A woman who has been taking a COCP tells the primary care NP that, because of frequent changes in her work schedule, she has difficulty remembering to take her pills. The woman and the NP decide to change to a vaginal ring
The NP will instruct her to insert the ring: a. within 7 days after her last active pill.
b. and use a backup contraceptive for 7 days.
c. and continue the COCP for one more cycle.
d. on the same day she stops taking her COCP.
A
Patients should be switched from a COCP to a vaginal ring by insertion within 7 days after the last active pill. No backup method is needed. Patients do not need to continue one more cycle of COCPs. Women taking progestin-only pills insert the ring on the last day of the pill pack.
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