Female sex workers

Problems with the vaginal ring!

The vaginal contraceptive ring fell out the vagina or you have forgotten to remove or replace the ring?

  • If you don’t use the vaginal contraceptive ring correctly, you can become pregnant.  
  • Below are some situations which may occur.  
  • To prevent you from getting pregnant in these situations, you have to observe the corresponding instructions strictly.

What to do in case of accidental expulsion?

1. If the ring was out of your vagina less than 3 hours:

  • Rinse the ring with cold or lukewarm water and insert it again.
  • You remain protected against pregnancy.

2. If the ring was out of your vagina for more than 3 hours:

During the 1st or 2nd week:

  • Insert the ring into the vagina again.
  • Don’t take it out again, until you had the ring at least 7 consecutive days in your vagina.
  • Use a condom during these 7 days.
  • If you are in the first week and had sex during the 7 past days, there is a risk of getting pregnant.  Consult your doctor.

During the 3rd week:

You must remove this ring and there are two options:

1st option:

  • You immediately insert a new ring.
  • This starts a new period of 3 weeks.  
  • You will probably have no bleeding. 
  • Breakthrough bleeding (minor bleeding) can occur.

 2nd option:

  • You don’t insert a new ring.
  • You get some bleeding and insert a new ring within 7 days after the previous ring was removed or expulsed.
  • You can only choose this option if the ring was used uninterruptedly during the previous 7 days.

What if you break the ring?

A ring very rarely breaks.  If this happens, you should do the following:

  • Throw away the broken ring.
  • Replace this ring as soon as possible by a new ring.
  • Use a condom during the next 7 days.

What if you forget to insert the ring after the ring free period and your ring free period is therefore longer than 7 days

  • Insert a new ring in your vagina as soon as you think of it.
  • Use a condom during the next 7 days.
  • If you had sex during the ring free period, you might be pregnant.  In that case immediately contact your doctor.  The longer the ring free period was, the more chance you have of being pregnant.

What if you forgot to remove the ring?

1.  If the ring was longer than 3 but maximum 4 weeks in your vagina:

  • Take a ring free period of 7 days.
  • Then insert a new ring.

2. If the ring was longer than 4 weeks in your vagina:

  • In this case you can become pregnant.  Contact your doctor before you start again.