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Can birth control ring removal increase the risk of pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had my birth control (NuvaRing) for five weeks. I took it out and inserted a different one for two weeks, and I have been experiencing breakthrough bleeding. I am wondering if I will still be protected from pregnancy if I remove the NuvaRing.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

It is uncomfortable to have unpredictable (breakthrough) bleeding, as this can affect your mental health and quality of life.

Although you did not mention the specific type of birth control ring you are using, whether it contains progesterone only or is a combination of progesterone and estrogen, I assume you are referring to a vaginal contraceptive ring.

Vaginal contraceptive rings that contain only progesterone are designed for continuous use. If you remove the ring, the risk of pregnancy increases significantly.

The vaginal contraceptive ring containing both progesterone and estrogen is usually meant to be inserted for three consecutive weeks and then removed for one week. Removing these vaginal contraceptive rings outside of the recommended schedule increases your risk of pregnancy.

If the breakthrough bleeding you are experiencing is distressing, you could use medication such as:

  1. Capsules containing Tranexamic Acid every eight hours for three days.

  2. Alternatively, you could consider changing your vaginal contraceptive ring to one that contains both estrogen and progesterone, provided there is no contraindication to estrogen use for you.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for the prompt response.

It is the Elhryng birth control ring.

Thank you.

Hello,

Welcome back to icliniq.com.

Okay, then, use the capsules containing Tranexamic Acid. The ring is a combination hormonal ring and should not cause significant breakthrough bleeding. If you changed it two weeks ago, you have just one week left to keep it in before taking a one-week break.

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 30, 2026
Reviewed AtFebruary 6, 2026

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Dr. Obinna Ugwuoke

Obstetrics and Gynecology

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