Progesterone vaginal ring

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Progesterone vaginal ring
NuvaRing compressed.jpg
Background
TypeHormonal
First use1998
Failure rates (first year)
Perfect use?
Typical use1.5%[1]
Usage
Duration effect3 months
User reminders?
Advantages and disadvantages
STI protectionno[2]
Period advantagesperiods may not occur while ring is inserted
Benefitseasy insertion and removal[3]

Progesterone vaginal ring, also known as progesterone-only vaginal ring, is a form of vaginal ring used for birth control when breastfeeding.[1] Use can begin at four weeks and continue for at least up to a year following childbirth.[4][3] Failure rates with usual use is about 1.5 per 100 women.[1] It is used within the vagina with one ring lasting three months.[4] The woman is able to place and remove the ring herself.[3]

Side effects include vaginal discharge and pain with urination.[3] It does not appear to be associated with serious side effects.[3][5] With use menstrual periods often do not resume.[1] It was specifically made for use with breastfeeding as it does not affect milk production.[1] It works by gradually releasing the hormone progesterone.[1]

Progesterone vaginal rings have been approved for medical use since 1998.[2] It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system.[6] As of 2014 they are available in a number of South and Central American countries.[1] As of 2016 it is not available in the United States.[4] It was developed by the Population Council and is sold under the brand name Progering.[7][2]

See also[edit]

References[edit]

  1. ^ a b c d e f g Whitaker, Amy; Gilliam, Melissa (2014). Contraception for Adolescent and Young Adult Women. Springer. p. 98. ISBN 9781461465799. Archived from the original on 2016-12-29.
  2. ^ a b c "Progesterone Vaginal Ring" (PDF). PATH. Archived (PDF) from the original on 5 November 2017. Retrieved 28 December 2016.
  3. ^ a b c d e The selection and use of essential medicines: Twentieth report of the WHO Expert Committee 2015 (including 19th WHO Model List of Essential Medicines and 5th WHO Model List of Essential Medicines for Children) (PDF). WHO. 2015. pp. 334–335. ISBN 9789240694941. Archived (PDF) from the original on 20 December 2016. Retrieved 8 December 2016.
  4. ^ a b c Greenberg, Jerrold S.; Bruess, Clint E.; Oswalt, Sara B. (2016). Exploring the Dimensions of Human Sexuality. Jones & Bartlett Publishers. ISBN 9781284081541. Archived from the original on 2016-12-28.
  5. ^ Carr, SL; Gaffield, ME; Dragoman, MV; Phillips, S (September 2016). "Safety of the progesterone-releasing vaginal ring (PVR) among lactating women: A systematic review". Contraception. 94 (3): 253–61. PMID 25869631.
  6. ^ "WHO Model List of Essential Medicines (19th List)" (PDF). World Health Organization. April 2015. Archived (PDF) from the original on 13 December 2016. Retrieved 8 December 2016.
  7. ^ "Population Council's Progesterone Contraceptive Vaginal Ring Added to WHO 2015 Essential Medicines List and Included in Medical Eligibility Criteria Guidance for Providers | Population Council". www.popcouncil.org. 9 June 2015. Archived from the original on 29 December 2016. Retrieved 28 December 2016.