Contraceptive Vaginal Ring

The combines hormonal ring is a flexible ring of 54 mm diameter that releases 15 microgram of ethinyloestrodiol and 120 microgram of etornorgestrel daily (as such is the lowest dose of combined hormonal method)

Advantages

• Self-insertion and removal, good compliance
• Quick reversibility

Disadvantages

• Expensive (around rs 700 per ring per cycle)
• Local irritation is felt in vagina by some users (vaginitis occurs in 5%)
• Expulsion may occur

How is it applied?

The ring is self-inserted and kept worn in vagina for 21 days followed by a 7 day hormonal free interval, during which a withdrawal bleeding occurs. Women should not feel discomfort from the ring and should be removed for a short period of time (less than 2 hours) while it can be cleaned and replaced

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