The ring (brand names: Annovera and NuvaRing) is a small, bendable ring that you insert into your vagina. (It kind of looks like one of those jelly bracelets from the 80s, but it feels a tiny bit stiffer.) You leave it in place for three weeks at a time, then take it out for the fourth week. The ring works by giving off hormones that prevent your ovaries from releasing eggs. The hormones also thicken your cervical mucus, which helps to block sperm from getting to the egg in the first place.
view all methods »types of rings
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Yearly (Annovera)
Annovera is a white, squishy birth control ring that you can use for up to a year. You insert it into your vagina where you keep it for three weeks. At the end of the third week, you take it out for a week, wash it with mild soap and water, pat dry, and store in its case at room temperature. That’s usually when you get your period. At the end of the fourth week, you pop it back in and start the whole cycle again. After 13 cycles, it’s time for a new Annovera.
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Monthly (NuvaRing)
The NuvaRing is a clear, bendable ring that you insert into your vagina. (It kind of looks like one of those jelly bracelets from the 80s, but it feels a tiny bit stiffer.) You leave the NuvaRing in place for three weeks at a time, then take it out for the fourth week. That’s when you’ll usually get your period. At the end of the fourth week, you insert a new ring. There is also a generic version of NuvaRing that contains the same hormones.
It’s very effective
Annovera is 97.3% effective at preventing pregnancy when used perfectly (exactly as directed). That means about three out of every hundred people using Annovera perfectly for a year will get pregnant.
NuvaRing is 99.7% effective at preventing pregnancy when used perfectly. That means fewer than one out of every hundred people using NuvaRing perfectly for a year will get pregnant.
Relatively little effort each month
If you’re the kind of person who would have trouble remembering to take a pill every day, the ring might be a good option. You only need to remember to do something twice a month (take the ring out and then a week later put the ring in). And we can help you with that.
You’re comfortable with your body
If you’re not okay with putting your fingers inside yourself, the ring probably isn’t for you. It’s a lot like putting in a tampon, though: If you can do that, you’re good to go.
Skipping periods
If you want, you can use either type of ring to skip your period. If you’re using Annovera, instead of taking it out after three weeks, you can just leave it in. You can skip a single period this way or multiple periods throughout the year. You can even skip all of your periods for a year by leaving it in continuously. It’s good for up to 13 cycles (a cycle is 28 days), which is a calendar year.
If you’re using the NuvaRing and want to skip periods, just leave it in for four weeks instead of three, and at the end of the 4 weeks (28 days), put in a new one.
Storage and privacy
If you’re storing NuvaRing (without opening it) for more than 4 months, it needs to be stored in the refrigerator. So if you don’t want anyone to know you’re using it, this could be a problem. Annovera doesn’t need to go in the fridge, but you still need a safe place to keep it stored in its case between cycles.
Also, some partners say they can feel the ring during sex. If that’s a problem, check out our tips for dealing with it.
A lower dose of hormones
The ring uses a lower dose of hormones than other methods, so there may be fewer negative side effects.
Blood clots: should I be worried?
For most people, the risk of blood clots while using the ring is very low. However, there are some things that greatly increase your risk, like smoking cigarettes if you’re over 35 years old, as well as genetic and medical conditions, like uncontrolled high blood pressure, heart attack or stroke, and migraine headaches with aura. If you have any of these risk factors, it’s not recommended that you use either type of ring, the patch, or any of the combined hormonal birth control pills (the most commonly used kind of birth control pill), so check with your medical provider about other options.
When you’re ready to get pregnant
You’ll return to fertility (that’s just another way of saying you’ll go back to being able to get pregnant) pretty darn quickly after you go off the ring. So don’t take any chances. If you’re not ready for a baby, protect yourself with another method.
Don’t take our word for it. Check out the videos above to hear people talk about their experiences with the ring. And be sure to ask your health care provider which method is best for you.
Thanks to the Affordable Care Act, if you have health insurance, chances are good that you’ll be able to get this method with no out-of-pocket cost. If you don’t have insurance and you’re not on Medicaid, the NuvaRing costs up to $200 a month, but the generic version is less expensive. Annovera may cost up to $2,400 out of pocket for a year of birth control, but coupons and other discounts can lower the cost big time.
Prices for NuvaRing:
- This method may be free or low-cost for you
- With Medicaid: Free
- With insurance: Free under most plans
- Without insurance: The full price of the NuvaRing and its generic version can range from $60 - $200. Depending on your income, you may be able to go to a low-cost clinic to get the ring at a reduced cost.
- Payment assistance: Check with your local family planning clinics to find out if they offer free or low-cost NuvaRings. Also, ask your provider for extra samples, or check out the NuvaRing website for coupons.
Prices for Annovera:
- This method may be free or low-cost for you
- With Medicaid: Free
- With insurance: Free under most plans
- Without insurance: Annovera can cost up to $2400, which would come out to about $200 a month—the same as the NuvaRing. However, with coupons from www.annovera.com the cost can be as low as $60. Also, depending on your income, you may be able to go to a low-cost clinic to get the ring at a reduced cost.
- Payment assistance: Check with your local family planning clinics to find out if they offer free or low-cost Annovera. Also, ask your provider for extra samples, or check out the Annovera website for coupons.
Both types of rings are pretty easy to use. All you really need to remember is the schedule for inserting and removing the ring—and we can help you with that.
Annovera
Once you insert the ring (see instructions below), leave it in for three weeks (21 days). Take it out for the fourth week (that means that you’ll leave it out for seven days). After taking it out, wash it with mild soap and water, pat it dry, and store it in its case at room temperature. When the ring is out, you’ll probably get a withdrawal bleed, which is like a period. After seven days, even if you’re still bleeding, put the Annovera back in again.
If you leave it out for more than seven days, you’ll need to use a backup method of birth control, like condoms, for seven days after putting it back in.
During the three weeks (21 days) that you have the ring in, it’s important not to take it out. And it’s designed to keep it in during sex. But if it ever comes out, make sure to put it back in right away. If the ring is out of your vagina for more than two hours total during those 21 days, you will need to use a backup method of birth control for seven days after putting it back in.
Here’s how to put Annovera in:
Step one: wash your hands.
Step two: squish the ring between your thumb and index finger.
Step three: insert it into your vagina as far up as you can get it with your finger. It’ll sit tucked up against the side of your vaginal wall. The exact position doesn’t affect how well it works to prevent pregnancy, as long as the entire ring is inside your vagina. So you just want to make sure you’re comfortable and no part of it is coming out of your vagina. If you need to, you can take it out and try again or try just pushing it further into your vagina.
Here’s how to take the Annovera out:
Step one: wash your hands.
Step two: insert your finger into your vagina until you feel the edge of the ring.
Step three: hook your finger on edge of the ring and pull down.
Here’s a video showing how to put in and take out the Annovera.
NuvaRing
Just like with Annovera, once you insert the ring (see instructions below), leave it in for three weeks (21 days). Take it out for the fourth week (that means that you’ll leave it out for seven days). After taking it out, put it back in the re-sealable pouch it came in and toss it in the trash. Disposing of it in its pouch will help prevent the hormones in the ring from leaching into the environment. When the ring is out, you’ll probably get a withdrawal bleed, which is like a period. After seven days, even if you’re still bleeding, insert a new ring and start the cycle again.
If you take the NuvaRing out during the three weeks (21 days) that you have the ring in, make sure to put it back in as soon as possible. If it’s out for more than 48 hours, you’re at risk for getting pregnant, and you’ll need to use a backup form of birth control for 7 days after putting the ring back in.
If you leave the NuvaRing out for more than 48 hours during the third week of a cycle, put it back in right away. On the day when you would normally have taken the ring out (day 22 of the cycle, where day 1 is the day you put it in), take it out and put a new one in, skipping your ring-free week. If you don’t put a new one in on that day, you’ll need to use a backup form of birth control until you’ve had a ring in for 7 days in a row.
Here’s how to put the NuvaRing in:
Step one: wash your hands.
Step two: squish the ring between your thumb and index finger.
Step three: insert it into your vagina as far up as you can get it with your finger. It’ll sit tucked up against the side of your vaginal wall. The exact position doesn’t affect how well it works to prevent pregnancy, as long as the entire ring is inside your vagina. So you just want to make sure you’re comfortable and no part of it is coming out of your vagina. If you need to, you can take it out and try again or try just pushing it further into your vagina.
Here’s how to take the NuvaRing out:
Step one: wash your hands.
Step two: insert your finger into your vagina until you feel the edge of the ring.
Step three: Hook your finger on the edge of the ring and pull down.
There are positive and negative things to say about each and every method. And everyone’s different—so what you experience may not be the same as what your friend experiences.
The Positive
Positive “side effects”? You bet. There are actually lots of things about birth control that are good for your body as well as your sex life.
The Negative
Everyone worries about negative side effects, but for most people who use the ring, they’re not a problem. Remember, you’re introducing hormones into your body, so it can take a few months to adjust. Give it time.
- Easy to use—it’s just like putting in a tampon
- Doesn’t interrupt the heat of the moment
- Might give you shorter, lighter periods
- May clear up acne
- Can reduce menstrual cramps and PMS
- Offers protection against some nasty health problems, like endometrial and ovarian cancer, iron deficiency anemia, ovarian cysts, and pelvic inflammatory disease
- Annovera lasts a whole year—longer than monthly methods like the pill, patch, and the NuvaRing—which means you don’t have to worry about refills for a whole year
Things that will probably go away after two or three months:
- Bleeding in between periods
- Breast tenderness
- Nausea and vomiting
Things that may last longer:
- Increased vaginal discharge, irritation, or infection
- A change in your sex drive
If you still feel uncomfortable after three months, switch methods and stay protected. You’re worth it.
*For a very small number of people there are risks of serious side effects.
Yearly (Annovera)
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Monthly (NuvaRing)
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We’re here to get this method working better for you. And if it still doesn’t feel right, we’ve got ideas for other methods. Just remember: If you change methods, make sure you’re protected while you switch.
quick facts /
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Easy to insert, works like the pill. Choose from Annovera or NuvaRing.
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The ring’s pretty effective the way most people use it.
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Most common—yet temporary—effects are irregular bleeding, sore boobs, nausea.
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Ring in. Wait 3 weeks. Ring out. Wait 1 week. Repeat.
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Need to visit a health care provider for a prescription.
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Anywhere from $0-$75 a month. Read more about why there’s a range.
THE RING
99.7% effectiveness for perfect use /
Of those who use the ring exactly as directed, fewer than 1 in 100 will experience an accidental pregnancy during the first year of using this method.
93% effectiveness for typical use /
Of those who do not use the ring exactly as directed, 7 in 100 will experience an accidental pregnancy during the first year of using this method.