Sometimes the ring may come out on its own (this is called expulsion). This is most likely to happen after or during sex, or when you're constipated. What you should do depends on how long the ring is out for, and whether you’re in the first, second or third week of using it.
- If the ring is out for more than three hours in the first or second week of using it, rinse it and put it back in. You need to use additional contraception for 7 days. You may need emergency contraception if you have had sex in the last few days – talk to your doctor or nurse.
- If the ring is out for more than three hours in the third week of using it, don’t put it back in. Dispose of it in the normal way. You now have two options:
You can put a new ring in straight away. You may not have a period-type bleed, but you may have spotting.
Don’t put a ring in and have a 7 day interval. You’ll have a period-type bleed, and you should put a new ring in 7 days after the old one came out (you can only choose this option if the ring was in continuously for the previous 7 days).
Whichever option you choose, you need to use additional contraception until the ring has been in for 7 days in a row. You should also talk to your doctor or nurse if you’ve had sex in the last few days, as you may need