Vaginal Ring
What it is . . .
The vaginal ring contains a combination of low dose hormones. Once a month, you insert the vaginal ring into your vagina for 21 days, and then removed for 7 days. After a 7 day break, you insert a new ring.
How it works . . .
The ring, basically 'tricking' the body into thinking that it is
pregnant, works in several ways:
1. Prevents the ovaries from releasing an egg by changing the woman's hormone levels
2. Changes the lining of the uterus (endometrium) making it harder for the fertilized egg to implant
3. The hormones cause changes in the cervical mucus making it more difficult for sperm to get to the egg
Who shouldn't take it . . .
Women who have a personal or family history of the following should seek advice from their doctor about using the vaginal ring:
1. Undiagnosed vaginal bleeding
2. Blood clots
3. Stroke or heart attack
4. Known or suspected cancer of the breast or sex organs
5. Problems associated with the use of the pill or other estrogen-containing products
6. Jaundice
7. Allergic reactions or hypersensitivity to the hormones found in the contracteptive
8. Pregnant or breastfeeding
9. High blood pressure
10. Cigarette smoking
11. Plans for forthcoming surgery
12. High cholesterol or triglycerides
13. Depression
14. Epilepsy
15. Gallbladder or pancreatic disease
16. Diabetes
17. Mental depression
What are the side effects . . .
Milder side effects that will usually subside within 3 months:
1. Vaginitis
2. Headaches
3. Upper respiratory infection
4. Leucorrhea (thick, whitish vaginal discharge)
5. Sinusitis
6. Nausea
7. Weight gain
Serious side effects that should be discussed with the doctor:
Gallbladder disease with indigestion and abdominal pain
Hypertension shown by high blood pressure
Very serious side effects - remove the ring immediately and see the doctor as soon as possible:
1. Severe abdominal pain
2. Chest pain or shortness of breath
3. Severe headaches
4. Eye problems such as blurred vision or blindness
5. Severe leg pain in the calf or thigh
Effectiveness Rates . . . Perfect use: 99% - Typical use: 95%
The ring is usually effective if you insert it within 5 days after beginning menstruation. It is recommended that you use backup contraception for the first 7 days.Women should be advised that there can be many drug interactions with the vaginal ring and that they should use a back up method when taking other medications (even over the counter cold remedies can sometimes interfere it is a good idea to check with a pharmacist).
Where to get it . . .
Vaginal rings are available by prescription at Sexual Health Centre Saskatoon for $12 a month after a consultation with the doctor and the nurse. Or you can go to the doctor of your choice with prices ranging from $20 to $30.