Nuvaring (Ethinyl Estradiol/Etonorgestrel) and/or alternatives

General Information On Nuvaring

Nuvaring is a hormonal contraceptive used by females. It is a combination of estonogestrel and estradiol, the generic names of female hormones that are able to prevent ovulation. The ring belongs to the category of hormonal contraceptives that work by preventing ovum release from the ovary. It also alters the cervical mucus and changes the endometrial lining so that sperms are unable to reach the ovum and fertilize the egg. You can buy Nuvaring in the form of a ring-like plastic device, which you have to insert in your vagina to prevent an unwanted pregnancy.

Side Effects for Nuvaring

Some of the common side effects associated with Nuvaring include mild nausea, bloating, vomiting or stomach cramps, breast tenderness, swelling or pain, darkening of facial skin or freckles, loss of hair or increased hair growth on the body, changes in appetite and weight, vaginal discharge or itching, decreased libido, changes in menstrual periods, headache, dizziness, nervousness, and tiredness. Most of these side effects are harmless and get better on their own as your body gets used to the device. However, you need to contact your doctor if you notice a change in the severity or pattern of your migraine attacks, dark urine, jaundice, clay colored stools, swelling on the hands, feet, or ankles, depression symptoms like sleep problems, mood changes or weakness, pain spreading to the shoulder or arm, vision, speech, or balance problems, pain in or behind the eyes, sudden headache, and weakness or numbness on one side of the body.

Precautions

Your doctor will never recommend you to buy Nuvaring if you are pregnant, as it can harm your unborn baby and may cause birth defects in the child. After all, this device is for preventing pregnancy and is of no use if you are already pregnant. You should also not use Nuvaring if you are breast-feeding, as the hormones it releases may slow the production of milk in your breasts and also harm your nursing child. You should also inform your doctor if you have a history of blood clots, irregular menstrual cycles, stroke, heart attacks, depression, or jaundice while using birth control pills. Also tell him/her if you have a liver, kidney, or heart disease, high blood pressure, diabetes related circulation problems, hormone related cancers like uterine cancer or breast cancer, abnormal vaginal bleeding, heart valve disorder, angina, gallbladder disease, seizure, epilepsy, a prolapsed bladder, rectum, or uterus, or toxic shock syndrome.

Nuvaring Dosage

Nuvaring should be left in the vagina for 3 weeks then removed; wait for a week, and then insert a new ring. Ask your doctor which day of the menstrual cycle you should insert the ring. For the initial 7 days, you will need to use another contraceptive method, as it may take a week for Nuvaring to become effective in preventing a pregnancy. The ring cannot be felt during intercourse, but you can remove it, rinse it thoroughly, and re-insert it if you do not wish to wear it during intercourse.

Interactions

You should not use Nuvaring if you are taking HIV medicines like atazanavir or ritonavir, seizure medications like phenytoin or primidone, barbiturates like amobarbital or Phenobarbital, and other drugs like rifampin, griseofulvin, acetaminophen, ascorbic acid, or modafinil. It is important to inform your physician about all medications that you are currently taking.

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