NuvaRing (vaginal ring)
Overview:
NuvaRing is a soft flexible ring used for contraception. Contraceptives are used for birth control to avoid unwanted pregnancy. NuvaRing is a hormonal contraceptive that is used by placing it in the vagina for three weeks and then not using it for a week. It is a safe and easy-to-use vaginal ring.
NuvaRing composition:
NuvaRing is hormonal birth control with two hormones called etonogestrel, the progestin, and Ethinyl estradiol, the estrogen. These medications are oral contraceptives. Oral contraceptives prevent ovulation and pregnancy. Pregnancy is prevented as these combinations of estrogen and progestin hormones are released in the blood.
NuvaRing releases 0.12mg of etonogestrel and 0.015mg of ethinyl estradiol daily. These hormones are released into the bloodstream when the ring comes into contact with the vaginal mucosa. These are released into the bloodstream over 3 weeks. This ring can prevent pregnancy for a month. NuvaRing can be obtained only by prescription.
Indications:
NuvaRing is a method of birth control pill that prevents pregnancy. This is indicated when one wants to plan the pregnancy later are not planning pregnancy immediately. This can also be used when one wants a contraception for a long duration without the necessity of changing it every day.
Contraindications:
This is not indicated in certain medical conditions like heart diseases like recent heart attacks or any heart diseases, high blood pressure that is uncontrolled by medications, or severe diabetes that has damaged kidneys, eyes, nerves, or blood vessels. In women with severe migraine headaches, liver diseases, or tumors. It is also not indicated in the following conditions:
Unexplained vaginal bleeding
Had a previous history of breast cancer
In case of pregnancies
In case of allergies to synthetic hormones like estradiol or etonogestrel
Diseases that cause blood vessel damage
When taking medications for hepatitis C like ombitasvir, paritaprevir, ritonavir, dasabuvir, or any other that can increase the levels of liver enzyme alanine aminotransferase in the blood.
It is also contraindicated in smoking, and for those who are more than 35 years old.
It is also not indicated in diseases of stroke and blood clot disorders.
Advantages:
NuvaRing has many advantages.
It is a safe, simple, comfortable, and convenient vaginal ring to place inside the body and use.
It is not necessary to place in the exact position for contraception.
It need not be changed every day
It has low and steady hormone delivery and fewer hormonal alterations than daily or weekly birth control methods
Its presence is not felt by either of the partners
It can be effortlessly inserted in the vagina on their own
It shortens the duration of the menstrual cycle and one can have regular and lighter periods
One can become pregnant when an individual stops using it.
It allows one to have sex without any pause.
Before The NuvaRing:
NuvaRing is given by prescription. It is important to inform the healthcare provider of any past medical history, use of medications, and previous surgeries. One should inform the healthcare provider of the presence of any active infections or systemic diseases. Based on the health condition the health care provider may prescribe the ring or may advise other birth control methods.
Using the NuvaRing:
NuvaRing insertion is a simple process. The ring has to be placed into the vagina one time every month on the first day of the first week of the menstrual cycle. Insert the NuvaRing into the vagina as prescribed on the label. Wash and dry the hands, remove the ring from the pouch, and hold the ring between the thumb and index finger. By sitting or squatting comfortably, pinch the ring to fold the ring. Then insert the folded ring into the vagina by gently pushing it with the index finger.
The ring can be in place for 3 weeks and has to be removed. A break of 1 week should be given in between before placing the next ring during the menstrual cycle. It is advisable to check the position of the ring regularly. If the ring is not inserted properly in the vagina, it may not protect from getting pregnancy. The NuvaRing has to be inserted at the same time every month to increase its effectiveness.
Removing the NuvaRing:
NuvaRing can be easily removed from the vagina. One must wash their hands before removing the ring to avoid infections. Using the index finger, feel the ring by sitting or squatting comfortably and pull the ring gently out once the grip is felt. The used ring should not be reused and should be disposed of in the pouch provided with the insert.
Effectiveness of NuvaRing:
NuvaRing is highly effective about 98% of the time when inserted properly. Its effectiveness reduces when the ring is not inserted in the vagina for about three weeks in a row. Its efficiency is reduced when it is left in the vagina for more than four weeks, if the ring slides out and is not replaced within three hours, or if the NuvaRing is exposed to high temperature or immense sunlight.
Risks and complications:
NuvaRing can cause some serious side effects such as formation of blood clots in women with risk factors, sudden shortness of breath, continuous leg pain, sudden blindness, severe headaches, weakness or numbness in the arms or legs, and yellowing of skin or eyeballs. Mood changes, tissue irritation, vaginal discomfort and discharge, and weight gain are the other side effects.
Some complications include toxic shock syndrome, allergic reactions, liver or cardiac problems, high blood pressure, accidental insertion of the ring in the bladder, and venous thromboembolism.
Conclusion:
NuvaRing is a hormonal contraceptive ring having etonogestrel, the progestin and Ethinyl estradiol, the estrogen hormones. It should be placed in the vagina for three weeks and removed for a week. It is simple, safe, well-tolerated, and easy to use vaginal contraceptive ring. It is an effective birth control method when used properly.
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