Family Planning

Supporting the UserInstructions for Late Replacement or RemovalLeft ring out formore than 3 hoursduring weeks 1 or 2?Left ring out formore than 3 hoursduring week 3?Waited morethan 7 days beforeinserting a newring, or kept ringin longer than 4weeks?óPut the ring back in as soon as possible. Use abackup method * for the next 7 days.ó Stop the current cycle and discard the ring.ó Insert a new ring immediately and keep it inplace for 3 weeks, starting a new cycle. Use abackup method for the next 7 days.(Another option, if the ring was used continuouslyand correctly for the past 7 days: Leave the ringout and make the next 7 days the week with noring. After those 7 days, insert a new ring, startinga new cycle, and keep it in place for 3 weeks. Usea backup method for the first 7 days with the newring.)óóInsert a new ring as soon as possible and begina new 4-week cycle. Use a backup method forthe first 7 days of ring use.Also, if a new ring was inserted 3 or more dayslate (ring was left out for 10 days or more in arow) and unprotected sex took place in the past5 days, consider taking emergency contraceptivepills (see Emergency Contraceptive Pills, p. 45).*Backup methods include abstinence, male and female condoms, spermicides, andwithdrawal. Tell her that spermicides and withdrawal are the least effective contraceptivemethods. If possible, give her condoms.108 Family Planning: A Global Handbook for Providers