NuvaRing and Breastfeeding

While no studies have been conducted on NuvaRing and breastfeeding, research shows that other hormonal products similar to NuvaRing pass through breast milk and may cause problems in nursing infants. Similar combined contraceptives have also been shown to decrease the production of breast milk. Before using NuvaRing, breastfeeding women should talk to their healthcare providers about the potential risks.

 

Is NuvaRing Safe During Breastfeeding?

NuvaRing® (etonogestrel/ethinyl estradiol vaginal ring) is a combined contraceptive, very similar to combined oral contraceptives (birth control pills). It is a combined contraceptive because it contains an estrogen and a progestin. In general, combined contraceptives are not recommended for breastfeeding women.
 

NuvaRing and Breastfeeding: What Does the Research Say?

No studies have been conducted using NuvaRing specifically, but research has shown that other similar hormonal products pass through breast milk. There have been cases of problems (such as jaundice and breast enlargement) in babies whose mothers took combined oral contraceptives while breastfeeding.
 
Additionally, combined contraceptives may decrease the production of breast milk. For this reason, progestin-only oral contraceptives (also known as "mini-pills") are almost always recommended instead of combined contraceptives in breastfeeding women. However, progestin-only contraceptive pills are usually less effective than combined contraceptives. As soon as you stop breastfeeding, it may be a good idea to ask your healthcare provider about switching to a combined contraceptive product (such as NuvaRing).
 

Talking With Your Healthcare Provider About NuvaRing and Breastfeeding

You should talk with your healthcare provider about NuvaRing and breastfeeding. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, you and your healthcare provider can make a shared decision about NuvaRing and breastfeeding in your particular situation.
 
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;