Is NuvaRing safer than the pill?

Answered by Frank Schwing

When it comes to comparing the safety of NuvaRing and the pill, it is important to consider the potential risks and benefits associated with each contraceptive method. Both NuvaRing and the pill are highly effective forms of birth control, but they do come with their own set of risks.

One of the main concerns when it comes to hormonal contraceptives is the risk of developing blood clots, also known as venous thromboembolism (VTE). Research has shown that both NuvaRing and the pill can increase the risk of developing blood clots, but the extent of this risk may vary between the two methods.

A study published in 2012 compared the risk of VTE among women using different hormonal contraceptives, including NuvaRing and various types of oral contraceptive pills. The study found that women using NuvaRing had a 90 percent increased risk of developing blood clots compared to non-users of hormonal contraceptives.

To put this into perspective, let’s consider the incidence of VTE per 10,000 exposure years. An exposure year is defined as one woman using a specific contraceptive method for one year. The study estimated that with NuvaRing use, there would be approximately 7.8 incidents of VTE per 10,000 exposure years.

To further illustrate this, let’s imagine a scenario where 1,000 women used NuvaRing for 10 years. Based on the estimated incidence rate, we would expect to see around 8 incidents of VTE among these women.

Comparatively, the study also found that the incidence of VTE among pill users varied between 3 to 9 incidents per 10,000 exposure years, depending on the specific type of pill used. This means that if the same 1,000 women were using the pill instead of NuvaRing, we could expect to see a similar number of VTE incidents, ranging from 3 to 9.

It is worth noting that the increased risk of blood clots associated with hormonal contraceptives is generally higher in certain groups of women, such as those who smoke, are over the age of 35, or have a history of blood clotting disorders. Therefore, it is essential for women to discuss their individual risk factors with their healthcare provider when considering contraceptive options.

In terms of other safety considerations, both NuvaRing and the pill may have side effects such as nausea, breast tenderness, and changes in menstrual bleeding. These side effects can vary from person to person, and it is important to communicate any concerns or issues with a healthcare provider.

When comparing the safety of NuvaRing and the pill, it is important to consider the risk of blood clots, as well as individual factors and preferences. While NuvaRing has been associated with a higher risk of VTE compared to some types of pills, the absolute risk remains relatively low. Ultimately, the choice between NuvaRing and the pill should be made in consultation with a healthcare provider, taking into account individual needs and medical history.