Contraception with NuvaRing

Standard Regimen

• The American Academy of Pediatrics guidelines note that NuvaRing follows a cyclic regimen where the ring is inserted for 3 consecutive weeks, followed by a 1-week ring-free period during which withdrawal bleeding typically occurs 1, 2
• The ring contains sufficient medication to be used for up to 35 days, allowing for extended or continuous use by replacing the ring once every calendar month, as per the American Academy of Pediatrics guidelines 1

Extended Use for Specific Conditions

• Extended cycles may be particularly useful for treating anemia 1
• Extended cycles may be particularly useful for treating severe dysmenorrhea 1
• Extended cycles may be particularly useful for treating Von Willebrand disease and other bleeding disorders 1
• Extended cycles may be particularly useful for treating conditions that worsen cyclically, such as migraine without aura, epilepsy, and irritable bowel syndrome 1

Adverse Effects and Important Considerations

• The most common adverse effect of extended or continuous cycles is unscheduled breakthrough bleeding 1, 2
• Patients should be instructed to insert a new ring after 7 days even if bleeding has not ceased when using the standard cyclic regimen, as per the American Academy of Pediatrics guidelines 1, 2