A vaginal contraceptive ring is a reversible form of hormonal contraception that functions similarly to the hormonal pill. This flexible ring is worn inside the vagina and continuously releases two hormones—oestrogen and progestogen—into the bloodstream to prevent pregnancy.
How Does the Vaginal Ring Work?
✔ Prevents Ovulation – The hormones stop the release of an egg.
✔ Thickens Cervical Mucus – This makes it difficult for sperm to reach the egg.
✔ Thins Uterine Lining – Reduces the likelihood of implantation.
✔ Highly Effective – With perfect use, it is almost 99% effective.
Who Can Use the Vaginal Contraceptive Ring?
Most healthy, non-smoking women under 35 can safely use the ring. However, women who cannot take oral contraceptive pills for medical reasons should avoid using the ring as well.
Who Should Avoid the Vaginal Contraceptive Ring?
🚫 Women who are overweight or obese
🚫 Smokers over the age of 35
🚫 Those with heart ailments
🚫 Uncontrolled diabetics or those with end-organ disease
🚫 Women with a history of migraine
🚫 Those with liver or gall bladder disease
🚫 Women with connective tissue disease
🚫 A history of thrombosis (blood clots)
🚫 Family history of heart attacks or strokes
🚫 Those who could be pregnant
🚫 Unexplained vaginal bleeding
🚫 Women with pelvic organ prolapse
Common Side Effects
✔ Headache
✔ Nausea
✔ Breast tenderness
✔ Mood swings
✔ Breakthrough bleeding
✔ Abdominal pain
✔ Acne
✔ Vaginal discharge or irritation
Serious Risks
While rare, serious risks include:
âš Deep vein thrombosis (DVT)
âš Pulmonary embolism (clot in the lung)
âš Heart attacks
âš Strokes
How to Use the Vaginal Contraceptive Ring
- Insertion: Insert the ring inside the vagina on the second day of your period.
- Usage: Leave it in place for three weeks.
- Removal: Remove the ring at the end of the third week.
- 7-Day Break: During this period, you will experience a withdrawal bleed.
- New Cycle: After the 7-day gap, insert a new ring.
- Continue the Cycle: This routine can be repeated as long as contraception is required.
Other Considerations
✔ The ring is not felt by the partner during intercourse.
✔ It rarely slips out, but if it does, it can be reinserted immediately.
✔ Forgetfulness Warning: If left inside beyond the recommended time, pregnancy risk increases in the next cycle.
✔ Disposal: Once removed, discard it in the trash—never flush it.
✔ It does not interfere with Pap smears or increase the risk of vaginal infections.
✔ Great for frequent travelers who struggle with daily pill schedules due to time zone changes.
✔ Offers privacy and convenience, requiring minimal daily attention.
Final Thoughts
The vaginal contraceptive ring is an effective, low-maintenance birth control option that allows women to take charge of their reproductive health without the need for daily reminders. If you’re considering trying the ring, consult with your gynecologist to determine if it’s the right fit for you!
Have questions? Drop them in the comments—House of Gynaecologists is here to help!