Everything You Need to Know About the Birth Control Ring

Finding the right birth control can feel like a lot, especially with so many options out there. If you’re looking for something low-maintenance, reliable, and easy to use, the birth control ring might be worth considering.

This small, flexible ring is designed to fit seamlessly and easily into your routine, offering effective pregnancy prevention without the daily maintenance. Whether you’re exploring birth control for the first time or thinking about switching your methods, here’s what you should know about how the ring works, how to use it, and what you can expect.

What is a Birth Control Ring?

The birth control ring is a small, flexible ring—about 2 inches wide—that you place inside your vagina. It’s made of soft plastic and sits comfortably once inserted, so you don’t need to worry about any pain or discomfort if you’re looking into this form of birth control. 

Over time, the ring releases a steady, low dose of two hormones: estrogen and progestin. These hormones work together to prevent pregnancy by stopping ovulation, thickening your cervical mucus to block sperm, and thinning the uterine lining to help prevent implantation.

How the Birth Control Ring Works

Once in place, the ring does most of the work for you. It stays in your vagina for three weeks, releasing hormones continuously. 

After three weeks, you take it out and go ring-free for one week—this is when you’ll typically have a period-like bleed. 

After that week, you insert a new ring and start the cycle again.

Types of Birth Control Rings

The most well-known options are NuvaRing®, and Annovera®, but there are also FDA-approved generics like:

• EluRyng®
• Haloette® (not offered by Nurx)

These all contain the same active ingredients and work the same way, so you can expect the same level of safety and effectiveness from either brand-name or generic options. 

Lots of people opt for generics, which can be a more affordable choice while offering the same trusted results.

How Effective is the Birth Control Ring?

When used exactly as directed, the birth control ring is over 99% effective at preventing pregnancy. That means fewer than 1 out of 100 people will get pregnant in a year with perfect use.

Of course, life happens, and with typical use, the ring is about 91% effective. That accounts for things like forgetting to insert a new ring on time, leaving it out too long, or the ring slipping out without you noticing.

Even with those occasional missteps, 91% is still a strong level of protection. To stay as protected as possible, it helps to set reminders on your phone for when to insert and remove your ring—and if you ever feel unsure about whether you’re using it correctly, reach out to a provider for assistance. It’s natural to have questions, and medical professionals can help you feel confident in your routine.

What Can Make the Birth Control Ring Less Effective?

Here are some common factors that can reduce the ring’s effectiveness:

• Leaving the ring out for more than 48 hours during the three weeks it’s meant to stay in the vagina.
• Not inserting a new ring on time after your ring-free week.
• Taking certain medications, like some anti-seizure drugs or antibiotics (though most antibiotics don’t affect birth control, a few might—so it’s important to keep your provider updated on any new medications you are taking.

If you ever feel unsure about whether something might interfere with your birth control, reach out. No question is too small, and having the right information is part of feeling empowered in your health choices.

Benefits of the Birth Control Ring

The birth control ring can be a great option if you’re looking for something low-maintenance, safe, and highly effective. Here’s what many people like about it:

• Reliable protection: When used correctly, it’s one of the most effective ways to prevent pregnancy.
• Low effort: You only have to think about it once a month—no daily reminders.
• Sex-friendly: You can be spontaneous without needing to pause and plan.
• Lighter, more predictable periods: Many people find that their periods become more regular and less intense.
• Less cramping and PMS: It may ease some of those frustrating symptoms.
• Added protection: It can lower your risk for ovarian and endometrial cancers over time.

That said, everybody is different, and what works well for one person might not be the best fit for another. Here are a few things to keep in mind:

• It doesn’t protect against STDs, so you’ll still want to use condoms for STI prevention.
• You’ll need a prescription to get started.
• Like any hormonal method, it can cause side effects, especially in the first few months.
• The ring can occasionally slip out, especially during sex or bowel movements, but it’s easy to put back in if that happens.
• You’ll need to replace it once a month on schedule.
• Some partners may feel the ring during sex, but it usually isn’t uncomfortable, and it’s okay to remove it for up to two hours (no more!) if needed.

Side Effects and Risks

Like any form of hormonal birth control, the ring can come with some side effects, most of which are mild and tend to ease up within a few months as your body adjusts.

Common side effects include:

• Nausea
• Headaches
• Breast tenderness
• Vaginal irritation or changes in discharge
• Mood shifts
• Spotting between periods

We know these symptoms can be frustrating, but they’re typically short-lived. If something doesn’t feel right or starts to interfere with your daily life, we’re here to help you talk through options or troubleshoot.

What about more serious risks?

Serious complications—like blood clots, heart attack, or stroke—are very rare. That said, the risk can be higher if you’re over 35 and smoke. It’s important to share your medical history with your provider before starting the ring, especially if you have or have had:

• A history of blood clots, heart attack, or stroke
• Any history or current diagnosis of cancer
• Migraines with aura
• Liver disease
• Uncontrolled high blood pressure
• A known or suspected pregnancy

Your safety always comes first. If you’re not sure whether the ring is right for you, we’re here to walk through your health history and help you make the best decision for your body and your lifestyle.

How to Use a Birth Control Ring

Using the birth control ring is simple, and once you get the hang of it, it’ll become a smooth part of your routine. 

You place the ring inside your vagina—kind of like how you’d insert a tampon—and leave it in for three weeks. Then, you take it out for a one-week break before starting the next cycle with a new ring. The key is consistency, and most people find that it quickly becomes second nature.

Inserting and Removing the Ring

To insert the ring:

• Wash your hands with soap and water.
• Find a position that feels comfortable—lying down, squatting, or standing with one leg raised are all good options.
• Squeeze the ring between your thumb and index finger.
• Gently guide it into your vagina, pushing it up and back until it feels comfortable. Don’t worry too much about the exact placement—there’s no “perfect” spot as long as it’s in and doesn’t bother you.

To remove the ring:

• Wash your hands again.
• Hook your finger under the front edge of the ring.
• Gently pull it out.
• Wrap the used ring in tissue and toss it in the trash (not the toilet).

Tips for Confident, Consistent Use

• Insert your new ring on the same day each month to keep your cycle on track.
• Keep the ring in place for the full three weeks.
• After your one-week break, make sure to start the next ring on time—even if you’re still bleeding.
• Store any unused rings at room temperature and away from heat or direct sunlight.
• It’s a good idea to check now and then that the ring is still in place, especially after sex or using a tampon. Most people don’t have issues with it slipping out, but it’s always okay to double-check.

What About Other Contraceptive Methods? 

The birth control ring is a great option for many people, but it’s not the only one. Finding the birth control that works best for you is what matters most, and we’re here to help you explore your options.

Here’s how the ring compares to other forms of birth control:

• More effective than condoms, diaphragms, and spermicides when it comes to preventing pregnancy.
• Just as effective as the pill, patch, and the shot when used consistently.
• Slightly less effective than long-acting methods like the implant or IUDs (intrauterine devices)—but those are designed to last for years without needing to think about them.
• Tends to cause fewer side effects than the shot and some types of pills.
• Easier to manage than birth control methods that require daily attention, like the pill.

If you’re looking for a low-maintenance, highly effective option, NuvaRing® and its generics are commonly recommended by healthcare providers. 

They’ve earned a strong reputation for being reliable, easy to use, and well-tolerated by many people. And with Nurx, getting the ring delivered to your door is quick and simple.

Is the Birth Control Ring Right for You? 

The birth control ring is a simple, effective way to prevent pregnancy. It works by steadily releasing hormones, so you get reliable protection without needing to think about it every day.

But, like any method, it can come with some side effects and isn’t always the right pick for everyone. It might take some trial and error until you figure out what your best option is. 

If you’re curious about trying the ring, we’re here to help. At Nurx, you can explore your options, get expert guidance, and have your prescription delivered to your door—all from the comfort of home.

You deserve birth control that works for your body and your life. Get started with a consultation with Nurx providers to find what’s right for you.

Frequently Asked Questions (FAQ):

How effective is a birth control ring?

When used exactly as directed, the ring is over 99% effective at preventing pregnancy. With typical use—meaning there may be the occasional late replacement or slip-up—it’s about 91% effective. That means it still provides strong protection for most users.

Can your partner feel the birth control ring?

Most partners don’t notice the ring during sex. If they do, it’s usually not uncomfortable—but if it ever is, you can remove the ring for up to 3 hours and reinsert it afterward without reducing effectiveness.

What are the disadvantages of the birth control ring?

Some people experience mild side effects like nausea, headaches, mood changes, spotting between periods, or vaginal irritation. You’ll also need to remember to replace the ring every three weeks. It’s a great fit for many, but it’s okay if it’s not your perfect match—there are other options, too.

Can the ring cause weight gain?

The ring may contribute to weight gain for some, though other factors, like stress, diet, or lifestyle changes, can play a role, too. If you’re concerned, talk to a provider about what feels right for your body.

The information provided is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon this content for medical advice. If you have any questions or concerns, please talk to a medical professional.

NuvaRing® (etonogestrel 0.12 mg in 1d, /ethinyl estradiol vaginal ring 0.015mg in 1d), Rx only, is used as contraception to prevent pregnancy. This drug may cause side effects, including irregular uterine bleeding, nausea, breast tenderness, headache, and increased or unusual vaginal discharge. If you would like to learn more, see full prescribing information, here. You are encouraged to report negative side effects to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

EluRyng®, Rx only,  is used as contraception to prevent pregnancy. This drug may cause side effects, including irregular uterine bleeding, nausea, breast tenderness, headache, and increased or unusual vaginal discharge. If you would like to learn more ,see full prescribing information, here. You are encouraged to report negative side effects to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Annovera® (segesterone acetate and ethinyl estradiol vaginal system, 0.15mg/0.013mg), Rx only, is used as contraception to prevent pregnancy. This drug may cause side effects, including headache, nausea/vomiting, yeast infection, and abdominal pain. If you would like to learn more, see full prescribing information, here. You are encouraged to report negative side effects to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.