The Ring

Important information about the birth control ring
Wash your hands with soap and water. Use your thumb and index finger to squeeze the ring into a narrow oval shape. Although there are two types of rings—NuvaRing or Annovera— you will insert and remove both rings in the same way. 
Lay down, squat, or stand with one leg up on a supported surface. Push the ring as far as you can into your vagina—similar to how you might insert a tampon. It’s not possible to push the ring up too far for it to get lost. 
The ring can rest in any position against your vaginal wall as long as it’s comfortable and no part of it sticks out of your vagina. If the ring feels uncomfortable, it may not have been inserted far enough so take it out and reinsert it. Leave it inside your vagina for 21 days. 
After 21 days you’ll remove the ring from your vagina. Wash your hands with soap and water. Reach your index finger into your vagina and feel for the edge of the ring. Hook your index finger around the ring and pull it down and out. 
NuvaRing: Put it back in its resealable pouch and toss it in the trash. Annovera: Wash the ring with soap and water. Pat dry and store in the case provided until it’s time to reinsert it. 
Once you’ve removed the ring, leave it out for 7 days; during this time you’ll probably get a period. NuvaRing: On day 8, insert a new ring. Annovera: On day 8, reinsert your clean ring. 
HOW IT WORKS 
There are two types of vaginal rings— NuvaRing and Annovera. Both rings release hormones that thicken cervical mucus to make it harder for sperm to swim to an egg, if released. 
HOW OFTEN YOU USE IT
NuvaRing: Insert a new ring each month. Annovera: Clean, reuse, and insert the same ring each month for up to a year. 
EFFECTIVENESS
Typically, 91% of people don’t become pregnant. 
STI PROTECTION
The ring does not protect against STIs. Be sure to use a barrier method.
HOW TO GET IT
A healthcare provider will provide a prescription that you pick up at a pharmacy. 
COST
Either ring costs between $0–2,200. If you have insurance, it’s typically low- or no-cost. 
VISIBILITY
While your partner(s) won’t see the ring, they may be able to feel the ring. 
STORAGE
Store both rings in a dry place, ideally between 59–77˚F. 
ADDITIONAL INFORMATION
  • No proven effect on weight gain 
  • You have the option to remove the ring on day 7 and get a period or insert a new ring right away and not have a period 
If you notice any concerning changes, immediately reach out to your healthcare provider. 
This information is here to support you as you explore which birth control method (or methods) might work for you. It may take a few tries to figure out which method is best for you.