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If the unplanned bleeding or spotting is heavy or lasts for more than a few days, you should discuss this with your healthcare provider. If you are breastfeeding you should not use NuvaRing. The date should not exceed either 4 months from the date of dispensing or the expiration date, whichever comes first. However, this excess risk appears to decrease over time after COC discontinuation and by 10 years after cessation the increased risk disappears. Archived from the original on 20 March The Cochrane Database of Systematic Reviews 4:

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In the event of a disconnected ring, vaginal discomfort or expulsion slipping out is more likely to occur.

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Female infertility

Levonorgestrel does not undergo first-pass metabolism and is therefore completely bioavailable. Nursing for Women's Health. While using NuvaRing, you should not use certain female barrier contraceptive methods such as a vaginal diaphragm, cervical cap or female condom as your back-up method of birth control because NuvaRing may interfere with the correct placement and position of a diaphragm, cervical cap or female condom. Cholestatic jaundice has been reported in users of oral contraceptives. Butta Butt Sucks Dick.

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