Can I use NuvaRing (etonogestrel/releasing vaginal ring) with a pessary?

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Last updated: June 24, 2025View editorial policy

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From the Research

Using NuvaRing with a pessary is not recommended due to potential interference with the ring's positioning and effectiveness. The NuvaRing needs to remain properly positioned in the vagina to consistently release the hormones etonogestrel and ethinyl estradiol, and a pessary could potentially displace it or interfere with its proper functioning 1. If you need to use both devices, it is essential to consult your healthcare provider first, as they may recommend removing the NuvaRing during pessary use and using backup contraception, or suggest alternative birth control methods that won't interact with your pessary 2.

Some key points to consider when using NuvaRing include:

  • The ring must be inserted for 3 weeks followed by a 1-week ring-free period for proper contraceptive effect 3
  • The type and size of your pessary matters, with larger pessaries posing a higher risk of interference
  • NuvaRing has been shown to be an effective and safe contraceptive method, with a low risk of adverse events 2
  • However, the use of NuvaRing with a pessary has not been specifically studied, and therefore, caution is advised

It is crucial to prioritize the effectiveness of the NuvaRing as a contraceptive method, and any potential interference from a pessary could compromise its reliability. Therefore, it is recommended to consult with a healthcare provider to determine the best course of action for your specific situation, taking into account the potential risks and benefits of using NuvaRing with a pessary 4, 5.

References

Research

The contraceptive vaginal ring, NuvaRing(®), a decade after its introduction.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2012

Research

Efficacy and safety of the contraceptive vaginal ring (NuvaRing) compared with a combined oral contraceptive in Chinese women: a 1-year randomised trial.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2016

Research

Complete and robust ovulation inhibition with NuvaRing.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2002

Research

Review of the vaginal contraceptive ring (NuvaRing).

The journal of family planning and reproductive health care, 2008

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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