Annovera Birth Control Ring

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$126 generic equivalent, $0 with most insurance

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What is Annovera Birth Control Ring?

Annovera is a type of birth control method that contains two hormones, ethinyl estradiol, and segesterone. These hormones prevent pregnancy by stopping an egg from fully developing during each menstrual cycle. This way, sperm is unable to fertilize the egg. Read More

How to Use Annovera

To use the Annovera ring, simply insert it into your vagina and wear it 24/7 for 21 days. After 21 days, remove the ring for 7 days washing your hands before doing it. Annovera is a ring that lasts for a year, so after pulling it out you simply wash it with soap and warm water, dry it and storage in the case provided. Then after your 7 day withdrawal bleed, re-insert the ring and continue that cycle for a year!

Annovera Dosage

Annovera Birth Control ring blends two hormones to make your body think you’re pregnant: Segesterone acetate (progesterone) [15mg] Ethinyl Estradiol (estrogen) [17.4 mg].

Benefits of Annovera

  • Reduce the risk of ovarian cysts (as in polycystic ovarian syndrome [PCOS])
  • Annovera can be used to improve acne.

Annovera Side Effects

The risk of Annovera side effects are low. If side effects do happen they are usually quite mild and tend to get better over time. Some women using Annovera have reported migraines, headaches, stomach pain, nausea, vomiting, breast tenderness, irregular vaginal bleeding, bacterial overgrowth in the vagina, menstrual cramps, diarrhea, pain or burning during urination, or genital itching or discharge.

Like most forms of birth control, Annovera may increase the risk of potentially serious conditions like blood clots, heart attack, and stroke. The risk of these adverse effects happening is extremely low, but they may be more likely in women who smoke, are older than 35, or have certain health conditions including high blood pressure, breast cancer, and liver disease. Talk to our team at Pandia Health about your health history to make sure we can help you select the best birth control option for you.

Warnings Side Effects

Women with Body Mass Index greater than 30 may have a higher risk of blood clots

Do NOT take this medication if:

  • You currently have or have had any of these health problems: blood clots, blood clotting problem, breast cancer, uterine cancer, heart attack, stroke, heart disease, chest pain, high blood pressure, liver disease, liver tumor, migraine with aura, or diabetes with neuropathy or any diabetic complications
  • You are allergic to ethinyl estradiol or Norelgestromin
  • You are taking ombitasvir, paritaprevir, and ritonavir (with or without dasabuvir)
  • You are pregnant or may be pregnant
    You are breastfeeding or plan to breastfeed

Why Pandia Health?

Online prescription $50 (skip the Dr. office visit)

Online prescription $50 (skip the Dr. office visit)

Women's Health Expert Care

Women's Health Expert Care

Frequently Asked Questions


Clinical research shows that Annovera doesn’t cause weight gain. Some women experience changes in weight while using hormone-based birth control due to changes in appetite, food cravings, or mood. You can avoid this through things like regular exercise and a healthy diet.


The Annovera ring is designed to be worn inside the vagina for 21 days in a row, then removed and left out for 7 days in a row before being reinserted. It is NOT meant to be worn only during intercourse and will not prevent pregnancy if it’s used this way. It’s unlikely for your ring to fall out, but if it does fall out simply wash it with warm water and a mild soap, pat dry with a clean towel, and reinsert.

You should use back-up birth control methods like condoms or spermicide for one week if your Annovera ring is out of your vagina for more than 2 hours during the 21-day wear time, if you’ve recently had a baby and have not started having periods again, or if your Annovera is out of your vagina for longer than the expected 7 days.

Annovera might make your skin more sensitive to sunlight, so wear layers and SPF sunscreen when you go outside.


One of the most important precautions you can take before using Annovera is to tell your doctor or one of our Patient Care Advisors about all recreational, over-the-counter, and prescription drugs you use—and even herbal supplements! This is because Annovera interacts with certain medications, including drugs used to treat hepatitis C or HIV. These drug interactions may make Annovera less effective at preventing pregnancy or make the other drugs less effective.

Annovera and other contraceptive vaginal rings do not protect against sexually transmitted infections like chlamydia, gonorrhea, or HIV. If you use vaginal lubricants, make sure they are water-based.

Lastly, do not use Annovera if you’re pregnant, recently had a baby (within the past 4 weeks), or if you are breastfeeding.


Annovera should be available at most local pharmacies. You’ll just need a doctor’s prescription, which our team at Pandia Health is happy to provide! We partner with licensed physicians in a number of states and work with most major insurance carriers.


It’s a myth that birth control rings like Annovera increase the risk of infertility. While it might take one or two cycles after removing your Annovera ring for your fertility to be back to normal, using the ring won’t lead to long-term fertility problems. If and when you want to become pregnant, simply remove the Annovera ring.

Pandia Health CEO and Co-Founder Dr. Sophia Yen understand how important it is for women to be well-informed about their reproductive health. Learn more about infertility and birth control with Dr. Yen in this video.


Annovera and Nuvaring are quite similar, they are both vaginal rings that use hormones to prevent pregnancy. One big difference is how each of these rings are used. Annovera is a yearly ring that is meant to be washed and reused every month, whereas Nuvaring is monthly, meaning you will dispose of the ring at the end of your 21 day usage. Annovera may require a bit more upkeep than Nuvaring, but it also means less trips to the pharmacy because you only need one ring for the entire year.

Another big difference between Annovera and Nuvaring is the hormones used. Both Annovera and Nuvring contain the same estrogen: ethinyl estradiol. But, they do not contain the same progestin. Annovera contains segesterone acetate whereas Nuvaring contains etonogestrel. In short: Annovera is a combination of segesterone acetate and ethinyl estradiol while Nuvaring is a combination of etonogestral and ethinyl estradiol. Both of these hormones will effectively prevent pregnancy, hormones effect everyone differently so it’s just a matter of figuring out which progestin gives you less side effects.


Yes. You can expect to get your period when using Annovera once you take the ring out after each 21 day period. You will experience a withdrawal bleed which occurs after a drop in hormones in the body. However, you can use Annovera to skip your period by continuously using it instead of taking it out every 21 days. Note, you will need to replace the ring in 12 months rather than 13 if you opt-in to continuous use. As always, consult with your doctor before you choose to make periods optional to see if it is the right fit for you. 

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