[Vaginal combined contraception NuvaRing in the clinical practice in the Czech Republic]

The aim of this non-interventional, non-comparative, prospective, multicentric study was to evaluate use of vaginal combined contraception NuvaRing in the clinical practice in the Czech Republic.

Non-interventional, non-comparative, prospective, multicentric study.

Department of obstetrics and gynecology, General Faculty Hospital Prague, 1st Faculty of Medicine, Charles University Prague.

The cohort of 2134 new users of NuvaRing was followed for 6 months. Questionnaire was filled in by the physician (gynaecologist) three times during the study--before the start of NuvaRing use (baseline), after 3 months and after 6 months of the ring use.

The average age of women in study was 29.5 years, 68.2% was from 21 to 35 years old. Insertion and removal of the ring were evaluated as easy in 95% of women in the end of the study. Irregular bleeding was mentioned only in 19.7% of women during first 3 cycles and 7.8% during last 3 cycles, mostly (90%) as spotting. Menstrual bleeding was shorter in 62.8% of women in the end of the study compared with the baseline. Dysmenorea decreased by 34.9% and PMS by 28.8% in the last evaluated cycle compared with the baseline. No feeling or only exceptional feeling the of the ring in the vagina was reported in 87% of women and in 77.9% of their sexual partners during the last 3 cycles. The main two reasons why women like NuvaRing was no need to remember anything (57.5%) and easy use (34%). The main reasons why women dislike the ring were feeling of the ring in the vagina in 2.9%, disturbing of sexual intercourse in 2.4% and irregular bleeding in 2%. (90% answered, that they like NuvaRing.)

After six months of use 89% of women was satisfied or highly satisfied with the vaginal ring and 91% of the users was decided to recommend this contraception method to other women.