NUVA RING

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Ring

Facts about the Ring (Nuva Ring)

The Ring is placed in the vagina where it releases synthetic female hormones, estrogen and progestin. Thes hormones are absorbed through the vagina into your blood system which changes your body's normal hormonal balance so that no egg is released from the ovaries and the woman cannot become pregnant.

INSTRUCTIONS FOR USE
  1. The Ring should be started on Day 1-5 of the menstrual cycle or the 1st-5th day after your period starts.
  2. Use your fingers to press the sides of the ring together and gently push it into your vagina. Push the Ring up high in the vagina.
  3. The Ring is left in place in the vagina for 3 weeks. Do not remove the Ring for intercourse.
  4. After 3 weeks, remove the vaginal ring for 7 days. During this break, you will experience withdrawal bleeding, your period.
  5. Remove by hooking the rim of the Ring with your finger and pulling out.
  6. Place the used Ring in the foil pouch or a plastic bag and discard. Do not flush the Ring down the toilet.
  7. After the 7 day break, insert a new Ring to begin the cycle again. Insert the new Ring on the same day of the week you inserted the previous Ring, even if you have not finished your period.
  8. Unused Rings should be stored at room temperatur and out of direct sunlight.

WHAT TO DO IF THE RING FALLS OUT
  1. Wash the Ring with lukewarm or cool water and put the Ring back in as soon as possible.
  2. You could become pregnant if the Ring is out of your vagina for more than 3 hours, you may need Emergency Contraception.
  3. Use back-up contraception for 7 days if the Ring is out of your vagina for more than 3 hours.

WHAT TO DO IF YOU THE RING IN LONGER THAN 3 WEEKS
Up to 4 weeks:
  1. Remove the Ring.
  2. Take a Ring-free week.
  3. Insert a new Ring after the Ring-free week.

More than 4 weeks:
  1. Remove the Ring.
  2. Take a Ring-free week. If you have a normal menses, insert a new Ring after the Ring-free week. You must use a back-up contraceptive for 7 days.
  3. If you do not have a normal menses, you may be pregnant and will need a pregnancy test BEFORE you restart the Ring.

WHAT TO DO IF THE RING-FREE WEEK HAS BEEN LONGER THAN ONE WEEK:
  1. It is possible that you could become pregnant. If you have not had a normal menses you will need a pregnancy test.
  2. Use a back-up contraceptive until you have determined if you are pregnant.
  3. Restart with a new Ring once determined not pregnant.

POSSIBLE PROBLEMS:
Call the health department, your physician or seek emergency care if you have any of the following symptoms:
A - Severe Arm or leg pain, or unusual swelling
C - Severe or crushing Chest pain, shortness of breath or coughing up blood
H - Severe, sudden Headache or increase in frequency of severe headaches
E - Sudden loss of vision or blurred vision (Eyes)
S - Severe Stomach pain

If you are having regular periods and miss your period, call the health department, you may be pregnant.

REFILLS:
Remember to call the health department when you open your last Ring to make an appointment for more supplies or for your annual exam. Only you can pick up your Ring, do not send a friend or relative. We have NO WALK-INS for refills.

BACK-UP CONTRACEPTION and STD PROTECTION:
  1. The Ring gives NO PROTECTION to STD's. Use condoms for protection.
  2. Mistakes happen. It is important to remember that Emergency Contraception Pills can reduce the risk of unintended pregnancy. They work best when started as soon as possible, within 72 hours of unprotected intercourse. Discuss this with clinic staff for more information.

More information about the Nuva Ring can be obtained from your local health department.

Other web sites with information about the Nuva Ring:
Nuva Ring