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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Spotting Before Periods After Removing NuvaRing?

I went off of my nuva ring 3-4 months ago and started experiencing spotting before my periods than they became delayed by 2 days but now the spotting stopped and my period hasn t come for 4 days now and it s worrying me. Other info is my periods start at the end of the month and end in the beginning begins of the next month plus I only have one partner and we use protection all the time.
Thu, 8 Aug 2019
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General & Family Physician,  's  Response
Hi,

Nuva ring is a contraceptive device with inbuilt hormones. It is to be worn for 3 weeks & removed, to be inserted with a new ring after a week.

You had stopped using it 3 months back, found the periods to be changed pattern for a couple of months... but now you have period delayed by 4 days.

Fertility returns earliest (the same month of withdrawal) after NuvaRing. Some error in the use of contraception may cause pregnancy.

I would advise going for a home pregnancy test...after periods are delayed for more than 8 days. If the pregnancy test is +ve, you decide about MTP & if it's -ve.. you need to get investigated to find other causes of menstrual irregularities (ovarian/thyroid problem, PCOD, uterine fibroid etc). Consult a gynecologist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician

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What Causes Vaginal Spotting Before Periods After Removing NuvaRing?

Hi, Nuva ring is a contraceptive device with inbuilt hormones. It is to be worn for 3 weeks & removed, to be inserted with a new ring after a week. You had stopped using it 3 months back, found the periods to be changed pattern for a couple of months... but now you have period delayed by 4 days. Fertility returns earliest (the same month of withdrawal) after NuvaRing. Some error in the use of contraception may cause pregnancy. I would advise going for a home pregnancy test...after periods are delayed for more than 8 days. If the pregnancy test is +ve, you decide about MTP & if it s -ve.. you need to get investigated to find other causes of menstrual irregularities (ovarian/thyroid problem, PCOD, uterine fibroid etc). Consult a gynecologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician