Other Estrogen-Based Options

In addition to oral contraceptives, women have other estrogen-based contraceptive choices, including:

• NuvaRing: Inserted into the vagina like a tampon, this vaginal contraceptive ring releases a steady amount of estrogen and progestin throughout the month. It is worn for three weeks, then removed for a week, during which you have a period. Then you insert a new ring. Side effects include hormone effects similar to those from the pill and a mild increase of vaginal discharge. Like oral contraceptives, NuvaRing may increase the risk of blood clots and stroke, primarily in women who smoke. This method is 91 to 99 percent effective when used correctly.

• Ortho Evra. This skin patch has hormones embedded in its adhesive layer. You apply it to your lower abdomen, buttocks or upper body (but not your breasts), where it slowly releases an estrogen and progestin for a week. It must be replaced every week. After three weeks (and three patches) you have one patch-free week, during which you get your period. The patch delivers a higher overall amount of estrogen than most birth control pills, and it's unclear whether this increases the risk of blood clots. This method also is 91 to 99 percent effective when used correctly.

This content was produced with the support of an educational grant from Conceptus, Inc.

Create Date: 5/7/07
Date Last Updated: 5/7/07