
The vaginal ring offers a monthly birth control method that fits seamlessly into your routine. If you're considering switching from birth control pills or exploring hormonal birth control options, understanding how the vaginal ring works can help you make an informed choice about preventing pregnancy.
The birth control ring is a soft plastic ring about 2 inches in diameter that you insert inside your vagina once a month. This contraceptive method contains two hormones — estrogen and progestin — that work together to prevent pregnancy by:
Most women find using the vaginal ring simple and discreet. The ring sits comfortably in your vaginal canal and won't interrupt sex or daily activities. You insert a new ring every four weeks, leaving it in for three weeks and removing it for one week to allow your menstrual period.
When comparing hormonal contraceptives, the vaginal ring offers unique advantages:
Vaginal Ring Benefits:
Compared to Birth Control Pills:
Compared to the Patch:
The ring provides contraception with 91% effectiveness with typical use, reaching over 99% effectiveness with perfect use.
Like other forms of hormonal birth control, using the vaginal ring may cause side effects, though most women experience few problems.
Common Side Effects:
Serious Health Risks: While uncommon, some individuals face increased risk of:
Certain health problems make the ring unsuitable:
Avoid if you have:
Special Considerations:
The ring doesn't protect against sexually transmitted infections or sexually transmitted diseases. Use condoms along with the ring for STI prevention.
Two main types of vaginal rings are available:
NuvaRing:
Annovera Ring:
Both options provide effective contraception, and your insurance may cover either for a $0 copay.
Accessing birth control through women's telehealth services like Twentyeight Health makes getting the vaginal ring convenient and discreet.
How Online Prescriptions Work:
What to Expect During Your Virtual Visit: Your provider will review your medical history, current medications, and contraceptive goals. They'll discuss insertion techniques, answer questions about the ring work, and determine if this birth control method suits your health profile.
Inserting Your Ring:
Removing Your Ring:
Storage and Care:
Getting the ring online without insurance doesn't have to break your budget. Here's what to expect:
At Twentyeight Health, we believe cost shouldn't be a barrier to accessing birth control. We offer transparent pricing starting at $150/monthly pack for the ring without insurance or as low as $0 with insurance coverage. Both options include unlimited provider messaging and meeting with a provider for prescription renewals.
What if the ring slips out?
If your ring comes out for less than 3 hours, rinse with lukewarm water and reinsert immediately. If it's been out longer during the first two weeks, use backup contraception for 7 days.
Can you feel the ring during sex?
Most couples don't notice the ring during sexual intercourse. If you do feel it, you can remove it for up to 3 hours without affecting pregnancy prevention.
What about breakthrough bleeding?
Irregular bleeding between periods is common in the first 2-3 months as your body adjusts to the hormones. This typically resolves as you continue using the ring.
Can teens get the vaginal ring online?
Most telehealth services require patients to be 18+ for independent consultations. Online birth control for teens parental consent rules vary by state, but many require parental involvement for minors. Some states allow confidential reproductive healthcare for teens through specific programs.
How quickly can I get a ring prescription online?
Many services, like Twentyeight Health, offer online prescriptions that are discreetly delivered to your door. Delivery typically takes 1-3 business days with standard shipping, though some providers offer expedited options.
Are telehealth birth control visits legitimate?
Yes! For example, Twentyeight Health is one of many legitimate telehealth birth control services to use licensed healthcare providers and follow the same medical standards as in-person visits. Look for providers who are board-certified and operate within your state's medical licensing requirements.
Can I switch ring brands through telehealth?
Absolutely. Your provider can help you switch pill brands via telehealth or change from one ring brand to another based on your preferences, insurance coverage, and medical needs.
What if the ring doesn't work for me?
The great thing about working with telehealth providers is easy access to your care team. If you experience side effects or want to try a different method, you can message your provider and discuss alternatives without scheduling another appointment.
The vaginal ring offers an effective, convenient birth control option for many people. Whether you're switching from other contraceptives or exploring hormonal birth control for the first time, online access through telehealth services makes getting expert guidance simple and confidential.
Learn if the vaginal ring is right for you. Connect with a licensed provider at Twentyeight Health who can answer your questions, review your medical history, and help you make an informed decision about your reproductive health.
Get started with Twentyeight Health today:
Your birth control should work for your life, your body, and your budget. Let's find the right option for you.

This article was reviewed by Twentyeight Health's clinical team. The information provided in this article is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. This content does not establish a provider-patient relationship. Always consult a licensed healthcare professional regarding any medical concerns.