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Contraceptive vaginal ring

Brand names: NuvaRing, EluRyng, Annovera

The vaginal ring is a flexible ring placed in the vagina that releases estrogen and progestin to prevent pregnancy.

Brand namesNuvaRing, EluRyng, Annovera
Type of medicineHormonal birth control
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

NuvaRing is replaced monthly; Annovera is reused for a year.

What it's used for

  • Preventing pregnancy

How to take it

  • Insert the ring yourself and leave it in for 3 weeks, then remove for 1 week (follow your product's schedule).
  • If it's out for more than 3 hours, follow the backup instructions.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Irregular bleeding
  • Headache
  • Vaginal discharge or irritation
  • Nausea
Call 911Chest pain, sudden shortness of breath, or signs of a stroke
Call your provider todayPain or swelling in one leg
Call 911High fever, vomiting, and a sunburn-like rash (rare toxic shock)

Warnings

  • Boxed warning: smoking raises the risk of serious heart and blood vessel problems, especially over 35.

Other medicines, foods, and alcohol

  • Rifampin, some seizure medicines, and St. John's wort make it less effective.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Stop if pregnant.

Missed doses, overdose, and storage

If you miss a dose

Follow your package insert for late insertion or removal, and use backup birth control as directed.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.