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Sexual Health Women’s Health Birth Control Annovera
Sexual Health ... Annovera

Annovera ring for birth control

Annovera is a long-lasting, procedure-free birth control ring that lasts a year. Get a new prescription or refill of Annovera from a board-certified primary care doctor online.*

Discreet and confidential birth control consultations FDA-approved to prevent pregnancy Vaginal birth control ring with easy insertion and removal
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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.
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About Annovera vaginal ring

Annovera is a vaginal ring used for birth control that contains two hormones, segesterone acetate (a progestin) and ethinyl estradiol, which are slowly released into the vagina.

Annovera ring is FDA-approved to prevent pregnancy and is available only by prescription. It is not available in a generic formulation, but there are severe monthly vaginal contraceptive rings that are available as generics.

Be sure to use the ring exactly as prescribed by your doctor. It’s always important to follow the specific instructions on your prescription, as they can vary based on why your doctor is prescribing it.

If you do not use your ring exactly as prescribed, it may not be as effective in preventing pregnancy.

Annovera uses

There is one FDA-approved use for Annovera - pregnancy prevention

Pregnancy prevention

Annovera is FDA-approved to prevent pregnancy. Annovera, a combination hormonal contraceptive, is a reusable ethinyl estradiol vaginal system that can be used for up to one year.

Annovera ring side effects

The side effects associated with taking Annovera are typically mild and may include:

  • Nausea, vomiting, and stomach pain

  • Headache

  • Breast tenderness

  • Irregular vaginal bleeding

  • Vaginal yeast infection or vaginal discharge

  • Urinary tract infection (UTI)


Other side effects, which are less common but might be more severe, could include:

  • Blood clots

  • High blood pressure


You should call your doctor if any adverse effects occur, or if you develop any other new or concerning symptoms. The use of Annovera is not advised in children who have not yet begun menstruating (pre-menarche).

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How to use Annovera

Your doctor will provide you with instructions on how to use your Annovera prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

In general, the vaginal ring should be inserted into your vagina and left in for 21 days in a row. After 21 days, remove Annovera for seven days. This will allow your body to have a menstrual period. Sometimes a doctor may recommend using Annovera for more than 21 days continuously.

Avoid leaving the Annovera ring out for over two hours during your 21-day cycle. Annovera birth control will not effectively prevent pregnancy if you only use it during intercourse.

What to avoid while using Annovera birth control ring

Annovera may interact with other medications or supplements, as well as over-the-counter drugs. Be sure to discuss any other medications or supplements you are taking with your doctor or pharmacist to ensure Annovera will be safe and effective for you.

Possible drug interactions with Annovera include:

  • St. John's wort

  • Antifungal medicine

  • Antibiotic medicine

  • Antiviral medicine used to treat HIV/AIDS or hepatitis C

  • Blood pressure medication

  • Thyroid medicine

 

It is safe to drink alcohol while using Annovera birth control.

Avoid using oil-based vaginal products, such as creams and gels, while using Annovera, as these can damage the ring. Instead, use water-based lubricants. Annovera does not protect against sexually transmitted infections or diseases.

Medication alternatives to Annovera

If your healthcare provider prefers to put you on another treatment altogether, they may suggest other hormonal birth control methods such as the following:

Pregnancy prevention

Yaz birth control NuvaRing
Aubra
Chateal Apri Junel Fe Lo loestrin fe Ortho tri cyclen Twirla patch
Nexplanon
Depo shot

Annovera birth control ring FAQs

How much does Annovera cost?

The cost of the Annovera birth control ring depends on your pharmacy and insurance plan. Fortunately, birth control is free or low-cost with most health insurance plans. Many birth control options are also available at family planning or sexual/reproductive health clinics.

How can I refill my Annovera prescription?

To refill your Annovera prescription, book a virtual appointment with a board-certified PlushCare doctor. After reviewing your medical history, your doctor can send an electronic prescription to your local pharmacy.

What type of birth control is Annovera?

Annovera is a hormonal birth control method. The Annovera ring releases segesterone acetate and ethinyl estradiol to prevent pregnancy.

Is Annovera covered by medical insurance?

Yes, Annovera birth control and other birth control methods are usually free or low-cost with health insurance.

What company makes Annovera?

Annovera is made by TherapeuticsMD.

What is the difference between Annovera and NuvaRing?

Annovera and Nuvaring are both ethinyl estradiol vaginal systems. However, they release different forms of progesterone. Annovera contains segesterone acetate, while Nuvaring contains etonogestrel. In addition, the Annovera ring is used for a year, while the NuvaRing is exchanged for a new ring each month.

Who should not take Annovera?

Avoid taking Annovera birth control if you have certain health conditions, such as:

  • Undiagnosed abnormal uterine bleeding

  • Uncontrolled high blood pressure, heart problems, or coronary artery disease

  • Liver disease or liver tumors

  • Hormone-related cancer, such as breast cancer

Avoid using a combination hormonal contraceptive if you smoke cigarettes, are over 35, or if you have any active genital infections.

What happens if I forget to replace Annovera or take it differently than prescribed?

Call your healthcare provider if you're off schedule or if you have abdominal pain or trouble removing your vaginal ring.

3 simple steps to request your Annovera prescription today

How It Works Step 1
Step 1

Book an Annovera prescription request appointment.

Book a same day appointment from anywhere.
How It Works Step 2
Step 2

Talk to your medical provider regarding your Annovera prescription.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up your birth control.

We can send prescriptions to any local pharmacy.

How pricing works

To get a new or refill on your Annovera prescription, join our monthly membership and get discounted visits.

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:


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Paying without insurance

Membership

$19.99

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.
Book an appointment
*If we're unable to treat you, we'll provide a full refund. Please note that any medication or lab work costs are not included. Please refer to our refund policy for additional information.

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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.