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How to order Nuvaring?

When ordering a hormonal contraceptive such as Nuvaring, you will then obtain a prescription. Initially, you will need a face-to-face appointment and then for repeat prescriptions, you can continue with in-person consultations or order online. When buying the Nuvaring online, you can complete a quick consultation that will take approximately five minutes. A certified doctor reviews this and then you can order Nuvaring online.

Is it safe to order online?

When ordering from a certified online pharmacy, you can be ensured that your medication is safe. If the pharmacy doesn't ask you to complete essential health and medical questions, however, this is a telltale sign that the website isn't certified. The website should also display clear signs that it is registered and approved by the relevant authorities. In the UK, this includes being registered by the MHRA, GMC .

All medication will be delivered in tamper proof packaging complete with the full patient leaflet, which confirms that the medication is clinically proven and highly effective.

What is included in the price?

When ordering Nuvaring online here at Medilico, this is an all-inclusive price including the prescription, consultation, medication and delivery. There are no hidden costs. The price adjusts depending on the dosage and quantity you have ordered.

Can you buy without a prescription?

No. All clinically proven medication requires a valid prescription and Nuvaring is no exception. This is to confirm the medication is perfectly safe and highly effective for you to use. The prescription process will involve a short consultation – this is the same in person as well as online – and involves medical and personal question to ensure Nuvaring is compatible with you. If you have used hormonal contraception before, the likelihood that Nuvaring is effective is high.

What Is Nuvaring?

Nuvaring is a vaginal ring made from a soft plastic called ethylene vinyl acetate copolymer. It carries enough oestrogen and progesterone hormones to provide contraceptive cover for one month at a time.

The ring is inserted into the vagina by hand and left for three weeks. During this time you do not need to take any other action.

Nuvaring is a low dose contraceptive absorbed directly into your bloodstream so side effects are less likely to occur. It's possible to skip your period using Nuvaring and enjoy the benefits that hormonal combined contraception offers without taking a daily pill. Nuvaring is especially suitable for women with busy lives or those who cannot commit to taking a daily pill.

The ring itself is flexible and colourless measuring 54mm wide when laid flat. It is easy to insert and by yourself and removed once a month. You do not need a doctor to insert the Nuvaring.

What Are The Advantages Of Nuvaring?

Nuvaring has many advantages. Its contraceptive rate, when used correctly, is very high. It matches the contraceptive pill for effectiveness but requires less effort on your part.

  • It is easy to use. Some women are put off by the thought of inserting a plastic ring, but in reality Nuvaring is soft, flexible and does not cause any discomfort during insertion or throughout the month. It's comparable to inserting a tampon.
  • All combined hormonal contraception provides menstrual control. Nuvaring may make your periods shorter and lighter each month. This is a benefit to women struggling with heavy periods. Women with anaemia may find the Nuvaring helps them enormously.
  • You can also use Nuvaring to skip periods. It's not recommended you do this frequently but it is possible to forgo a period by inserting a new Nuvaring as soon as the old one is removed.
  • Along with a reduction in blood flow you may find symptoms of PMS such as mood swings, bloating pain and skin changes are considerably reduced. The hormones in Nuvaring control your body's own hormones and reduce hard to manage PMS.
  • If you suffer from acne or difficult skin Nuvaring may reduce breakouts and help to clear up spots and soreness.
  • Combined contraception provides a level of protection against ovarian and endometrial cancer.
  • Menstrual-related conditions such as endometriosis and polycystic ovary syndrome (PCOS) can be managed by Nuvaring because it prevents your body from releasing eggs and growing womb lining.
  • Conditions such as pelvic inflammatory disease are less likely to occur because Nuvaring increases the stickiness of cervical mucus making it harder for bacteria to enter.
  • The effectiveness rate of Nuvaring is so high that women who had previously relied on barrier methods on contraction, or those who are worried about forgetting a pill are able to relax and enjoy sex. Barrier methods require you to stop sex and fit protection. Nuvaring does not interrupt sex.
  • The combined pill loses its effectiveness if you vomit or have severe diarrhoea. If you are sick when using Nuvaring this doesn't affect your level of contraception. This is because Nuvaring is absorbed directly into the bloodstream.

What Are The Disadvantages Of The Nuvaring?

  • Nuvaring does not provide protection against sexually transmitted infections. STIs are transferred through fluid exchange and the only way to significantly reduce your chance of contracting a sexual infection is to use a condom.
  • If you've had unprotected sex, it's worth visiting your local sexual health clinic for a check-up. Many STIs can be treated with antibiotics. Some leave no trace of symptoms, such as chlamydia, which can cause infertility. If you are having casual sex or you're unsure about your partner's sexual health always use a condom to protect yourself.
  • You may experience some bleeding between periods. This often settles down as your body becomes accustomed to the introduction of hormones, but if it continues for more than a few months speak to your doctor.
  • You need to change the Nuvaring each month. Some women forget to do this because it not a daily task. If you think you'll forget, choose a longer lasting method of contraception such as the implant or IUD.
  • Nuvaring may fall out on occasion. This is a rare occurrence. Follow the instructions below if Nuvaring comes out.
  • Sometimes couples report they can feel the Nuvaring in place during sex. This does not happen with every couple. If it does occur you can readjust the ring so it lies in a different position.
  • Women taking combined contraception slightly increase their risk of developing a blood clot. This is because oestrogen can cause blood to clot more easily. This can happen in an artery or an organ. The risk is higher if you are also overweight, smoke, have high blood pressure, high levels of fat in your blood, have diabetes, migraines, a problem with your heart, or have a close relative who had a heart attack or stroke at a young age.

If you intend to travel a long distance by air speak to your doctor about using Nuvaring as it slightly raises the risk of a DVT. Symptoms of a blood clot are:

  • Pain or swelling in a leg
  • Sever chest pain
  • Sudden breathlessness
  • A sudden cough
  • Severe, long-lasting or worsening migraine
  • Double vision or visual disturbances
  • Difficulty speaking
  • Giddiness, fainting, weakness and numbness

Nuvaring and other combined contraceptives may increase your risk of developing some cancers. There is not a lot of research about cancer and Nuvaring, but as it uses the same hormones as the combined pill the same risks may be relevant. Breast cancer is slightly more prevalent in women using combined contraception. This may be due to ingestion of oestrogen or due to more regular doctor check-ups. All women must examine their breasts regularly to spot breast cancer early whether or not they use Nuvaring.

Very rarely combined hormonal contraception may develop benign liver tumours.

How Does Nuvaring Work

Each Nuvaring contains synthetic progesterone called etonogestrel and oestrogen called ethinyl estradiol which mimics those produced by the female body. These female sex hormones are slowly released into your bloodstream to control your menstrual cycle. It works the same way as the pill.

Nuvaring prevent pregnancy in three ways:

  • It prevents ovulation. If an egg is not released from the ovaries each month then conception cannot take place.
  • It thickens cervical mucus. All women have mucus at the entrance to their cervix. This keeps out infection and at fertile times of the month, it thins to help sperm enter the womb. Nuvaring's hormones thicken this mucus so sperm cannot pass.
  • It changes the lining of blood that's created each month for a fertilised egg to implant and grow in. When the womb lining is too thin an egg cannot survive there.

Nuvaring Dosages

Nuvaring is the only available vaginal ring option in the UK. It's available in one dose only. This dose is etonogestrel at 11.7 mg and ethinylestradiol at 2.7 mg.

How To Use Nuvaring

Nuvaring is over 99% effective but this relies on it being used correctly. Although you do not have to take a daily pill, you still need to be aware of the time period Nuvaring works in. After three weeks of use you should have a seven-day break before inserting a new Nuvaring.

Inserting a Nuvaring is simple; it's much like changing a tampon.

  • First you should wash your hands and open the foil packet Nuvaring is presented in. Don't open this packet before you intend to insert the Nuvaring. Once you have taken Nuvaring out you need to squeeze the soft plastic ring until it's compressed into a line. Get into a comfortable position and push Nuvaring into your vagina until you can no longer feel it. The ring does not have to remain circular in your vagina.
  • Once the ring is in place you can carry out your usual activities. Swimming and sex are not affected for example.
  • When the Nuvaring has been in place for three weeks you should remove it. Simply insert your index finger and hook the ring. Draw it out slowly. Nuvaring should not be flushed away. Wrap it in the original foil wrapper and place in the household waste.
  • Put another Nuvaring in after seven days.

Do not take any other type of hormonal contraception concurrently with Nuvaring. This will not heighten your protection and may cause serious side effects.

Starting The Nuvaring

Starting Nuvaring is simple. If you have regularly used tampons in the past you will not struggle with Nuvaring. If you haven't used tampons then you may need some practice. Nuvaring is designed to be placed in and removed from your vagina, so it is easy to achieve.

  • You should insert your first Nuvaring on the first day of your period. This ensures you have protection from pregnancy immediately. You can also insert it on days 2-5 but use additional barrier contraception for seven days to allow the contraceptive time to work. Usually, you will not have a period and Nuvaring together as you will remove the Nuvaring after three weeks of use to have a withdrawal bleed.
  • If you're swapping from the combined pill, insert Nuvaring on the day after you finish your current packet of pills. If you take a 28-day pill, begin Nuvaring after the last active pill, leaving the inactive dummy pills. If you have correctly used the pill you can stop taking it and insert Nuvaring at any point during the month.
  • If you've been using the contractive patch and have used it correctly you can swap to the Nuvaring at any point in the month
  • Mini pill users can begin Nuvaring at any point in the month but should use additional barrier contraception for seven days following insertion.
  • If you've been using an IUD, injection or implant you should insert your first Nuvaring when the injection is due or the day your IUD or implant is removed. Use extra barrier contraception for seven days.
  • If you've given birth you can start using the Nuvaring after four weeks but you should speak to your doctor first. You need to be completely mobile to reduce the risk of blood clots.

What To Do If You Forget To Remove Nuvaring

There is less chance of forgetting to remove the Nuvaring because it is only a monthly occurrence, but if you do forget you should follow these steps:

  • If it's less than seven days, remove the ring and have your seven-day break. You are still protected against pregnancy.
  • If it's over seven days take the ring out and insert a new one straight away. This means skipping your period. It is not harmful to do this on occasion. You should use additional barrier contraception for seven days.

What To Do If It Falls Out

Your Nuvaring is not likely to fall out if you have inserted it correctly, but if this happens, you can wash it in lukewarm water and re-insert it straight away. However, if it's been out for some time follow these instructions.

  • In the first or second week you should put it back in straight away. If it's been more than three hours you will need extra barrier contraception for seven days.
  • If it's fallen out in the third week either put in a new Nuvaring and skip your seven-day break or leave it out and have your seven-day break.
  • If your ring is ever out for more than three hours, you need additional barrier contraception whether you insert a new Nuvaring or put in a new one.

If you have had unprotected sex during the time the Nuvaring was displaced you could fall pregnant. Consider using emergency contraception such as ellaOne, which is designed to be used up to five days after unprotected sex. It works by delaying ovulation. You can get ellaOne from your pharmacist or online.

What To Do If You Forget To Put The New Ring In

If you forget to put a new Nuvaring in you should follow these actions:

The interval has been longer than seven days, put in a new ring and use extra barrier contraception for seven days. Consider emergency contraception if you've had sex in the ring-free interval.

Nuvaring Side Effects

Nuvaring contains a very low dose of hormones and so its side effects are often less experienced than other forms of hormonal contraception.

If you experience side effects they may disappear after a few months of use as your body adjusts but if they persist, are intolerable, or worsen seek medical advice as a different form of contraception may suit you better.

Some women may experience more common effects such as abdominal pain, nausea, yeast infection, 'feeling' the ring, headaches or migraine, depressive moods, a lower sex drive, breast tenderness, weight, gain, acne and the ring falling out.

Less common side effects include:

  • Disturbed vision
  • Dizziness
  • Swollen abdomen
  • Vomiting
  • Diarrhoea
  • Tiredness
  • Fluid retention
  • Bladder infections
  • Sexual intercourse issues such as feeling the ring during sex
  • Increased blood pressure
  • Muscle spasms
  • Periods changes
  • Dry vagina
  • Hair loss
  • Ring breakage (you will still be able to remove the ring)

For further uncommon side effects you should thoroughly read the patient information leaflet included with the course of Nuvaring.

Nuvaring Precautions

Many women can use the Nuvaring safely but there are some precautions all users should be aware of.

If you have any of the conditions listed under 'Who can use Nuvaring' you must not take the pill, or if you have special considerations you should be aware of any side effects or changes to your health. Report any side effects to your doctor immediately.

On rare occasions women may experience an allergic reaction to Nuvaring's ingredients. If you know you have allergies then do not use it. Those who experience an allergy for the first time may develop swollen lips, throat, hands and feet, hives, and breathlessness. If this happens to you seek immediate medical help. It is very rare to experience an allergic reaction to Nuvaring.

If you are bleeding when your seven-day break finishes you must still insert a fresh Nuvaring. This may mean you need to use tampons at the same time. This is not harmful but you should be sure that a tampon does not accidentally pull the Nuvaring out.

Who Can and Can't Use Nuvaring

Many women can use Nuvaring without problems, and it's gaining popularity due to the monthly regime and effectiveness rate. However, some women are not suitable due to health issues and lifestyle choices. You should not use Nuvaring if:

  • You've ever had a blood clot
  • If you've ever had a heart attack or stroke
  • If you've ever had angina or transient ischemic attack (a TIA ) or anything other early indication of heart attack or stroke
  • If you have a blood clotting disorder
  • If you have migraines with aura
  • If you have diabetes with damaged blood cells
  • If you have pancreas inflammation
  • If you've had severe liver disease
  • If you've had breast cancer or genital cancer
  • If you have any vaginal bleeding that remains unexplained
  • If you are allergic to ethinyl estradiol or etonogestrel, or any of the other ingredients of Nuvaring

You may be able to use Nuvaring on your doctor's advice and with special considerations if you any of the following apply to you:

  • If you smoke
  • If you are over 35
  • A close relative has ever had breast cancer
  • You have epilepsy
  • You have liver disease or gallbladder disease
  • You have Crohn's disease or ulcerative colitis
  • You have Lupus (SLE)
  • You have a condition that appeared or worsened during pregnancy e.g. hearing loss
  • You have Syndenham's chorea
  • You have hereditary angiodema
  • You have or have had chloasma (pigment patches)
  • You have a vaginal prolapse, constipation, or pain during sex
  • If you are due an operation or will be immobile for any length of time
  • If you have any of these conditions you will need to take special care. If they worsen when using the Nuvaring tell your doctor straight away

Pregnancy And Breastfeeding

You can use Nuvaring four weeks after giving birth, but your doctor will advise you on the length of time you need to wait. You should be mobile to reduce the risk of blood clots. If you've had a C-section birth you will need to wait longer than four weeks.

Breastfeeding and using Nuvaring has not been shown to be harmful but it is not recommended. Oestrogen may stop the supply of milk and trace amounts may pass to the infant.

Other Medication Interactions

All prescription medicines may affect how other medicines work, and Nuvaring has some contraindications. Speak to your doctor if you currently take any of the following, or if you are prescribed a short course speak to your doctor, dentist or nurse about its interaction with combined contraceptives.

  • Some antibiotics in particular rifampin.
  • Some antifungals.
  • St John's Wort - a herbal remedy.
  • Some HIV medications.
  • Some high cholesterol medications.
  • Some epilepsy medications.
  • The emergency contraceptive ellaOne can change your menstrual cycle. Speak to your pharmacist if you need to take ellaOne with a Nuvaring.

Conversely Nuvaring may prevent medications working including some epilepsy medicines. Ask your pharmacist or doctor for advice or call the NHS advice line on 111.

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