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vaginal ring
Indications:
- use as hormonal contraceptive
- hormone replacement therapy
- vaginal ring containing dapivirine may be useful for prevention of HIV1 [1]
Contraindications:
- a contraceptive vaginal ring contains estrogen
- history of breast cancer
- uncontrolled hypertension
- liver disease
- migraine with aura
- smoking > 15 cigarettes/day in women > 35 years
- risk for venous thromboembolism [2]
Specific
Estring
ethinyl estradiol/segesterone acetate (Annovera)
Femring
NuvaRing (etonogestrel, ethinyl estradiol)
General
device (medical device)
References
- Baeten JM, Palanee-Phillips T, Brown ER et al.
Use of a vaginal ring containing dapivirine for HIV-1 prevention
in women.
N Engl J Med 2016 Feb 22
PMID: 26900902 Free full text
http://www.nejm.org/doi/10.1056/NEJMoa1506110
- Medical Knowledge Self Assessment Program (MKSAP) 20
American College of Physicians, Philadelphia 2025