What should I know before using the vaginal ring for birth control?

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Dr. Darria Long Gillespie, MD
Emergency Medicine
If you have asthma, epilepsy, high cholesterol or triglycerides, or a depressive disorder, the ring may not be a good option for you.

If you have abnormal vaginal bleeding, coronary artery disease, diabetes, a blood clotting disorder, breast cancer, endometrial cancer, high blood pressure, hypercoagulation disorder, or migraine headaches, you should not use the ring.

If you have had cholestatic jaundice during pregnancy, you should not use the ring.

If you have had a stroke or transient ischemic attack (TIA), you should not use the ring.

If you have had gallbladder problems when using birth control pills, you should not use the ring.

If you have had heart valve disease with complications such as pulmonary hypertension, atrial fibrillation, or bacterial endocarditis, you should not use the ring.

If you have liver disease, you should not use the ring. If you have another form of liver impairment, the ring may not be a good option for you. If you have a liver tumor, the ring may not be a good option for you.

If you have double vision or any eye lesion caused by ophthalmic vascular disease, you should not use the ring.

If you have had a mid-trimester pregnancy termination, you should not use the ring.

If you are pregnant or suspect you are pregnant, you should not use the ring.

If you smoke and are over 35, you should not use the ring.

You should not use the vaginal ring if you are breastfeeding.

You should not use the vaginal ring within 4 weeks of delivering a baby.

If you use birth control containing a progestin and estrogen, you should avoid caffeine. 

This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.