Recommended Actions after Delayed Insertion or Reinsertion with Combined Vaginal Ring - Flowchart
Recommended Actions after Delayed Insertion or Reinsertion with Combined Vaginal Ring - Flowchart Contraception Contraception
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Delayed insertion of a new ring or delayed reinsertion of a current ring for <48 hr since a ring should have been inserted*

Delayed insertion of a new ring or delayed reinsertion of a current ring for <48 hr since a ring should have been inserted*

Delayed insertion of a new ring or delayed reinsertion of a current ring for <48 hr since a ring should have been inserted*

* * Delayed insertion of a new ring or delayed reinsertion of a current ring for <48 hr since a ring should have been inserted

Delayed insertion of a new ring or delayed reinsertion for ≥48 hr since a ring should have been inserted

Delayed insertion of a new ring or delayed reinsertion for ≥48 hr since a ring should have been inserted

Delayed insertion of a new ring or delayed reinsertion for ≥48 hr since a ring should have been inserted

≥ Delayed insertion of a new ring or delayed reinsertion for >=48 hr since a ring should have been inserted


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a ring has been worn for 7 consecutive days.
If the ring removal occurred in the third wk of ring use:


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed insertion or reinsertion occurred within the first wk of ring use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a ring has been worn for 7 consecutive days.
If the ring removal occurred in the third wk of ring use:


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed insertion or reinsertion occurred within the first wk of ring use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a ring has been worn for 7 consecutive days.
If the ring removal occurred in the third wk of ring use:


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed insertion or reinsertion occurred within the first wk of ring use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a ring has been worn for 7 consecutive days.
If the ring removal occurred in the third wk of ring use:


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed insertion or reinsertion occurred within the first wk of ring use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a ring has been worn for 7 consecutive days.
If the ring removal occurred in the third wk of ring use:


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.


Omit the hormone-free wk by finishing the third wk of ring use and starting a new ring immediately.
If unable to start a new ring immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new ring has been worn for 7 consecutive days.
Emergency contraception should be considered (with the exception of UPA) if the delayed insertion or reinsertion occurred within the first wk of ring use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed insertion or reinsertion occurred earlier in the cycle or in the last wk of the previous cycle.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed insertion or reinsertion occurred earlier in the cycle or in the last wk of the previous cycle.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed insertion or reinsertion occurred earlier in the cycle or in the last wk of the previous cycle.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed insertion or reinsertion occurred earlier in the cycle or in the last wk of the previous cycle.


Insert ring as soon as possible.
Keep the ring in until the scheduled ring removal day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed insertion or reinsertion occurred earlier in the cycle or in the last wk of the previous cycle.

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*If removal takes place but the woman is unsure of how long the ring has been removed, consider the ring to have been removed for ≥48 hr since a ring should have been inserted or reinserted.

*If removal takes place but the woman is unsure of how long the ring has been removed, consider the ring to have been removed for ≥48 hr since a ring should have been inserted or reinserted.

*If removal takes place but the woman is unsure of how long the ring has been removed, consider the ring to have been removed for ≥48 hr since a ring should have been inserted or reinserted.

*If removal takes place but the woman is unsure of how long the ring has been removed, consider the ring to have been removed for ≥48 hr since a ring should have been inserted or reinserted.

* ≥