Successfully starting patients on ANNOVERA1
Women who have not used a hormonal contraceptive in the preceding cycle or after copper IUD removal
- Insert ANNOVERA between days 2 and 5 of their regular menstrual bleeding; no back-up contraception is needed
- If menstrual cycles are irregular or if the start is more than 5 days from the last menstrual bleeding, women should use an additional barrier method for the first 7 days of ANNOVERA use
Women using a combination hormonal contraceptive (CHC)
- Women who are not pregnant and are consistently and correctly using a CHC can successfully switch to ANNOVERA on any day of the CHC cycle (Day 1-28) without back-up contraception as long as no more than 7 hormone-free days occur before starting ANNOVERA
Women using a progestin-only contraceptive
- Women who remain on schedule with their current birth control and have no contraindication to ethinyl estradiol can successfully switch to ANNOVERA from:
Pills: at the time of their next pill
Injection: at the time of their next scheduled injection
Implant or an IUD: at the time of their implant or IUS removal
- After switching from a progestin-only method, an additional barrier method should be used for initial 7 days of ANNOVERA use
Starting your Patients on ANNOVERA Guide
With this ring…
is an easy option for your patients to use1
With this ring…
is an easy option for your patients to use1

step 1:
clean the ring
First, wash and dry your hands then remove ANNOVERA from the package. Wash the ring with mild soap and lukewarm water. Pat it dry with a clean cloth, towel or paper towel. At the beginning of each cycle, ANNOVERA should be washed and dried this way, before insertion.

step 2:
prepare to insert
Using your thumb and index finger, as shown here, squeeze the ANNOVERA ring into a narrow, oval shape.

step 3:
GET COMFORTABLE
Choose a comfortable position. The ANNOVERA ring can be inserted while lying down, squatting or standing with 1 leg raised on the toilet, bathtub, bed, etc.

step 4:
inserting annovera
The ANNOVERA ring should be inserted as far as possible into the vagina, and should not be felt. If the ring feels uncomfortable, it may not have been inserted far enough. ANNOVERA does not need to be in an exact position to work. It’s not possible for ANNOVERA to be pushed up too far in the vagina or for it to get lost.
NOTE: Be sure to record the date of insertion. You can also download our ANNOVERA Birth Control Tracker App in the App Store or Google Play.

step 5:
ENSURE ANNOVERA IS IN PLACE
Once in place, ANNOVERA sits in the vagina without obstructing the vaginal canal.

step 6:
removing annovera
Wash and dry your hands and assume a comfortable position like you did in step 3. Then reach into your vagina, hook the ring with your index finger as shown here, and pull downward and forward to remove it. Wash the ring with mild soap and lukewarm water and pat it dry with a clean paper towel or cloth, and store it in the case provided. Store ANNOVERA away from children, pets and extreme temperatures.
NOTE: Be sure to record the date of removal.
