{"id":628445,"date":"2024-05-31T12:43:34","date_gmt":"2024-05-31T16:43:34","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628445"},"modified":"2024-10-25T09:56:15","modified_gmt":"2024-10-25T13:56:15","slug":"nuvaring-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/nuvaring-alternatives\/","title":{"rendered":"NuvaRing (etonogestrel-ethinyl estradiol) alternatives: What can I take instead of NuvaRing?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/nuvaring\/what-is\"><span style=\"font-weight: 400;\">NuvaRing<\/span><\/a><span style=\"font-weight: 400;\"> (etonogestrel-ethinyl estradiol) is branded formulation of a type of combined hormonal contraceptive, a vaginal birth control ring that is inserted similarly to a tampon and left in place for 3 weeks, followed by one ring-free week. A new ring is inserted with the subsequent cycle. Choosing a contraceptive can be an overwhelming process. There are <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/11427-birth-control-options\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">many birth control options<\/span><\/a><span style=\"font-weight: 400;\"> and countless considerations, including patient-specific needs, side effects, and drug interactions to consider. Continue reading to learn which hormonal contraceptive might be best for you.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/nuvaring\/dosage\"><b>NuvaRing dosage, forms, and strengths<\/b><\/a><\/p>\n<h2 id=\"what-can-i-take-in-place-of-nuvaring\"><span style=\"font-weight: 400;\">What can I take in place of NuvaRing?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If a contraindication or aversion to a combined hormonal <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/contraceptives\"><span style=\"font-weight: 400;\">contraceptive<\/span><\/a><span style=\"font-weight: 400;\"> exists, there are other options besides NuvaRing. These alternative medications include other types of contraceptives, such as combined oral contraceptives (birth control pills) and depot medroxyprogesterone acetate injection (the birth control shot), as well as emergency contraception, intrauterine devices, progestin-only pills, progestin-only options, and nonhormonal options. It is important to note that contraceptives are not always taken as a birth control method but may also be used to manage conditions such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/living-with-endometriosis\/\"><span style=\"font-weight: 400;\">endometriosis<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/foods-that-help-with-period-cramps\/\"><span style=\"font-weight: 400;\">dysmenorrhea<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/how-to-stop-heavy-periods\/\"><span style=\"font-weight: 400;\">menorrhagia<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"compare-nuvaring-etonogestrel-ethinyl-estradiol-alternatives\"><span class=\"title\">Compare NuvaRing (etonogestrel-ethinyl estradiol) alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">NuvaRing<br \/>\n<\/span><span style=\"font-weight: 400;\">(ethinyl estradiol \/ etonogestrel)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraception<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Vaginal ring inserted and left in for 3 weeks, followed by one ring-free week. Repeat with each cycle.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/nuvaring\"><span style=\"font-weight: 400;\">NuvaRing coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Eluryng<br \/>\n<\/span><span style=\"font-weight: 400;\">(ethinyl estradiol \/ etonogestrel)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraception<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Vaginal ring inserted and left in for 3 weeks, followed by one ring-free week. Repeat with each cycle.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/eluryng\"><span style=\"font-weight: 400;\">Eluryng coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Mirena (levonorgestrel intrauterine device)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Abnormal uterine bleeding, contraception, dysmenorrhea, endometrial hyperplasia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Insert into the uterine cavity and replace by the end of 8 years.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/mirena-52-mg\"><span style=\"font-weight: 400;\">Mirena coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Depo-Provera (medroxyprogesterone acetate)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Abnormal uterine bleeding contraception, endometrial carcinoma, endometriosis, endometrial hyperplasia, secondary amenorrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">150 mg injection intramuscularly every 3 months (every 13 weeks)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/depo-provera\"><span style=\"font-weight: 400;\">Depo-Provera coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Depo-SubQ Provera 104 (medroxyprogesterone acetate)<\/span><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Abnormal uterine bleeding contraception, endometrial carcinoma, endometriosis, endometrial hyperplasia, secondary amenorrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">104 mg injection intramuscularly every 3 months (every 13 weeks)<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/depo-subq-provera-104\"><span style=\"font-weight: 400;\">Depo-SubQ Provera 104 coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Annovera<br \/>\n<\/span><span style=\"font-weight: 400;\">(ethinyl estradiol \/ segesterone acetate)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraception<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Vaginal ring inserted and left in for 3 weeks and removed for 1 week. The ring should be washed and can be reused for up to 13 cycles.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/annovera\"><span style=\"font-weight: 400;\">Annovera coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nexplanon<br \/>\n(etonogestrel implant)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraception<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Insert 1 implant in the inner side of the upper, nondominant arm; remove no later than 3 years after the date of insertion.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/nexplanon\"><span style=\"font-weight: 400;\">Nexplanon coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Paragard<br \/>\n(intrauterine copper)&nbsp;<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Contraception<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Insert into the uterine cavity and replace by the end of 10 years.<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/paragard-intrauterine-copper\"><span style=\"font-weight: 400;\">Paragard coupons<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"other-alternatives-to-nuvaring\"><span style=\"font-weight: 400;\">Other alternatives to NuvaRing<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lo-loestrin-fe\"><span style=\"font-weight: 400;\">Lo Loestrin Fe<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/skyla\"><span style=\"font-weight: 400;\">Skyla<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/kyleena\"><span style=\"font-weight: 400;\">Kyleena<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/levora-0-15-30-28\"><span style=\"font-weight: 400;\">Levora 0.15\/30<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/yaz\"><span style=\"font-weight: 400;\">Yaz<\/span><\/a><\/li>\n<\/ul>\n<h2 id=\"top-5-nuvaring-alternatives\"><span style=\"font-weight: 400;\">Top 5 NuvaRing alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following are some of the most common alternatives to NuvaRing.<\/span><\/p>\n<h3 id=\"1-eluryng\"><span style=\"font-weight: 400;\">1. Eluryng<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/eluryng\/what-is\"><span style=\"font-weight: 400;\">Eluryng<\/span><\/a><span style=\"font-weight: 400;\"> is a generic version of NuvaRing and shares the same dosing and side effects. Its biggest advantage over NuvaRing might be cost. Besides cost and preference, <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/24157-vaginal-ring\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">alternatives to both Nuvaring and Eluryng<\/span><\/a><span style=\"font-weight: 400;\"> should be considered in women who smoke and are greater than 35 years old, have blood clots, have a history of certain types of cancers, have cardiovascular disease or uncontrolled diabetes, suffer from migraines, or take medications that interfere with the efficacy of the vaginal ring.&nbsp;<\/span><\/p>\n<h3 id=\"2-mirena\"><span style=\"font-weight: 400;\">2. Mirena<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/mirena-52-mg\/what-is\"><span style=\"font-weight: 400;\">Mirena<\/span><\/a><span style=\"font-weight: 400;\"> is an <\/span><a href=\"https:\/\/www.yalemedicine.org\/news\/intrauterine-devices-iud\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">intrauterine device (IUD)<\/span><\/a><span style=\"font-weight: 400;\"> exuding between 7 to 21 mcg per day of levonorgestrel, depending upon the duration of insertion. Mirena is a good option for individuals unable or unwilling to adhere to the exchange of NuvaRing needed every 28 days. This is because it is inserted and can remain in place and effective at preventing pregnancy for up to 8 years. In addition to contraception, Mirena may be a preferred alternative to NuvaRing in individuals who suffer from dysmenorrhea, treatment of endometrial hyperplasia, or prevention of estrogen therapy-associated endometrial hyperplasia. Mirena, as a progestin-only form of hormonal contraception, may also be preferred over NuvaRing in those who smoke cigarettes which is known to increase the risk of serious cardiovascular events in those on combination hormonal contraceptives.&nbsp;<\/span><\/p>\n<h3 id=\"3-depo-provera\"><span style=\"font-weight: 400;\">3. Depo-Provera<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/depo-provera\/what-is\"><span style=\"font-weight: 400;\">Depo-Provera<\/span><\/a><span style=\"font-weight: 400;\"> is a depot medroxyprogesterone acetate injection. It can be administered either intramuscularly (IM) or subcutaneously (SQ). Depo-Provera is a good alternative to NuvaRing in individuals also receiving medications known as CYP3A4 inducers, which classically include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenytoin-sodium\/what-is\"><span style=\"font-weight: 400;\">phenytoin<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/carbamazepine\/what-is\"><span style=\"font-weight: 400;\">carbamazepine<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/topiramate\/what-is\"><span style=\"font-weight: 400;\">topiramate<\/span><\/a><span style=\"font-weight: 400;\">, among many others. Those medications may decrease the efficacy of estrogen-containing contraceptives. For those seeking long-acting contraception, the injectable option offers convenient dosing every 13 weeks. For individuals suffering from <\/span><a href=\"https:\/\/www.brighamandwomens.org\/obgyn\/infertility-reproductive-surgery\/endometriosis-treatment-overview\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">endometriosis<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28625286\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">dysmenorrhea<\/span><\/a><span style=\"font-weight: 400;\">, or <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30742315\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">menorrhagia<\/span><\/a><span style=\"font-weight: 400;\">, Depo-Provera is also a desirable alternative based on clinical evidence to reduce symptoms associated with these conditions. A downside to this alternative is frequent irregular breakthrough bleeding, especially early on. Depo-Provera could also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6055351\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">delay return to fertility<\/span><\/a><span style=\"font-weight: 400;\"> for up to 12 months after the last dose.&nbsp;<\/span><\/p>\n<h3 id=\"4-annovera\"><span style=\"font-weight: 400;\">4. Annovera<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">&nbsp;<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/annovera\/what-is\"><span style=\"font-weight: 400;\">Annovera<\/span><\/a><span style=\"font-weight: 400;\">, like NuvaRing, is a vaginal birth control ring. But Annovera uses segesterone acetate, a different progestin than NuvaRing&#8217;s etonogestrel. Annovera shares common side effects with NuvaRing, like breast tenderness and irregular bleeding. However, the different <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10218893\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">progestin types<\/span><\/a><span style=\"font-weight: 400;\"> might cause fewer side effects for some users. Like a tampon, Annovera is a vaginal ring inserted for 21 days, then removed for a week, typically causing a period. Neither protects against sexually transmitted infections. The difference between Annovera over NuvaRing is that the same vaginal ring is reused for 13 menstrual cycles (approximately one year). At the completion of the one-week ring-free period, the same ring is cleaned and reinserted.&nbsp;<\/span><\/p>\n<h3 id=\"5-nexplanon\"><span style=\"font-weight: 400;\">5. Nexplanon<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/nexplanon\/what-is\"><span style=\"font-weight: 400;\">Nexplanon<\/span><\/a><span style=\"font-weight: 400;\"> offers an additional unique administration route for a hormonal contraceptive. The implant is a thin rod, like a matchstick, inserted under the skin in the upper arm by a healthcare professional. It may be left in place for up to 3 years. Nexplanon releases a low dose of a progestin-only, etonogestrel. For women who cannot tolerate estrogens, such as those with multiple cardiovascular risk factors or poorly controlled cardiovascular risk factors, Nexplanon is a preferred option. The implant provides continuous and long-lasting birth control and very little maintenance. Insertion is generally painless with the use of a local anesthetic, and, once removed, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6055351\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">does not impact long-term fertility<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<h2 id=\"natural-alternatives-to-nuvaring\"><span style=\"font-weight: 400;\">Natural alternatives to NuvaRing<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Non-hormonal birth control options also include <\/span><a href=\"https:\/\/www.acog.org\/womens-health\/faqs\/barrier-methods-of-birth-control-spermicide-condom-sponge-diaphragm-and-cervical-cap\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">barrier methods<\/span><\/a><span style=\"font-weight: 400;\">, which include;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Female condoms- internal condoms, which can help protect against pregnancy and sexually transmitted infections (STIs).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diaphragms- smaller, shallow, cup-shaped disks made of silicone that cover the bottom of a female&rsquo;s cervix to stop sperm from reaching a released egg.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cervical caps<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sponges<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spermicides&nbsp;&nbsp;<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some of these options require a prescription, while others are available over-the-counter. Additional non-hormonal methods of birth control options exist and include <\/span><a href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/natural-family-planning\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">natural family planning<\/span><\/a><span style=\"font-weight: 400;\"> methods, which may incorporate tracking factors like menstruation, cervical mucus, and basal temperature to predict ovulation. Lastly, copper intrauterine devices (IUDs) provide long-acting and reversible contraception. It is important to note that tracking methods and the copper IUD are not effective at preventing the transmission of STIs.&nbsp;<\/span><\/p>\n<h2 id=\"how-to-switch-to-a-nuvaring-alternative\"><span style=\"font-weight: 400;\">How to switch to a NuvaRing alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Switching to a NuvaRing alternative may require planning, depending on the type of birth control and its use for pregnancy prevention. Implants, like Mirena, may be inserted at any time, including the hormone-free interval of the cycle. If Mirena is inserted during active use of a NuvaRing, remove the NuvaRing 7 days after Mirena insertion or at the end of the current treatment cycle. Transitioning from NuvaRing to Depo Provera, the injection should be administered within 7 days of removing the vaginal ring. When switching from Nuvaring to Nexplanon, Nexplanon should be inserted on the same day the vaginal ring was removed, or the day following the ring-free interval (at the latest). Given the nuance of switching forms of birth control, it should occur in discussion with the prescribing healthcare professional.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NuvaRing (etonogestrel-ethinyl estradiol) is branded formulation of a type of combined hormonal contraceptive, a vaginal birth control ring that is inserted similarly to a tampon and left in place for 3 weeks, followed by one ring-free week. A new ring is inserted with the subsequent cycle. Choosing a contraceptive can be an overwhelming process. There [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":628446,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4783,608],"coauthors":[10869],"class_list":["post-628445","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-birth-control","tag-health-insurance","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top NuvaRing (etonogestrel-ethinyl estradiol) alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Eluryng, Mirena, Depo-Provera, Annovera, and Nexplanon are some NuvaRing alternatives. 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