6 Essential Facts About The Birth Control Ring

The birth control ring is a flexible hormonal contraceptive placed inside the vagina, where it releases oestrogen and progestogen to prevent pregnancy. It usually stays in place for three weeks and does not require daily dosing. Used correctly, it is highly effective, but suitability, replacement schedules and instructions for a ring left out too long depend on the specific product.

6 Essential Facts About The Birth Control Ring
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How the Birth Control Ring Works and What to Know Before Using It

If you're searching for a hormonal contraceptive that doesn't require you to remember to take a pill every day, you're in luck! There are several alternatives to choose from. The options include a birth control patch that is replaced once a week, a shot taken every three months, or longer-lasting methods such as an IUD or birth control implant. The birth control ring may be the perfect solution if you're looking for a more easily reversible method than an IUD but still require less daily attention. Here are six essential factors to consider if you're considering this option.



A Birth Control Ring Functions Similarly To A Pill.


The birth control ring, much like combination birth control pills, contains both estrogen and progestin. However, unlike the pill, you can rest easy knowing you don't need to remember it daily. The ring steadily releases the hormones into your body for three straight weeks, effectively preventing ovulation and thinning out the uterine lining to protect you against pregnancy.



Birth Control Rings Come In Two Types.


The Nuvaring, the original form of birth control, needs to be replaced once a month. However, Annovera, a flexible silicone ring similar to Nuvaring but slightly more prominent, can be used for an entire year.


Annovera, like Nuvaring, contains estrogen and progestin, but with some distinctions. It has a slightly lower dose of estrogen and a different kind of progestin called segesterone acetate. These hormones are released steadily across 13 cycles. With Annovera, you leave the ring in for 21 days and then remove it for 7 days, during which you have a period, or more precisely, a "withdrawal bleed." Upon removal, the Annovera ring should be cleaned with mild soap and water, patted dry with a cloth or paper towel, and stored in its case for a week. The effects of Annovera are similar to those of other hormonal contraceptives, which may help reduce the symptoms of premenstrual syndrome and lighten periods.



You Can Use The Ring To Skip Periods.


Using Nuvaring and its generic version is safe to skip your period. If you wish to have a period, remove the ring after three weeks and wait a week before inserting a new ring at the end of the fourth week. To skip your period, leave the ring in for four weeks and replace it with a new one immediately. Consistent use may cause spotting or breakthrough bleeding throughout the month. If this happens, take a ring-free week to bleed and reduce spotting when you insert the next ring. Although Annovera is not approved to be used continuously for skipping periods, some doctors may prescribe it. If you use it to skip periods for a year, you may need to replace it after 12 cycles instead of 13.



You Can Take It Out During Sex.


The idea of having a ring inside you might seem strange, but the rings are pretty small, even though Annovera is no larger than a tampon. They are positioned sufficiently deep into your vagina that you shouldn't feel them. Rest assured. There's no risk that the ring can travel too far or "get lost."


The ring is constructed to stay in place during sexual activity, and it's improbable that your partner will detect it. However, if you choose, you can remove the birth control ring while having sex. Make sure to reinsert it promptly afterwards. With Nuvaring, removal for up to three hours within a 24-hour still ensures protection. In the case of Annovera, it can be safely taken out for two hours across a three-week cycle, whether one continuous two-hour interval or several shorter periods. Should it remain outside your body for more than two hours, utilizing additional protection like a condom for the following seven days is advised during sexual encounters. 


People with certain risk factors, such as smoking, a history of blood clots or stroke, or experiencing migraine with aura, should not use birth control containing estrogen, like the birth control ring. Instead, they should choose a non-hormonal or progestin-only birth control method. Mobi Doctor provides progestin-only pills and the birth control shot, while the birth control implant and IUD are two estrogen-free methods that can be obtained from an in-person provider.



FAQs About Using the Birth Control Ring

The birth control ring releases oestrogen and progestogen through the vaginal lining. It mainly prevents ovulation and also thickens cervical mucus, making it harder for sperm to reach an egg. Although it is inserted into the vagina, the hormones circulate throughout the body, so many of its benefits and risks are similar to those of the combined contraceptive pill.

The vaginal ring is more than 99% effective with perfect use. With typical use, it is around 91% effective, meaning approximately nine in 100 users may become pregnant within a year. Protection can fall if a ring is inserted or replaced late, remains outside the vagina too long or is affected by an interacting medicine.

The schedule depends on the product. Common disposable rings are usually worn for 21 days, followed by seven ring-free days before inserting a new ring. A reusable ring such as Annovera follows 13 cycles of 21 days in and seven days out. Availability varies by country, so follow the instructions supplied with your specific ring.

Many users can take combined hormonal contraception continuously or shorten the ring-free interval to delay withdrawal bleeding. Breakthrough bleeding or spotting is common when periods are skipped, particularly during the first few months. Not every ring has the same approved schedule, so product-specific guidance is important before using it continuously or changing the usual replacement dates.

The ring is designed to remain in place during sex, but some products allow brief removal. NuvaRing remains effective if it is outside the vagina for less than three hours, while Annovera has different removal limits. If the permitted time is exceeded, additional contraception and possibly emergency contraception may be needed, depending on when unprotected sex occurred.

Common side effects include breakthrough bleeding, headaches, nausea, breast tenderness, mood changes and vaginal discharge or irritation. Some improve as the body adjusts during the first few months. Serious complications are uncommon, although oestrogen-containing contraception slightly increases the risk of blood clots. Persistent, severe or unexpected symptoms should be medically reviewed.

The ring may be unsuitable for people with a history of blood clots, stroke, certain heart conditions, uncontrolled high blood pressure, migraine with aura, severe liver disease or breast cancer. Smoking from age 35 also increases cardiovascular risk. Recent childbirth, breastfeeding, diabetes complications and medicines that affect contraception should be discussed before starting the ring.

No, the birth control ring prevents pregnancy but does not protect against chlamydia, gonorrhoea, HIV or other sexually transmitted infections. External condoms can be used with the ring to reduce STI risk. Testing may be appropriate after unprotected sex, when starting a new sexual relationship, following partner notification or if symptoms of an infection develop.

Seek urgent medical help for one-sided leg swelling or pain, sudden chest pain, breathlessness, coughing up blood, sudden weakness, speech or vision changes, collapse or a new severe headache. These can indicate a rare blood clot, pulmonary embolism or stroke. The overall clot risk is small, but these warning signs should never be ignored.


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