The birth control ring, also known as the NuvaRing, needs to be removed every three weeks, although how quickly you place a new ring will depend on whether you want to have periods while using this form of birth control. This small, flexible ring is inserted into the vagina and contains the hormones progestin and estrogen, which work together to stop ovulation.
If You Want to Have a Period
If you want to have periods while using the NuvaRing leave it in for three weeks, then at the end of three weeks remove the ring by hooking your finger through it and gently pulling it out. Leave it out for seven days, when you will have a period. After the seven days, you will then place a new NuvaRing in for another three weeks. If you’re still bleeding at the end of the seven-day period, you should still place your new NuvaRing in according to the schedule. You can safely use pads and tampons while using a NuvaRing, but you shouldn’t use a menstrual cup.
When removing and replacing the NuvaRing, make sure to do so on the same day of the week. For example, if you remove your NuvaRing on a Sunday and leave it out for a week, you should place the new ring in on the following Sunday.
If You Want to Skip Your Period
If you don’t want to have periods, leave your NuvaRing in for four weeks then immediately replace it with a new ring, as soon as you remove the old one. Just make sure you have a ring in every day throughout the month. Some women experience spotting or breakthrough bleeding during the first six months of use, which is normal.
The NuvaRing is designed to be worn all the time, so it’s recommended to leave it in unless it’s time to remove it and replace it. You can safely wear the NuvaRing during sex, exercise, and other physical activities. If you find that having NuvaRing inserted is uncomfortable during sex, you can remove it for 3 hours then replace it. Take it out before you have sex, then rinse it off and re-insert the ring when you are finished. Do not leave it out longer than 3 hours.