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Womens Health > Birth Control Forum > Use of the Nuvaring
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Q: Use of the Nuvaring
asked by: DoctorQuestion on August 13th, 2009
I started the Nuvaring on Wednesday July 15th, left it in for three weeks took in out on Wednesday August 5th. My period started on the Friday, the 7th of August and I had unprotected sex on Wednesday the 12th of August, the six day of my menstrual cycle. I forgot to insert a new Nuvaring on Wednesday the 12th so I inserted a new ring on Thursday the 13th about 24 hours after the time I should have inserted a new ring. Should I take an emergency contraceptive?


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Dr. Goce Aleksovski , MD
replied on August 16th, 2009
Birth Control Answer A7071


Nuvaring is a flexible plastic ring that releases a low dose of progestin and estrogen for 3 weeks. It is used as a contraceptive device. While inserted it releases the hormones which interfere with the normal hormonal production thus disabling the ovulation.


The approved Nuvaring regimen specifies insertion of the ring into the vagina for a three-week period, then removal of the ring for one week, during which a menstrual period is expected. Once the fourth week is over, the Nuvaring should be inserted again.


Given the data you provided (not inserting the Nuvaring on the beginning of the fifth week), it seems likely that you are at risk for pregnancy. Although the probability for conception is small (only one day was missed and you had intercourse one day before the day the ring should have been inserted again), the risk cannot be excluded completely, because sometimes the spermatozoids can survive for little more than one day.


So, you might want to take an emergency contraception just to minimize the risk of unwanted pregnancy, but first you are advised to visit your gynecologist whom you should consult on this issue in order to check if there are any contraindications for using an emergency contraception pill.




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