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Contraceptive Ring

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Abstract

Contraceptive vaginal rings (CVR) offer the benefit of safe, effective, and patient-controlled reversible contraception without the need for daily dosing. There are currently two CVRs in commercial use worldwide, including the etonogestrel/ethinyl estradiol (ENG/EE) CVR and a progesterone-only ring approved in some countries for postpartum lactating women. This chapter focuses on the ENG/EE CVR (NuvaRing®) approved by the US FDA. Pharmacokinetics, mechanism of action, effectiveness, advantages and disadvantages, and counseling tips are addressed. Additionally, this chapter includes a discussion of drug interactions and side effects, including the risk of venous and arterial thromboembolism with vaginal as compared to oral ethinyl estradiol.

Keywords

  • Vaginal ring
  • Contraception
  • Ethinyl estradiol
  • Etonogestrel
  • Pharmacokinetics
  • Venous thromboembolism
  • Hormonal contraception

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Correspondence to Katharine B. Simmons MD, MPH .

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Simmons, K.B., Jensen, J.T. (2016). Contraceptive Ring. In: Shoupe, D., Mishell, Jr., D. (eds) The Handbook of Contraception. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-20185-6_7

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  • DOI: https://doi.org/10.1007/978-3-319-20185-6_7

  • Publisher Name: Humana Press, Cham

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