hepatic, mesenteric, renal, or retinal veins and arteries.The risk for venous thromboembolic complications in CHC users may increase substantially in a woman with additional risk factors, particularly if there are multiple risk factors (see table).NuvaRing is contraindicated if a woman has multiple risk factors that put her at high risk of venous thrombosis (see section 4.3). Have a withdrawal bleeding and insert a new ring no later than 7 days (7x24 hours) from the time the previous ring was removed or expelled.Note: This option should only be chosen if the ring was used continuously for the preceding 7 days.If NuvaRing was out of the vagina for an unknown amount of time, the possibility of pregnancy should be considered.
• Although small increases in blood pressure have been reported in many women using hormonal contraceptives, clinically relevant increases are rare.

There are no indications that the efficacy of NuvaRing is affected by the treatment of vaginitis, or that the use of NuvaRing affects the treatment of vaginitis (see section 4.5). NuvaRing is not for women with a history of these conditions or any condition that makes your blood more likely to clot. The NuvaRing Applicator may not be available in all countries. Depression can be serious and is a well-known risk factor for suicidal behaviour and suicide. There are no antidotes and further treatment should be symptomatic.Pharmacotherapeutic group: Other gynecologicals, Intravaginal contraceptives, vaginal ring with progestagen and oestrogen, ATC code: G02BB01NuvaRing contains etonogestrel and ethinylestradiol. These methods are not recommended as back-up methods with NuvaRing use. If the ring is accidentally expelled, it can be rinsed with cool to lukewarm (not hot) water and should be reinserted immediately.If NuvaRing has been out of the vagina, or is suspected to have been out of the vagina for If NuvaRing has been out of the vagina, or is suspected to have been out of the vagina for Note: Inserting a new ring will start the next three-week use period. Women with a tendency to chloasma should avoid exposure to the sun or ultraviolet radiation whilst using NuvaRing. This information does not take the place of talking to your healthcare provider about your treatment.If you have been using your birth control method correctly and are certain that you are not pregnant, you can change to NuvaRing any day. TSS has been associated with tampons and certain barrier contraceptives, and, in some cases the NuvaRing users were also using tampons. • A meta-analysis from 54 epidemiological studies reported that there is a slightly increased relative risk (RR = 1.24) of having breast cancer diagnosed in women who are currently using COCs. Serum concentrations show small fluctuations and slowly decrease to approximately 1,600 pg/mL after 1 week, 1,500 pg/mL after 2 weeks and 1,400 pg/mL after 3 weeks of use.
In the event of a disconnected ring, vaginal discomfort or expulsion (slipping out) is more likely to occur. The woman is advised to remove the broken ring and reinsert a new ring as soon as possible and use a barrier method such as a male condom in addition for the next 7 days. • Epidemiological studies indicate that the long-term use of oral contraceptives displays a risk factor for the development of cervical cancer in women infected with human papillomavirus (HPV). This site uses cookies. Etonogestrel and its metabolites are excreted at a urinary to biliary ratio of about 1.7:1.

The dispenser has to indicate the date of dispensing on the packaging. Starting on days 2-5 is allowed, but during the first cycle a barrier method is recommended in addition for the first 7 days of NuvaRing use.The woman should insert NuvaRing at the latest on the day following the usual tablet-free, patch-free or placebo tablet interval of her previous combined hormonal contraceptive.If the woman has been using her previous method consistently and correctly and if it is reasonably certain that she is not pregnant she may also switch from her previous combined hormonal contraceptive on any day of the cycle.The hormone-free interval of the previous method should never be extended beyond its recommended length.The woman may switch on any day from the minipill (from an implant, or the IUS on the day of its removal, from an injectable when the next injection would be due) but should in all of these cases use an additional barrier method for the first 7 days of NuvaRing use.The woman may start immediately. The half-life of metabolite excretion is about 6 days.Ethinylestradiol released by NuvaRing is rapidly absorbed by the vaginal mucosa. In the meantime, she should be advised to use an alternative contraceptive method.Women should be advised to start during the fourth week after delivery or second-trimester abortion. However, there is still uncertainty about the extent to which this finding is influenced by confounding effects (e.g.

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