The Ring
A flexible ring inserted vaginally with a very low hormone dose
form
Flexible ring inserted vaginally, changed monthly
What it is
A small, flexible ring you insert into the vagina for 3 weeks, then remove for 1 week. It delivers a very low, steady dose of estrogen and progestin (a lab-made hormone similar to the progesterone your body makes naturally), lower than most pills.
How it works
Hormones absorb directly through the vaginal wall into the bloodstream, stopping ovulation and thickening the mucus at the womb's entrance. Because it bypasses the digestive system, a lower hormone dose is needed compared to pills.
Placing the vaginal ring
A simple look at how the ring goes in. Step through it below.
What it is
A soft, bendy ring — small and flexible, about the size of a coin.
Common brands
Tap any brand to learn more.
The good stuff
- Only needs to be changed monthly
- Very low hormone dose compared to pills
- Steady hormone levels, fewer mood dips
- Can be used continuously to skip periods
- Reduces cramping and lightens periods
- Nothing to remember daily or weekly
The trade-offs
- Some people or partners feel it during sex (though it's harmless to leave in)
- Requires comfort with vaginal insertion and removal
- Can cause local vaginal irritation or discharge in some people
- Same oestrogen-related risks as the combined pill
- Still contains oestrogen, which can affect mood in some people — though the dose is the lowest of the combined methods
Avoid if
- You're not comfortable with vaginal insertion
- Migraines with aura (migraines with warning signs like flashing lights, blind spots, or tingling beforehand)
- History of blood clots or stroke, or you smoke over 35
- You have an inherited clotting condition like Factor V Leiden (a gene change that makes clots more likely), or high blood pressure
- Certain vaginal conditions
What to expect
- 1Most people can't feel it once inserted correctly. If you can, try pushing it higher.
- 2Spotting is common in the first month and usually settles.
- 3It can be left in during sex, and most partners won't feel it.
- 4If it comes out (rare), rinse with cool water and reinsert within 3 hours.
Sources: ACOG, CDC (US Medical Eligibility Criteria for Contraceptive Use). Not a substitute for medical advice.