What should you know about nuva vaginal ring?

The ring releases oestrogen and progestogen to prevent ovulation and thicken cervical mucus. It is inserted and removed by the user, so there is no daily tablet to remember, although the schedule still matters. It does not protect against sexually transmitted infections. Brand names, hormone amounts, and instructions can vary, so use the product leaflet and prescription directions for your ring.

Wash your hands before insertion and removal, keep track of the date it was placed, and follow the prescribed in-and-out schedule. If the ring slips out, is left out too long, or a replacement is late, use the leaflet's missed-use instructions and contact a pharmacist or clinician if anything is unclear. Tell your prescriber about migraines with aura, smoking, high blood pressure, clotting problems, liver disease, recent birth, breastfeeding, or medicines that may interact.

Seek urgent help for sudden chest pain, trouble breathing, coughing blood, one-sided leg swelling or pain, sudden severe headache, vision changes, weakness, or difficulty speaking. Contact your clinician for persistent abdominal pain, jaundice, a new severe migraine, very high blood pressure symptoms, or troublesome bleeding. Pregnancy concerns after missed use also need prompt advice.

Ask whether combined hormones are suitable with your medical history, what to do if the ring comes out, which medicines or supplements interact, and when backup contraception is needed. Discuss whether a non-oestrogen method would fit your priorities.