Contraceptive vaginal rings are one among the different contraceptive methods, and are considered as effective in preventing pregnancies. One of the popular branded versions of contraceptive rings is the NuvaRing, and a common question is the availability of generic versions of the ring. Following subs sections offer a detailed look at the contraceptive, helping coupes to take an informed decision about the ring. This also answer the question – what is the name of the generic NuvaRing?
Overview of vaginal ring
The vaginal ring is medically known as ethinyl estradiol/etonogestrel vaginal ring, and popularly known by the brand name NuvaRing. This ring is a small, flexible, plastic contraceptive ring inserted into the vagina once a month to prevent pregnancy. The ring contains two hormones, ethinyl estradiol and etonogestrel. The former is a type of estrogen, while the latter is a type of progestin. These two hormones work together to prevent ovulation, apart from thickening the cervical mucus to prevent sperm from reaching the egg. Additionally, the lining of the uterus is also reduced in thickness to make it difficult for implantation.
Effectiveness of the NuvaRing
The NuvaRing is considered to be highly effective when used correctly, with a failure rate of less than 1%. The highlight of the ring is the ease to use; it also does not require daily administration like other forms of birth control. However, the NuvaRing does not protect against sexually transmitted infections STIs; and barrier methods known to be the best option for preventing the risk of STI transmission. Similar to all hormonal contraceptives, the NuvaRing also has possible side effects; and women need to determine suitability and possibility of exposure to undesirable outcomes.
How does the vaginal ring work?
The NuvaRing is inserted into the vagina and left in place for 3 weeks, following which it is removed for a 1-week break. During the break week, women may typically experience menstruation, following which the ring is replaced with a new one, and the cycle repeats.
The ethinyl estradiol/etonogestrel vaginal ring, works by releasing ethinyl estradiol and etonogestrel into the body. These hormones prevent ovulation; the release of an egg from the ovary each month. Without ovulation, there is no egg for sperm to fertilize, and pregnancy will not occur. Apart from preventing ovulation, the NuvaRing also thickens cervical mucus, making it harder for sperm to swim through the cervix and reach the egg. Additionally, the thinning of the lining of the uterus, makes it near impossible for the egg to be fertilized.
How to use ethinyl estradiol/etonogestrel vaginal ring?
Use of the NuvaRing and its handling is relatively simple and does not require additional or extra skill. Here are simple steps that need to be followed for insertion and handling of the vaginal ring.
- Women are to cleanse hands thoroughly with soap and water.
- The NuvaRing is to be then removed from the foil pouch and held between the thumb and index finger.
- The NuvaRing is to then be inserted into the vagina, with the woman in some comfortable position, either standing with one leg up or lying down. The ring should be inserted as far up as possible, so that it is positioned comfortably behind the pubic bone.
- The ring will stay in place on its own and does not need to be removed for sexual activity or bathing.
- After 3 weeks, the ring is to be removed by hooking the finger under the rim and pulling it out. It is important to remove the ring on the same day of the week that it was inserted.
- The used ring is to be then trashed, and a new ring can then be inserted 7 days later to begin a new 3-week cycle.
- During the fourth week, when the ring is not in use, women may experience menstruation. This could include light spotting or bleeding while using the ring, which is normal and does not indicate a problem.
- It is important to use the NuvaRing as directed to ensure its effectiveness as a contraceptive. In the event that the ring falls out or is removed for more than 3 hours during the 3-week cycle, it is necessary to rely on additional contraception. For instance, the use of condoms during the next 7 days will be necessary to ensure that unplanned pregnancies do not occur.
Side effects of ethinyl estradiol/etonogestrel vaginal ring
All medications come with the possibility of undesirable outcomes and the vaginal ring is no exception. This is because the ring works by release of hormones and this could possibly have an impact in some manner. Most of the side effects are typically mild in nature and resolve on their own after the first few months of use. However, severe or persistent side effects including chest pain, severe headache, or vision changes, may require the attention of the healthcare provider.
Some of the possible side effects of the vaginal include:
- Nausea and vomiting
- Headache
- Breast tenderness or pain
- Mood changes, such as depression or irritability
- Decreased sex drive
- Vaginal irritation or discharge
- Weight gain
- Changes in menstrual bleeding patterns, such as breakthrough bleeding, spotting, or missed periods
The NuvaRing can also increase the risk of serious health problems, such as blood clots, heart attack, or stroke, especially in women who smoke or have other risk factors. Women are to discuss medical history with the specialist and also list out any medications in use to determine if the vaginal ring is a safe and appropriate form of contraception.
What is the name of the generic NuvaRing?
It is now time to answer the above question. Yes, there is a generic version of the NuvaRing, which is called the etonogestrel/ethinyl estradiol vaginal ring. The generic version has the same active ingredients and works in the same way as the brand-name NuvaRing, but is generally less expensive. Women are to check with healthcare providers regarding the efficacy and safety of generic versions prior to use of that form of contraception.