Annovera

Name: Annovera

Patient Information

Read this Patient Information carefully before you decide if Annovera is right for you. This information does not take the place of talking with your gynecologist or other health-care provider who specializes in women’s health. If you have any questions, ask your health-care provider. You should also learn about other birth control methods to choose the one that is best for you.

What is Annovera?

Annovera is a hormone-releasing system used by females who are able to become pregnant to prevent pregnancy. You insert Annovera into your vagina. Annovera is in the shape of a ring that is reusable for one year. The vaginal system is made of silicone and contains two female hormones that are slowly released into your vagina and then enter your blood. One hormone is an estrogen called ethinyl estradiol. The other hormone is a progestin called segesterone acetate.

Who should not use Annovera?

Do not use Annovera if you:

  • smoke and are over 35 years old.
  • have or have had a blood clot in your arms, legs, lungs, or eyes.
  • have had a stroke.
  • have reduced blood flow to your brain (cerebrovascular disease).
  • have reduced blood flow or blockage in one or more of the arteries that supply blood to your heart (coronary artery disease).
  • have had a heart attack.
  • have heart rhythm or heart valve problems that increase your risk of having blood clots, such as an infection of the inner lining of the heart and heart valves or a type of irregular heartbeat called atrial fibrillation.
  • have a problem with your blood that makes it clot more than normal.
  • have high blood pressure that is not controlled with medicine or have high blood pressure with blood vessel damage.
  • have diabetes and are over 35 years old; have diabetes with high blood pressure or problems with your kidneys, blood vessels, eyes, or nerves; or have had diabetes for longer than 20 years.
  • have headaches with changes in vision, numbness or weakness, have migraine headaches with aura, or are over age 35 years old and have any type of migraine headaches.
  • have liver disease or liver tumors.
  • have or have had breast cancer or any cancer that is sensitive to the female hormones estrogen or progesterone.
  • have unexplained vaginal bleeding.
  • are allergic to segesterone acetate, ethinyl estradiol, or any of the ingredients in Annovera. See the end of this page for a complete list of ingredients.
  • take any Hepatitis C drug combination medicine containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. This may increase levels of the liver enzyme alanine aminotransferase (ALT) in the blood.

What if I miss my menstrual period or if I think I am pregnant?

It is possible that you are pregnant if you miss your scheduled period (no bleeding on the 7 days that the vaginal system is out). Tell your health-care provider right away that you have missed your period. Also, tell your health-care provider if you have symptoms of pregnancy such as morning sickness or unusual breast tenderness. It is important that your health-care provider check you to find out if you are pregnant. You may need a pregnancy test to determine if you are pregnant. Do not remove the vaginal system until you are certain you are pregnant. Stop using Annovera™ if your health-care provider tells you that you are pregnant.

What if I want to become pregnant?

You may stop using Annovera whenever you wish. Consider a visit with your health-care provider for a pre-pregnancy checkup before you stop using Annovera.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

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