Insert NuvaRing on the first day of your cycle, (i.e., the first day of menstrual bleeding). NuvaRing will work immediately, it is not necessary to use an additional contraceptive method. You may also start on Day 2 to 5 of your cycle, but in this case make sure you use an extra method of birth control (barrier method), such as male condoms or spermicide for the first seven days of NuvaRing use in the first cycle.
Remove the ring 3 weeks after insertion on the same day of the week it was inserted at about the same time of day. Hook your index finger under the forward rim or hold the rim between your index and middle finger.
Gently pull out NuvaRing. Dispose of NuvaRing in a waste receptacle out of the reach of children and pets. Do not throw it in the toilet. To continue to have pregnancy protection, you must insert a new ring 1 week after the previous one was removed, even if your period has not stopped.