Nuvaring (Etonogestrel/Ethinyl Estradiol) from Maple Leaf Medications.

What is Nuvaring?

Nuvaring, with the generic name etonogestrel/ethinyl estradiol, is a vaginal ring used as a combination hormonal contraceptive (CHC) used by women to prevent pregnancy. On the other hand, this product could not be used as protection from sexually transmitted diseases, such as gonorrhea, chlamydia, and HIV.

This hormonal medication acts by suppressing gonadotropins. It mainly inhibits ovulation, but additionally, it makes vaginal mucus thicker to prevent sperm from reaching the egg. It also changes the uterine lining to avert the attachment of a fertilized egg.

How to use Nuvaring

To begin, read Nuvaring information booklet included with this medicine. Avoid using this medication if you have not yet understood the instructions or drug information in the printed guide. If you need further medical advice or have questions on using this hormonal contraceptive, ask your doctor or pharmacist.

If you are using this medication for the first time, give it enough time to work by using another non-hormonal birth control, like condoms or spermicide, for the first seven days to prevent pregnancy. Avoid female condoms, diaphragm, and cervical cap as they may interfere with the placement of this medication.

Nuvaring should be kept inserted for three weeks. It should be removed on the same day of the week and at the same time that it has been inserted. After that, there should be one ring-free week. Expect your period two to three days after Nuvaring is removed.

Always check if Nuvaring is still properly in place, especially before and after intercourse. This contraceptive may fall out accidentally during sexual intercourse or during bowel movements. If your Nuvaring has been out of the vagina for less than 3 hours, clean it with tap water before reinserting it. If it has been more than three hours, reinsert a new ring and use additional non-hormonal birth control for the next seven days.

How to Insert Nuvaring:

Wash your hands each time before inserting Nuvaring.

Choose a comfortable position. May it be sitting, standing, or squatting.

Open the foil packaging through the notch at the top. Keep the pouch because you will use it to dispose of the ring.

Get the vaginal ring and hold it using your thumb and index finger. Then, push the ring’s sides together.

Insert the folded ring into your vagina. Push it up gently using your index finger. You may also use an applicator to insert Nuvaring. If it feels uncomfortable, you may need to push it further upward.

How to remove Nuvaring:

Wash your hands with tap water.

Assume a comfortable position again.

Insert your index finger into the vagina. Hook through it and remove the ring.

Gently pull the ring down until it is out.

Put the used ring into its resealable foil pouch and dispose it accordingly. Do not flush the ring into your toilet bowl.

Side effects

Common side effects:

  • Nausea
  • Headache
  • Dizziness
  • Fatigue
  • Vaginal discomfort or irritation
  • Breast tenderness
  • Bloating
  • Weight changes

For the most part, the side effects caused by this contraceptive are mild. If the adverse reactions persist or worsen, consult your doctor or any health care professional. You also have to report severe side effects, such as:

  • Elevated blood pressure
  • Lumps in the breast
  • Severe abdominal pain
  • Unusual vaginal bleeding
  • Dark urine
  • Yellowish skin
  • Painful urination
  • Chest pain
  • Rapid breathing
  • Trouble speaking
  • Severe headache
  • Weakness on one side of the body
  • Mental or mood changes
  • Signs of toxic shock syndrome or TSS (sudden high fever, severe dizziness, fainting, unusual body pain, sunburn-like rash)

This is not a complete or dull list of Nuvaring side effects.


Before using Nuvaring hormonal contraceptives, make sure to disclose your entire medical history to your physician, especially blood clotting disorders, high cholesterol levels, angioedema, heart problems, gallbladder problems, migraine, liver disease, vaginal disease, diabetes, high blood pressure, or cancer. Some medical conditions may directly affect how your body will respond to this medication. You also have to tell your physician about all the prescription drugs and nonprescription drugs you are taking, for they may have drug interactions with this medication.

Always be watchful for an allergic reaction while on this contraceptive. Do not use this vaginal ring if you have a known allergy to etonogestrel, estradiol, progestin, or any inactive ingredients it may contain. Signs of hypersensitivity are severe dizziness, skin rashes, swelling of the face and neck, hives, and breathing difficulty. Seek emergency medical management immediately if this occurs.

Because this medication increases the risk of blood clots, tell your doctor if you will be confined in a certain position for a long time. You may have to temporarily stop using this medication if you will go on a long-haul flight or have surgery.

This CHC may cause dark, blotchy patches on your face. Sun exposure may worsen this adverse effect. To prevent this, limit your time outdoors and always wear sunscreen. You also have to avoid indoor tanning.

Breastfeeding mom should not use this vaginal ring. It could potentially cause harm to a breastfed baby and decrease breastmilk production. Use Nuvaring only when absolutely necessary.

Frequently Asked Questions

What if I forgot to remove my Nuvaring?

Your vaginal ring will protect you from pregnancy for up to 4 weeks. If you forget to remove the Nuvaring, take it out as soon as you remember and start your ring-free week.

Should I still use additional birth control if I start using NuvaRing on the first day of my period?

It is unnecessary to use another birth control method if you start using this vaginal ring on your first day of menstruation.

Can I use a tampon while on this medication?

Yes, just make sure that the vaginal ring is still in place whenever you remove the tampon.

Does this medication cause weight gain?

Yes, this contraceptive may cause weight changes.

How much does this medication cost?

You can check for Nuvaring price from this page.

Brand Name:


Scientific Name:

Etonogestrel/Ethinyl Estradiol

Other Names:




Quantities Available:

1, 3


Vaginal Ring

Maple Leaf Medications has provided information from third parties intended to increase awareness and does not contain all the information about Nuvaring (Etonogestrel/Ethinyl Estradiol). Talk to your doctor or a qualified medical practitioner for medical attention, advice, or if you have any concerns about Nuvaring (Etonogestrel/Ethinyl Estradiol).