What is the vaginal ring?

The vaginal ring is a flexible, plastic ring that’s inserted into the vagina, serving as a method of birth control. It’s designed to release a steady stream of hormones – namely estrogen and progestin – to prevent ovulation and thereby prevent pregnancy. Here’s a comprehensive look at the vaginal ring, including how it works, its effectiveness, and its advantages and disadvantages.

How It Works

The primary purpose of the vaginal ring is to prevent pregnancy. It achieves this through the following mechanisms:

  • Suppressing Ovulation: The hormones released by the ring prevent the ovaries from releasing eggs.
  • Thickening Cervical Mucus: The hormones also make the mucus at the cervix thicker, making it harder for sperm to enter the uterus.
  • Thinning the Uterine Lining: This makes it less likely for a fertilized egg to attach and develop.

 Using the Vaginal Ring

The ring is typically inserted into the vagina and left in place for three weeks. After the three weeks, it is removed for one week, during which menstruation typically occurs. After the one-week break, a new ring is inserted.

It’s important to insert and remove the ring on the same day of the week and at roughly the same time to maintain its efficacy.


When used correctly, the vaginal ring has a high effectiveness rate, similar to other hormonal contraceptives like birth control pills. However, like all contraceptives, its efficacy can be reduced if not used as directed or if it becomes displaced.


Before choosing the vaginal ring or any contraceptive method, it’s crucial to discuss with a healthcare provider. Factors like personal health history, lifestyle, and other medications can influence which birth control method is most suitable.

The vaginal ring is a convenient and effective birth control method for many women. However, it’s essential to consider the advantages and disadvantages and consult with a healthcare provider before making a decision.

Can you get pregnant with the ring?

Yes, it is possible to get pregnant while using the vaginal ring, but the chances are relatively low when the ring is used correctly and consistently. No birth control method is 100% effective, and the vaginal ring is no exception. Here’s what you need to know:

 Effectiveness of the Vaginal Ring:

  • When used perfectly, the vaginal ring has a failure rate of less than 1%. This means that fewer than 1 out of 100 women using the vaginal ring will get pregnant in a year.
  • With typical use, which accounts for occasional mistakes like not putting a new ring in on time, the failure rate is closer to 9%. This implies that 9 out of 100 women using the vaginal ring might become pregnant in a year.

 Factors Reducing the Ring’s Effectiveness:

Several factors can reduce the effectiveness of the vaginal ring:

  • Not Following the Schedule: If the ring is out of the vagina for more than three hours, it might not be as effective. If it’s left out for an extended period, backup contraception (like condoms) should be used until the ring has been in place for seven consecutive days.
  • Not Starting a New Ring on Time: After the one-week break, a new ring should be inserted. Delaying this could increase the risk of pregnancy.
  • Medications and Supplements: Some medications, including certain antibiotics, antifungal medications, HIV medicines, and the herb St. John’s wort, can decrease the effectiveness of hormonal contraceptives, including the vaginal ring.

What to Do if You Think You Might be Pregnant:

If you suspect you might be pregnant while using the vaginal ring:

  • Check with a Pregnancy Test: Over-the-counter pregnancy tests are usually accurate after the first missed period.
  • Consult a Healthcare Provider: If the test is positive, or if you have concerns, it’s essential to consult with a healthcare provider for guidance.

 Continued Use During Pregnancy:

  • If someone becomes pregnant while using the vaginal ring, the ring should be removed. While there’s no strong evidence that the hormones in the vaginal ring harm a developing fetus, it’s generally advised to minimize any unnecessary exposures during pregnancy.

While the vaginal ring is an effective method of contraception, it’s not infallible. Users should be aware of the proper usage guidelines and be vigilant in following them. If unsure or if something goes wrong (like the ring being expelled), it’s essential to use a backup method and consult with a healthcare provider.

Benefits of using the vaginal ring

The vaginal ring offers various benefits, making it a popular choice among various contraceptive methods for many women. Here are some of the notable benefits:


  • When used correctly, the vaginal ring is a highly effective method of birth control, with a perfect-use failure rate of less than 1%.


  • Monthly Application: Unlike daily birth control pills, the vaginal ring only needs to be inserted once a month. This reduces the chances of forgetting a daily dose.
  • Self-Administered: The vaginal ring can be easily inserted and removed by the user without needing a healthcare provider, unlike some other birth control methods such as IUDs.

 Consistent Hormone Delivery:

  • The vaginal ring releases a steady amount of hormones, reducing the hormonal fluctuations that some women experience with other birth control methods.

Reduced Menstrual Symptoms:

  • Some women find that using the vaginal ring can lead to lighter, more regular periods and fewer menstrual cramps.

Less Severe Side Effects:

  • While all hormonal contraceptives can have side effects, many women find the side effects of the vaginal ring to be milder than those of other methods. This is possibly due to the consistent hormone delivery.

 No Daily Reminder Needed:

  • There’s no need to remember to take a pill every day. This can be especially beneficial for those with busy lifestyles or those who struggle with daily routines.


  • If a user decides they want to become pregnant or wish to stop using the vaginal ring for any other reason, fertility typically returns quickly after discontinuation.


  • The vaginal ring is discreet. Once inserted, neither the user nor her partner can typically feel it. Additionally, there’s no daily evidence of birth control use, as there might be with pill packets or patches.

 Doesn’t Interfere with Sexual Activity:

  • The ring can be left in place during intercourse. While it’s possible for either partner to feel the ring, it’s generally not disruptive to sexual activity.

Potential Acne Reduction:

  • Like other combined hormonal contraceptives, the vaginal ring may help reduce or manage acne for some users.

The vaginal ring offers multiple advantages, making it a suitable choice for many women seeking a reliable and convenient contraceptive method. However, individual experiences may vary, and it’s crucial to discuss any health concerns or personal preferences with a healthcare provider before deciding on a birth control method.

Risk factors of vaginal ring

While the vaginal ring offers numerous benefits, as with any medical intervention or contraceptive method, there are associated risks and potential side effects. Here’s a look at some of the risk factors and concerns associated with the vaginal ring:

 Hormonal Side Effects:

The vaginal ring releases a combination of estrogen and progestin. Some users may experience side effects related to these hormones, including:

  • Nausea
  • Breast tenderness
  • Headaches
  • Mood changes
  • Weight gain
  • Irregular bleeding or spotting between periods

Blood Clots:

As with other hormonal birth control methods that contain estrogen, there’s an increased risk, albeit low, of developing blood clots in the legs, lungs, heart, or brain. This risk is higher in:

  • Smokers, especially those over 35
  • Those with a family or personal history of blood clots
  • Women with certain inherited blood-clotting disorders

Heart Attack and Stroke:

Though rare, the risk of heart attack and stroke may be increased, especially for:

  • Smokers
  • Women over 35
  • Those with high blood pressure, diabetes, or high cholesterol

Vaginal Irritation and Infection:

  • Some users may experience vaginal irritation, increased vaginal discharge, or an increased risk of vaginal infections like yeast infections.

Ring Expulsion:

  • There’s a possibility that the ring can be accidentally expelled from the vagina, particularly during sexual activity, bowel movement, or while removing a tampon.

 Drug Interactions:

Certain medications and supplements can decrease the effectiveness of the vaginal ring or increase the risk of side effects. These might include:

  • Some antibiotics
  • Some antifungal medications
  • Certain antiretroviral drugs used to treat HIV
  • The herb St. John’s wort

 Does Not Protect Against STDs:

  • The vaginal ring does not offer protection against sexually transmitted diseases (STDs). If protection against STDs is desired, a condom should be used in conjunction with the ring.

Cancer Risk:

  • Research is ongoing, but some studies suggest a potential increased risk of cervical cancer with long-term use of hormonal contraceptives. Additionally, there might be a slightly increased risk of breast and liver cancer, though the evidence is not conclusive.

Toxic Shock Syndrome (TSS):

  • There have been rare reports of TSS, a severe and potentially fatal condition, in users of the vaginal ring. The exact link and causality are not fully established.

While the vaginal ring is generally considered safe and effective for many women, it’s essential to be aware of the potential risks and to weigh them against the benefits. Before starting or stopping the use of the vaginal ring or any contraceptive method, consult with a healthcare provider to ensure it’s the right choice based on individual health history and needs.

Method of Using vaginal ring

The vaginal ring is a user-friendly contraceptive method, but it’s crucial to use it correctly to ensure its effectiveness. Here’s a step-by-step guide on how to use the vaginal ring:

Obtaining the Ring:

  • The vaginal ring is typically obtained with a prescription from a healthcare provider.


  • Before use, store the vaginal ring at room temperature, away from direct sunlight.

Choosing a Start Date:

  • You can begin using the vaginal ring on the first day of your menstrual period (Day 1 Start) or on the first Sunday after your period begins (Sunday Start). Depending on when you start, you may need to use backup contraception for the first seven days.


  • Hand Washing: Always wash your hands with soap and water before handling the ring.
  • Position: Find a comfortable position. This could be standing with one leg up, squatting, or lying down.
  • Preparing the Ring: Remove the ring from its packaging. Pinch the ring between your thumb and index finger to make it narrower.
  • Insertion: Gently push the folded ring into your vagina. The exact position doesn’t matter as long as it’s comfortable. It should be placed beyond the pelvic bone.

 During Use:

  • Once inserted, the ring stays in place for three weeks (21 days) and releases a steady dose of hormones.
  • You don’t need to remove the ring during sexual intercourse. If you or your partner feels discomfort, the ring can be temporarily removed, but it should be reinserted within three hours.


  • Hand Washing: Wash your hands with soap and water.
  • Position: Again, find a comfortable position.
  • Removing the Ring: Insert a finger into the vagina, hook it through the ring, and gently pull it out.

 Ring-Free Week:

  • After removing the ring, you will have a ring-free interval of one week (7 days). Typically, you’ll experience a menstrual period during this week.

Starting the Next Cycle:

  • After the one-week break, insert a new vaginal ring, even if your period hasn’t finished. It’s crucial to insert the new ring on the same day of the week as it was inserted the previous month to maintain its contraceptive efficacy.

 Missed Doses or Mistakes:

  • If the ring is out of the vagina for more than three hours during the three-week usage period or if there’s a longer than seven-day ring-free interval, its contraceptive efficacy might be reduced. In such cases:
  • Reinsert the ring as soon as possible.
  • Use a backup contraceptive method, such as condoms, for the next seven days.
  • Consult the product instructions or a healthcare provider for more detailed guidance.


  • Do not flush the used ring down the toilet. Place it in the original foil pouch, if available, and dispose of it in the trash. Some manufacturers offer return programs or recommend cutting the ring and placing it in a drug take-back bin.

Correct and consistent use of the vaginal ring is vital for achieving its maximum contraceptive efficacy. It’s also a good practice to check the ring periodically to ensure it’s still in place, especially after activities like sexual intercourse or tampon removal. If you’re unsure about any aspect of using the vaginal ring, consult your healthcare provider or the product’s instructions.

Tricks for using vaginal ring

Using the vaginal ring is straightforward for most women, but a few tricks and tips can make the process even more manageable and ensure consistent and effective use. Here are some tricks and pointers for using the vaginal ring:

Setting Reminders:

  • Use a phone alarm, calendar alert, or a dedicated app to remind you when to insert a new ring, when to remove the old one, and when your ring-free week ends. This helps prevent forgetting crucial steps in the cycle.

 Comfortable Insertion:

  • If you have difficulty inserting the ring, try a different position, like lying down or squatting. Over time, you’ll find what’s most comfortable for you.
  • Some women find it easier to use a tampon applicator to help insert the ring.

 Checking the Ring’s Position:

  • Every so often, especially after physical activities or intercourse, do a quick check with your finger to ensure the ring is still in place.

Temporary Removal:

  • If the ring feels uncomfortable during intercourse, or if your partner can feel it, you can remove it. Just make sure to rinse it with cool to lukewarm water (not hot) and reinsert it within three hours.

Storing Backup Rings:

  • Keep an extra vaginal ring on hand in case one gets damaged or lost. Store them at room temperature, away from direct sunlight and out of children’s reach.

Managing Side Effects:

  • If you experience minor side effects like vaginal dryness, using a water-based lubricant can help.
  • In case of persistent or troubling side effects, consult with your healthcare provider. They may have suggestions or might recommend a different contraceptive method.

 Monitoring Expiry Dates:

  • Always check the expiration date on the vaginal ring packaging. Expired rings might not be effective, so don’t use them.

 Educate Yourself:

  • Familiarize yourself with the product leaflet that comes with the vaginal ring. It contains essential information, including what to do if the ring has been out for too long.

 Disposal Hacks:

  • To avoid potential hormone exposure to children, pets, or the environment, snip the used ring with scissors before disposing of it, or place it in its original packaging or a small bag before throwing it away.


  • If you’re traveling or on vacation during the time you need to change your ring, pack an extra in your carry-on bag (not checked luggage, in case of loss) and set reminders adjusted to your destination’s time zone.

 Backup Birth Control:

  • Always have a backup birth control method, such as condoms, on hand. This is especially important if the ring has been out for too long or if you’re on medications that might interfere with its effectiveness.

The vaginal ring offers convenience, but incorporating these tricks into your routine can enhance your experience and ensure that you’re using the contraceptive effectively. Always keep an open line of communication with your healthcare provider regarding any concerns or questions about the ring.

Vaginal ring size Chart Table

There isn’t a standard “size chart” for the vaginal ring like there might be for products like shoes or clothing. Typically, vaginal contraceptive rings come in a standard size designed to fit most women.

However, if you’re looking for specific measurements, the NuvaRing, one of the most well-known brands, is approximately 2 inches (5.4 cm) in diameter. The ring is flexible, which allows it to be pinched for easy insertion and to comfortably fit inside the vagina.

If there have been new developments or other products introduced after 2021 that offer varying sizes, you may need to check with current manufacturers or your healthcare provider for up-to-date information.

Product Name Diameter
NuvaRing 2 inches (5.4 cm)

If you’re looking for a table format for the aforementioned detail:

Remember that comfort and fit can vary among individuals. If someone feels discomfort with the vaginal ring or believes the size may be an issue, they should consult their healthcare provider for guidance and potential alternatives.

Example of a vaginal ring

One of the most widely recognized examples of a vaginal contraceptive ring available:


Manufacturer: Organon (a subsidiary of Merck & Co., Inc.)

Active Ingredients: Etonogestrel and ethinyl estradiol (a combination of a progestin and an estrogen, respectively)

Usage: It is inserted into the vagina once a month and releases a continuous dose of hormones to prevent ovulation. The ring is kept in place for three weeks, followed by a one-week break during which menstruation typically occurs.

Efficacy: When used as directed, NuvaRing has a typical-use failure rate of around 2%, meaning that approximately 2 out of 100 women may become pregnant in the first year of using this method. With perfect use, this rate can be less than 1%.

Additional Features: The NuvaRing is soft and flexible, making it easy to insert and remove from the vagina.

Over the years, various other ring products may have been developed, and the availability of products might differ based on region and regulatory approvals. Always consult a healthcare provider to understand the best options available in your region and to get the most up-to-date information on contraceptive products.

What is the vaginal ring?
What is the vaginal ring?

Frequently Asked Questions (FAQs) About Vaginal Ring

Here are some frequently asked questions about the vaginal ring:

  1. What is the vaginal ring made of?

The vaginal ring is typically made of a flexible, soft plastic that releases a combination of hormones (usually estrogen and progestin) to prevent pregnancy.

  1. How does the vaginal ring work?

The vaginal ring releases a steady dose of hormones that prevents ovulation, thickens the cervical mucus to stop sperm from reaching the egg, and thins the uterine lining to prevent a fertilized egg from attaching.

  1. Can the vaginal ring fall out?

It’s rare, but the ring can be expelled from the vagina during sexual activity, while straining during a bowel movement, or when removing a tampon. If this happens, it can be rinsed with cool or lukewarm water and reinserted.

  1. Will I or my partner feel the ring during intercourse?

Most women and their partners don’t feel the ring during intercourse. However, if either of you finds it uncomfortable, the ring can be removed for up to three hours and then reinserted.

  1. What if I forget to remove the ring after three weeks?

If the ring is left in for an additional week or less, remove it and take your usual one-week break before inserting a new one. If it’s been in for longer, consult your healthcare provider and use a backup contraceptive method until advised otherwise.

  1. What happens if I don’t insert a new ring after the one-week break?

Your risk of pregnancy increases. Insert a new ring as soon as you remember and use a backup contraceptive method for seven days.

  1. Does the vaginal ring protect against STDs?

No, the vaginal ring does not offer protection against sexually transmitted diseases (STDs). For STD protection, use condoms in addition to the ring.

  1. Can I use tampons with the vaginal ring?

Yes, you can use tampons while using the vaginal ring. Just be cautious when removing the tampon to ensure you don’t pull the ring out.

  1. What should I do if the ring breaks or seems damaged?

If the ring breaks or seems damaged, it may not work effectively. Remove it and insert a new ring as soon as possible. Use a backup contraceptive method for the next seven days.

  1. Are there any medications that can reduce the ring’s effectiveness?

Yes, certain medications, such as some antibiotics, antifungal medications, certain antiretroviral drugs for HIV, and the herb St. John’s wort, can potentially reduce the effectiveness of the vaginal ring. Always inform your healthcare provider about any medications or supplements you’re taking.

  1. Is the vaginal ring safe for breastfeeding mothers?

Breastfeeding mothers are often advised to wait several weeks postpartum before using hormonal birth control methods that contain estrogen, like the vaginal ring. Always consult a healthcare provider for personalized advice.

Remember, while this list covers many common questions, it’s essential to speak with a healthcare provider to get answers tailored to individual circumstances and to obtain the most up-to-date information.


The vaginal ring is a flexible and innovative contraceptive method that offers women a monthly option for birth control without the daily commitment of pills or the longer-term decision of an implant or IUD. Made of soft plastic, this device is designed to release a consistent dose of hormones to prevent pregnancy. Its efficacy, ease of use, and minimal daily intrusion have made it a preferred choice for many.

Yet, like all contraceptive methods, it’s essential to be informed about its benefits, potential risks, and correct usage. While the ring boasts convenience and effectiveness, it does not protect against sexually transmitted diseases. Therefore, when considering sexual health holistically, one might also need to incorporate other protective measures, such as condoms.

Furthermore, the vaginal ring isn’t one-size-fits-all in terms of its suitability for every individual. Personal health history, lifestyle, and preferences play a role in determining if it’s the right choice. Hence, a conversation with a healthcare provider is crucial for anyone considering this method.

The vaginal ring offers birth control ring an appealing balance between convenience and effectiveness for those seeking a flexible contraceptive method. By being informed and attentive to one’s unique needs and circumstances, women can make empowered choices for their reproductive health.

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