Explain How to Use

Explain how to insert the ring
  • The user can choose the position most comfortable for her—for example, standing with one leg up, squatting, or lying down.
  • She should press opposite sides of the ring together and gently and, with her index finger, Step 1 of inserting the Progesterone-Releasing Vaginal Ringpush the folded ring entirely inside the vagina as far as she can (see picture 1). It can help to push down with the muscles of the vagina while inserting the ring.
  • The exact position is not important, but inserting it deeply helps it to stay in place (see picture 2),Step 2 of inserting the Progesterone-Releasing Vaginal Ring and the user is less likely to feel it. The muscles of the vagina naturally keep the ring in place.
  • She should not feel the ring after she places it into her vagina. If she feels the ring in her vagina, she has a sensation of it slipping, or it feels uncomfortable, she may not have pushed it back into her vagina far enough. Instruct her to use a clean finger to gently push the ring as far as she can into her vagina. There is no danger of the ring being pushed too far up in the vagina, breaking during insertion, or getting lost.
Explain that the ring must be left in for 90 days
  • She should keep the ring in place at all times to maintain effectiveness.
  • To continue avoiding pregnancy, the user can take the ring out at the end of the 90 days and replace it immediately with a new ring. She can use 4 rings, for up to one year of use in the postpartum period.
  • The ring can be disposed of in a waste receptacle. Disposing of the ring in a flush toilet is not recommended. 
The ring should never be left out for more than 2 hours
  • The ring should be left in place always. Some women may remove the ring for sex or for cleaning, but this is not necessary and not recommended because some women forget to put it back within 2 hours.
  • If the ring slips out completely, she should rinse it in clean water and immediately put it back in place. 
Explain that her partner may be able to feel the ring
  • This generally does not interfere with sex or decrease sexual pleasure.