
  • recently had a baby
  • recently had a miscarriage or abortion
  • have a family history of breast cancer
  • have or have had breast nodules, fibrocystic disease, an abnormal breast x-ray, or abnormal mammogram
  • use tampons and have a history of toxic shock syndrome
  • have been diagnosed with depression
  • have had liver problems including jaundice during pregnancy
  • have or have had elevated cholesterol or triglycerides
  • have or have had gallbladder, liver, heart, or kidney disease
  • have diabetes
  • have a history of jaundice (yellowing of the skin or eyes) caused by pregnancy (also called cholestasis of pregnancy)
  • have a history of scanty or irregular menstrual periods
  • have any condition that makes the vagina become irritated easily
  • have or have had high blood pressure
  • have or have had migraines or other headaches or seizures
  • are scheduled for surgery. EluRyng may increase your risk of blood clots after surgery. You should stop using EluRyng at least 4 weeks before you have surgery and not restart it until at least 2 weeks after your surgery.
  • are scheduled for any laboratory tests. Certain blood tests may be affected by hormonal birth control methods.
  • are breastfeeding or plan to breastfeed. Hormonal birth control methods that contain estrogen, like EluRyng, may decrease the amount of milk you make. A small amount of hormones from EluRyng may pass into your breast milk. Consider another non-hormonal method of birth control until you are ready to stop breastfeeding.
  • have (or have ever had) an allergic reaction while using EluRyng, including hives, swelling of the face, lips, tongue, and/or throat causing difficulty in breathing or swallowing (anaphylaxis and/or angioedema).

Tell your healthcare provider about all medicines and herbal products you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.

Some medicines and herbal products may make hormonal birth control less effective, including, but not limited to:

  • certain anti-seizure medicines (such as barbiturates, carbamazepine, felbamate, oxcarbazepine, phenytoin, rufinamide and topiramate)
  • medicine to treat fungal infections (griseofulvin)
  • certain combinations of HIV medicines, (such as nelfinavir, ritonavir, darunavir/ritonavir, (fos)amprenavir/ritonavir, lopinavir/ritonavir, and tipranavir/ritonavir)
  • certain hepatitis C (HCV) medicines (such as boceprevir and telaprevir)
  • non-nucleoside reverse transcriptase inhibitors (such as efavirenz and nevirapine)
  • medicine to treat tuberculosis (such as rifampicin and rifabutin)
  • medicine to treat high blood pressure in the vessels of the lung (bosentan)
  • medicine to treat chemotherapy-induced nausea and vomiting (aprepitant)
  • St John’s wort

Use an additional barrier contraceptive method (such as a male condom with spermicide) when you take medicines that may make EluRyng less effective. Since the effect of another medicine on EluRyng may last up to 28 days after stopping the medicine, it is necessary to use the additional barrier contraceptive method for that long to help prevent you from becoming pregnant. While using EluRyng, you should not use certain female barrier contraceptive methods such as a vaginal diaphragm, cervical cap or female condom as your back-up method of birth control because EluRyng may interfere with the correct placement and position of a diaphragm, cervical cap or female condom.

Some medicines and grapefruit juice may increase the level of ethinyl estradiol in your blood if used together, including:

  • the pain reliever acetaminophen
  • ascorbic acid (vitamin C)
  • medicines that affect how your liver breaks down other medicines (such as itraconazole, ketoconazole, voriconazole, fluconazole, clarithromycin, erythromycin, and diltiazem)
  • certain HIV medicines (atazanavir/ritonavir and indinavir)
  • non-nucleoside reverse transcriptase inhibitors (such as etravirine)
  • medicines to lower cholesterol such as atorvastatin and rosuvastatin

Hormonal birth control methods may interact with lamotrigine, a medicine used for seizures. This may increase the risk of seizures, so your healthcare provider may need to adjust your dose of lamotrigine.

Women on thyroid replacement therapy may need increased doses of thyroid hormone.

Ask your healthcare provider if you are not sure if you take any of the medicines listed above. Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.

How should I useEluRyng?

  • Read the Instructions for Use at the end of this Patient Information that comes with your EluRyng for information about the right way to use EluRyng.
  • Use EluRyng exactly as your healthcare provider tells you to use it.
  • EluRyng is used in a 4-week cycle.
    • Insert 1 EluRyng in the vagina and keep it in place for 3 weeks (21 days).

      Regularly check that EluRyng is in your vagina (for example, before and after intercourse) to ensure that you are protected from pregnancy.

    • Remove the EluRyng for a 1-week break (7 days). During the 1-week break (7 days), you will usually have your menstrual period.

      Note: Insert and remove EluRyng on the same day of the week and at the same time:

      • For example, if you insert your EluRyng on a Monday at 8:00 am, you should remove it on the Monday 3 weeks later at 8:00 am.
      • After your 1-week (7 days) break, you should insert a new EluRyng on the next Monday at 8:00 am.
  • While using EluRyng, you should not use certain female barrier contraceptive methods such as a vaginal diaphragm, cervical cap or female condom as your back-up method of birth control because EluRyng may interfere with the correct placement and position of a diaphragm, cervical cap or female condom.
  • Ring breakage has occurred when also using a vaginal product such as a lubricant or treatment for infection (see “What should I do if my EluRyng comes out of my vagina?”). Use of spermicides or vaginal yeast products will not make EluRyng less effective at preventing pregnancy.
  • Use of tampons will not make EluRyng less effective or stop EluRyng from working.
  • If EluRyng has been left inside your vagina for more than 4 weeks (28 days), you may not be protected from pregnancy and you should see your healthcare provider to be sure you are not pregnant. Until you know the results of your pregnancy test, you should use an extra method of birth control, such as male condoms with spermicide, until the new EluRyng has been in place for 7 days in a row.
  • Do not use more than 1 EluRyng at a time. Too much hormonal birth control medicine in your body may cause nausea, vomiting, or vaginal bleeding.

Your healthcare provider should examine youat least 1 time a year to see if you have any signs of side effects from using EluRyng.

What are the possible side effects of using EluRyng?

See “What is the most important information I should know about EluRyng?”

EluRyng may cause serious side effects, including:

blood clots. Like pregnancy, combination hormonal birth control methods increase the risk of serious blood clots (see following graph), especially in women who have other risk factors, such as smoking, obesity, or age greater than 35. This increased risk is highest when you first start using a combination hormonal birth control method or when you restart the same or different combination hormonal birth control method after not using it for a month or more. Talk with your healthcare provider about your risk of getting a blood clot before using EluRyng or before deciding which type of birth control is right for you.

In some studies of women who used EluRyng, 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 EluRyng) 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:

  • legs (deep vein thrombosis)
  • lungs (pulmonary embolus)
  • eyes (loss of eyesight)
  • heart (heart attack)
  • brain (stroke)

To put the risk of developing a blood clot into perspective: If 10,000 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.

Likelihood of Developing a Serious Blood Clot (Venous Thromboembolism [VTE])

DailyMed - ELURYNG- etonogestrel and ethinyl estradiol ring (2)

*CHC=combination hormonal contraception

**Pregnancy data based on actual duration of pregnancy in the reference studies. Based on a model assumption that pregnancy duration is nine months, the rate is 7 to 27 per 10,000 WY.

Call your healthcare provider right away if you have:

  • leg pain that does not go away
  • sudden shortness of breath
  • sudden blindness, partial or complete
  • severe pain or pressure in your chest
  • sudden, severe headache unlike your usual headaches
  • weakness or numbness in an arm or leg, or trouble speaking
  • yellowing of the skin or eyeballs

Other serious risks include:

  • Toxic Shock Syndrome (TSS). Some of the symptoms are much the same as the flu, but they can become serious very quickly. Call your healthcare provider or get emergency treatment right away if you have the following symptoms:
  • sudden high fever
  • vomiting
  • diarrhea
  • a sunburn-like rash
  • muscle aches
  • dizziness
  • fainting or feeling faint when standing up
  • allergic reaction, including hives, swelling of the face, lips, tongue, and/or throat causing difficulty in breathing or swallowing (anaphylaxis and or/angioedema)
  • liver problems, including liver tumors
  • high blood pressure
  • gallbladder problems
  • accidental insertion into bladder
  • symptoms of a problem called angioedema if you already have a family history of angioedema

The most common side effects of EluRyng are:

  • tissue irritation inside your vagina or on your cervix
  • headache (including migraine)
  • mood changes (including depression, especially if you had depression in the past). Call your healthcare provider immediately if you have any thoughts of harming yourself.
  • EluRyng problems, including the ring slipping out or causing discomfort
  • nausea and vomiting
  • vaginal discharge
  • weight gain
  • vaginal discomfort
  • breast pain, discomfort, or tenderness
  • painful menstrual periods
  • abdominal pain
  • acne
  • less sexual desire

Some women have spotting or light bleeding during EluRyng use. If these symptoms occur, do not stop using EluRyng. The problem will usually go away. If it doesn’t go away, check with your healthcare provider.

Other side effects seen with EluRyng 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).

Less common side effects seen with combination hormonal birth control include:

  • Blotchy darkening of your skin, especially on your face
  • High blood sugar, especially in women who already have diabetes
  • High fat (cholesterol, triglycerides) levels in the blood

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 EluRyng.

Tell your healthcare provider about any side effect that bothers you or that does not go away. These are not all the possible side effects of EluRyng. For more information, ask your healthcare provider or pharmacist. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store EluRyng and throw away usedEluRyngs?

  • Store EluRyng at room temperature between 68°F to 77°F (20°C to 25°C).
  • Store EluRyng at room temperature for up to 4 months after you receive it. Throw EluRyng away if the expiration date on the label has passed.
  • Do not store EluRyng above 86°F (30°C).
  • Avoid direct sunlight.
  • Place the used EluRyng in the re-closable foil pouch and properly throw it away in your household trash out of the reach of children and pets. Do not flush your used EluRyng down the toilet.

Keep EluRyng and all medicines out of the reach of children.

General information about the safe and effective use of EluRyng

Medicines are sometimes prescribed for purposes other than those listed in the Patient Information. Do not use EluRyng for a condition for which it was not prescribed. Do not give EluRyng to other people. It may harm them.

This leaflet summarizes the most important information about EluRyng. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about EluRyng that is written for health professionals.

For more information on EluRyng, go to www.amneal.com or call 1-877-835-5472.

What are the ingredients in EluRyng?

Active ingredients: etonogestrel and ethinyl estradiol, USP

Inactive ingredients: ethylene vinylacetate copolymers (28% and 9% vinylacetate) and magnesium stearate.

EluRyng is not made with natural rubber latex.

Does hormonal birth control cause cancer?

It is not known if hormonal birth control causes breast cancer. Some studies, but not all, suggest that there could be a slight increase in the risk of breast cancer among current users with longer duration of use.

If you have breast cancer now, or have had it in the past, do not use hormonal birth control 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.

What should I know about my period when using EluRyng?

When you use EluRyng you may have bleeding and spotting between periods, called unplanned bleeding. Unplanned bleeding may vary from slight staining between menstrual periods to breakthrough bleeding, which is a flow much like a regular period. Unplanned bleeding occurs most often during the first few months of EluRyng use, but may also occur after you have been using EluRyng for some time. Such bleeding may be temporary and usually does not indicate any serious problems. It is important to continue using the ring on schedule. If the unplanned bleeding or spotting is heavy or lasts for more than a few days, you should discuss this with your healthcare provider.

What if I miss my regular scheduled period when using EluRyng?

Some women miss periods on hormonal birth control, even when they are not pregnant. Consider the possibility that you may be pregnant if:

  1. you miss a period and EluRyng was out of the vagina for more than 3 hours during the 3 weeks (21 days) of ring use
  2. you miss a period and waited longer than 1 week to insert a new ring
  3. you have followed the instructions and you miss 2 periods in a row
  4. you have left EluRyng in place for longer than 4 weeks (28 days)

What if I want to become pregnant?

You may stop using EluRyng whenever you wish. Consider a visit with your healthcare provider for a pre-pregnancy checkup before you stop using EluRyng.

FAQs

Is EluRyng as effective as NuvaRing? ›

You'll insert a new NuvaRing or Eluryng every month, but you use the same Annovera ring for a full year. The Annovera ring is 97% effective with perfect use, while the NuvaRing is 99% effective. Both are up to 93% effective in the real world, though.

How effective is the EluRyng? ›

Ethinyl estradiol: Ethinyl estradiol released by EluRyng is rapidly absorbed. The bioavailability of ethinyl estradiol after vaginal administration is approximately 56%, which is comparable to that with oral administration of ethinyl estradiol.

How long does it take for the EluRyng to work? ›

Use Of Additional Contraception

Inform patients who start EluRyng postpartum and have not yet had a normal period that they should use an additional non-hormonal method of contraception for the first seven days [see DOSAGE AND ADMINISTRATION].

Is EluRyng generic for NuvaRing? ›

The first approved generic version of NuvaRing is called EluRyng. What is EluRyng? EluRyng is a flexible birth control vaginal ring used to prevent pregnancy. EluRyng contains a combination of an estrogen and a progestin, two kinds of female hormones.

What makes NuvaRing less effective? ›

The main thing that makes the ring not work is not using it correctly. That means you're more likely to get pregnant if: You don't put your ring in on time every cycle. Your NuvaRing ring is out of your vagina for more than 2 days (48 hours) in a row during the weeks when your ring should be in your vagina.

How effective is pulling out? ›

What we do know is that withdrawal works about 78% of the time overall. But the odds of pregnancy are always higher during the 5 days leading up to, and during, ovulation — these are called fertile days. If no semen gets on your vulva or in your vagina, pregnancy can't happen — whether or not you're ovulating.

Can you get pregnant on Eluryng? ›

If you have left the ring in place longer than directed, up to an extra week (4 weeks total), you will still be protected from pregnancy. Remove the ring and insert a new ring after 1 ring-free week. However, if you have left the ring in place longer than 4 weeks, you may not be protected from pregnancy.

How effective is NuvaRing and not pulling out? ›

Effectiveness. The NuvaRing is 91%–99% effective. This means that with perfect use, less than 1 out of every 100 people who use the birth control ring will become pregnant in one year. With typical use, 9 out of every 100 people who use NuvaRing will become pregnant in one year.

What is the failure rate of NuvaRing? ›

NuvaRing's failure rate is 0.3 percent for perfect use and 9 percent for typical use, similar to birth control pills and patches.

Can my partner feel my NuvaRing? ›

If you've put the ring in your vagina correctly, you shouldn't be able to feel it at all. If you can feel it, you may need to push it further into your vagina. Some women worry that their partners will feel the ring during intercourse, but most partners say they can't feel it.

Does the NuvaRing start working immediately? ›

If you put your first ring in up to 5 days after the start of your period, you are protected against pregnancy right away. If you put your first ring in more than 5 days after the start of your period, you should use condoms as back up for the first 7 days.

What cancels out NuvaRing? ›

Some products that may interact with this drug include: aromatase inhibitors (such as anastrozole, exemestane), ospemifene, tamoxifen, tizanidine, tranexamic acid, certain combination products used to treat chronic hepatitis C (ombitasvir/paritaprevir/ritonavir with or without dasabuvir).

Does EluRyng cause anxiety? ›

Mood or personality changes occur commonly in women taking hormonal contraceptive agents like etonogestrel; ethinyl estradiol. These changes include emotional lability, mental depression, anxiety, libido decrease, frustration, anger, or other emotional outbursts.

Is NuvaRing discontinued 2022? ›

Etonogestrel/ethinyl estradiol (NuvaRing): NuvaRing was the first birth control ring, receiving FDA approval in 2001. It is also available in an authorized generic version. Note: Manufacturer Merck recently announced that NuvaRing applicators will be discontinued after August 1, 2020.

How much weight do you gain on NuvaRing? ›

Nope! Birth control rings like NuvaRing and Annovera don't change your weight. There's lots of research on the hormones in the birth control ring, and studies show these hormones don't cause weight gain or weight loss.

Has anyone gotten pregnant on NuvaRing? ›

If NuvaRing is used according to the directions, your chance of getting pregnant is less than 0.7% per year. For comparison purposes, if combined oral contraceptives are used diligently, the chance of getting pregnant is expected to be about 0.1% and if progestogen only pills ("mini pills") are used about 0.3%.

Why is the ring better than the pill? ›

Ring users had more vaginal irritation and discharge than pill users but less nausea, acne, irritability, depression, and emotional changes. Ring users often had fewer bleeding problems than pill users. The quality of information was classed as low for the patch trials and moderate for the ring studies.

Can I get pregnant on my week off of NuvaRing? ›

If you leave a NuvaRing out of your vagina for more than 2 days during the weeks you're supposed to wear it, you won't be protected from pregnancy. If your ring has been out of your vagina for too long, use a backup birth control method (like condoms) until the ring has been in your vagina for 7 days in a row.

How do you know if a guy releases sperm inside you? ›

It's usually pretty easy to tell when a guy ejaculates, since you can usually see the semen. But if, for example, you're having vaginal sex, it might be a bit harder to tell whether he's ejaculated. You can always ask him if he ejaculated/came/had an orgasm.

Do I need Plan B if he pulled out? ›

Withdrawal isn't recommended as a primary method of birth control due to its high failure rate, but it makes a great secondary method. Using a backup method along with withdrawal can significantly reduce the risk of pregnancy. Use it along with other birth control methods, such as: condoms.

Are there sperm in Precum? ›

Is There Sperm in Pre-cum? The pre-cum fluid itself does not contain sperm, but sperm can leak into it as it travels down the urethra, where residuals may be present from previous ejaculations and can be released with pre-cum prior to semen.

Will NuvaRing come out when I poop? ›

The muscles of the vagina keep the vaginal ring in place. In rare cases, the ring can slip out of the vagina such as during a bowel movement (pooping). Removing the ring for sexual intercourse is not recommended. → Rinse it with water and put it back into your vagina and you will still be protected from pregnancy.

Does NuvaRing stop sperm? ›

The ring works by stopping sperm from joining with an egg (which is called fertilization). Like most birth control pills, the ring contains the hormones estrogen and progestin. These are similar to the hormones our bodies make naturally.

Can you get pregnant thru finger? ›

Fingering on its own can't lead to pregnancy. But it is possible to get pregnant if a guy gets pre-ejaculate (precum) or ejaculate on his finger and then puts it in a girl's vagina. The chances of this happening are low, though. A more likely situation than pregnancy is getting an infection from fingering.

Can NuvaRing get pushed up too far? ›

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.

What do you do if your NuvaRing falls in the toilet? ›

If your NuvaRing falls out, rinse it in cold or warm (not hot) water and put it back in. If it has been more than three hours since the NuvaRing came out, use a backup birth control method, like condoms, for the rest of your cycle.

How do you know if NuvaRing is inserted correctly? ›

When you insert NuvaRing it may be in different positions in your vagina, but NuvaRing does not have to be in an exact position for it to work. NuvaRing may move around slightly within your vagina. This is normal. Although some women may be aware of NuvaRing in the vagina, most women do not feel it when it is in place.

Is the ring safer than the pill? ›

Less than 1 in 100 people – 0.3% – who use either type of birth control as intended will get pregnant. If you sometimes forget and don't use them quite right, you have a 9 in 100 or 9% chance of getting pregnant. Birth control pills and vaginal rings work essentially the same way and are about equally effective.

Who shouldn't NuvaRing? ›

Do not use NuvaRing if you: Smoke and are over 35 years old. Have or have had blood clots in your arms, legs, eyes, or lungs. Have an inherited problem with your blood that makes it clot more than normal.

What is the safest birth control? ›

The kinds of birth control that work the best to prevent pregnancy are the implant and IUDs — they're also the most convenient to use, and the most foolproof. Other birth control methods, like the pill, ring, patch, and shot, are also really good at preventing pregnancy if you use them perfectly.

How far should NuvaRing be inserted? ›

Inserting NuvaRing

Fold the ring in half so that two sides of the ring are touching. Insert the ring as far as you can into your vagina. You may need to use your index finger to push it deeper into your vagina. Don't worry, there's no risk of losing the ring or pushing it in too far.

Can you put a tampon in with a NuvaRing? ›

It's completely fine to use a tampon while you use your NuvaRing. It won't make the ring less effective. Be aware, though, that you could accidentally take out your NuvaRing when removing a tampon. If the ring comes out, rinse it with lukewarm water and reinsert it right away.

What's wrong with NuvaRing? ›

Even though birth control rings are very safe, using a form of birth control that has estrogen can slightly increase your risk of certain health problems. This isn't common and complications are rare, but they can be serious. Annovera and NuvaRing risks include heart attack, stroke, blood clots, and liver tumors.

Does time of day matter for NuvaRing? ›

The ring should be inserted and removed on the same day of the week and at the same time. (For example, if you insert your NuvaRing on a Monday at 8:00 AM, you should remove it on the Monday 3 weeks later at 8:00 AM.)

Can you get pregnant on the first day of NuvaRing? ›

If you start using it during the first 5 days of your period, it will work right away and you won't need backup birth control. But if you start on any other day of your cycle, it takes 7 days to be protected from pregnancy.

Does NuvaRing have to be refrigerated? ›

Official answer. No - that is fine. The dispenser needs to store the NuvaRing in the fridge but you don't. They can stay stored in a cupboard or drawer, out of direct sunlight, for 4 months.

Does alcohol affect NuvaRing? ›

Drinking alcohol doesn't change that. Alcohol won't affect IUDs, implants, the ring, or the patch either.

What are the long term effects of NuvaRing? ›

Serious side effects include Toxic Shock Syndrome (TSS), liver problems, including liver tumors, high blood pressure, gallbladder problems or accidental insertion into bladder. But it turns out that the number one adverse event reported by NuvaRing users is pulmonary embolism.

Can NuvaRing make you depressed? ›

The most common side effects of NuvaRing® (etonogestrel/ethinyl estradiol vaginal ring) are: Tissue irritation inside your vagina or on your cervix. Headache (including migraine) Mood changes (including depression, especially if you had depression in the past).

Does the EluRyng cause weight gain? ›

Like most modern birth control pills, EluRyng lacks estrogen levels that are high enough to cause weight gain.

What happens if I put my NuvaRing in a day late? ›

If you are less than twenty-four hours late, just insert it when you remember and no extra precautions are needed. If you are more than twenty-four hours late, insert it when you remember, avoid sex or use condoms for seven days and if you have unprotected sex during this time, you may need emergency contraception.

Is there a difference between EluRyng and NuvaRing? ›

As established by the Office of Generic Drugs (OGD), generic medications are required to have the same active ingredient, strength, dosage form, and route of administration as the brand-name drug. The only difference between NuvaRing and EluRyng is the name and appearance of the drug.

At what age should you stop using NuvaRing? ›

Both the American College of Obstetricians and Gynecologists and the North American Menopause Society recommend that women continue contraceptive use until menopause or age 50–55 years (333,334). The median age of menopause is approximately 51 years in North America (333) but can vary from ages 40 to 60 years (335).

How long can I leave my EluRyng in? ›

EluRyng should be left in the vagina for a continuous period of three weeks. If the ring is accidentally expelled and is left outside of the vagina for less than three hours, contraceptive efficacy is not reduced.

What are the disadvantages of the ring birth control? ›

The most common side effects are spotting or bleeding between periods, sore breasts, nausea, or headaches. But these usually go away after 2 or 3 months, and they don't happen to everyone who uses the ring. You may also have a little extra vaginal wetness when using the ring.

What is the best birth control for weight loss? ›

No birth control has been designed for or scientifically proven to cause weight loss. But one of the hormones in Yasmin, drospirenone, can act as a diuretic. That means it may lead to less or no water retention, giving the illusion that you've lost weight.

Does the pill make your boobs bigger? ›

The hormones found in birth control pills are synthetic forms of hormones that naturally occur in your body. When taking these pills, the level of hormones in your body increase. At these increased levels, these hormones can generate changes in your body, such as a temporary increase in breast size or weight gain.

What pill is equivalent to NuvaRing? ›

Both Annovera and NuvaRing are very effective at preventing pregnancy when used as instructed. In studies, Annovera was over 97% effective.

Can you get pregnant on generic NuvaRing? ›

Effectiveness. The NuvaRing is 91%–99% effective. This means that with perfect use, less than 1 out of every 100 people who use the birth control ring will become pregnant in one year. With typical use, 9 out of every 100 people who use NuvaRing will become pregnant in one year.

Is EluRyng the same as etonogestrel? ›

What is EluRyng? EluRyng (etonogestrel and ethinyl estradiol ring) is an estrogen/progestin combination hormonal contraceptive (CHC) indicated for use by women to prevent pregnancy. EluRyng is available as a generic.

Does Eluryng cause anxiety? ›

Mood or personality changes occur commonly in women taking hormonal contraceptive agents like etonogestrel; ethinyl estradiol. These changes include emotional lability, mental depression, anxiety, libido decrease, frustration, anger, or other emotional outbursts.

Is a vaginal ring better than the pill? ›

Birth control pills and vaginal rings work essentially the same way and are about equally effective.

How effective is NuvaRing without pulling out? ›

Once you place NuvaRing in your vagina, it releases a continuous low dose of hormones that helps prevent pregnancy. When used as directed, NuvaRing has been shown to be 98% effective. You don't have to think about taking it every day. NuvaRing is used in a 4-week cycle.

Are you still protected the week off of NuvaRing? ›

If you leave a NuvaRing out of your vagina for more than 2 days during the weeks you're supposed to wear it, you won't be protected from pregnancy. If your ring has been out of your vagina for too long, use a backup birth control method (like condoms) until the ring has been in your vagina for 7 days in a row.

How do I know if my NuvaRing is in correctly? ›

Although some women may be aware of NuvaRing in the vagina, most women do not feel it when it is in place. Note: If the NuvaRing feels uncomfortable, you may not have pushed the ring into your vagina far enough. Use your finger to gently push the NuvaRing as far as you can into your vagina.

Who shouldnt use NuvaRing? ›

Do not use NuvaRing if you: Smoke and are over 35 years old. Have or have had blood clots in your arms, legs, eyes, or lungs. Have an inherited problem with your blood that makes it clot more than normal.

Why was NuvaRing discontinued? ›

The U.S. Food and Drug Administration had questioned the safety of NuvaRing prior to approving it in 2001. A review said the increased risk of VTE was “the most controversial safety issue.” The risk was compared to oral contraceptives using similar hormones as NuvaRing.

How long does it take for NuvaRing to be effective after insertion? ›

If you put your first ring in up to 5 days after the start of your period, you are protected against pregnancy right away. If you put your first ring in more than 5 days after the start of your period, you should use condoms as back up for the first 7 days.

Do you ovulate on EluRyng? ›

EluRyng is a birth control medication used to prevent pregnancy. It is a single product containing 2 kinds of female hormones: etonogestrel, a progestin, and ethinyl estradiol, an estrogen. EluRyng works by preventing ovulation (the release of an egg from the ovaries).

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