A woman places the ring in her vagina for three weeks. She takes it out the fourth week during her period.

The ring is a combined hormonal method (synthetic estrogen and progestin) and works by preventing your ovaries from releasing eggs, and also thickens your cervical mucus, which blocks sperm from getting to the egg.

We can provide up to a three-month supply of the ring at a time.

vaginal Ring (Estrogen<br /> and Progestin)
How The Ring Works

  • Small (one size fits all) flexible ring that is placed in the vagina.
  • Slowly releases low dose hormones (estrogen and progestin) that are similar to the ones a women’s body naturally makes
    • Stops eggs from leaving the ovary no egg can be fertilized
    • Thickens the liquid at the cervix (opening to the uterus) to prevent sperm from getting into the uterus

How The Ring is Used:

  • Requires a prescription from a qualified health care provider
  • Woman places it in her vagina for 3 weeks, then after 1 week, puts in a new one
  • If the ring is accidentally left in for more than 4 weeks and you’ve had sex, pregnancy can happen
  • If the ring slips out of the vagina, and it has been out less than 3 hours, rinse it with cool water and put it back in. If it is out of the vagina more than 3 hours, a new ring is needed.
  • Some women say they are aware that the ring is in their vagina, but it should not be felt by the woman or her partner once it is in place.


  • No need to do or remember anything every day; easy to use and very effective.
  • No need to interrupt sex
  • Ability to get pregnant again starts right after you stop using the ring.
  • Periods are usually lighter, more regular and with less cramping.
  • Helps protect against ovarian cancer, uterine cancer, and iron deficiency
  • May improve acne.

Possible Problems or Disadvantages:

  • Does not protect against STls, including HIV
  • May delay or prevent breastfeeding.
  • Can cause spotting between periods (especially in the first few months)
  • May cause mood changes, increased vaginal discharge, headaches, and/or nausea
  • Most healthy women can use the ring with no problems, but serious possible side effects include: blood clots, heart attacks, and stroke. Cigarette smoking can increase this risk, so women using the ring are encouraged not to smoke.
  • Some women who have had certain cardiovascular problems or who have migraines with auras should not use the ring.


How Well Does It Prevent Pregnancy?

  • Effectiveness depends on using the ring correctly
  • With typical use 9 out of 100 women will become pregnant in a year while using the ring.


  • Store the ring in a cool place until ready to use.
  • Do not flush used rings down the toilet
  • Call your health care provider right away if you have: pain in the chest, calf, stomach or head, shortness of breath, vomiting dizziness, problems with vision or speech, yellowing of the skin or whites of the eyes, heavy bleeding, swelling, or depression
Birth Control Methods
  • Abstinence
  • Fertility Awareness
  • Withdrawal (“Pulling Out”)
  • Lactational Amenorrhea Method (LAM)

Access Esperanza Clinics offers:

  • Free Condoms
  • The Shot
  • The Ring
  • The Patch
  • The Pill
  • The Implant
  • The IUD
  • Emergency Contraceptive (“Plan B”)


Contact us and ask how we can help!

At Access Esperanza Clinics, we offer opportunities and hope for people to plan their futures and stay healthy. You can count on us for quality, affordable, and confidential care at all of our Health Clinics.

Don't miss any update

You may qualify for free or low-cost services 

If you are concerned about your ability to pay for services, you may qualify for one of our programs that would pay all or most of your services. Each program has its own set of eligibility. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day.

We offer programs that can help pay some or all of the cost of your family planning and preventive health services. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day. Programs are for female and male adults and teens in their reproductive years. Eligibility is based on your age, household income (you and, if married, your spouse), and family size. Some programs have additional eligibility requirements. You do not have to be a U.S. citizen or have legal residency to qualify. 

To apply for for a funding program, please bring the following documents with you when you come to our clinic: 

  1. Proof of Household Income – Bring any/all you have:
  • Family member’s Children’s Medicaid card, with date of enrollment
  • WIC, TANF or Food Stamp approval letter, dated
  • 2 paystubs within 60 days
  • FAFSA (student federal aid application)
  • Award notice, letter, or written statements from Social Security Administration
  • Form H1028: Employment verification (to be completed by your employer)


  • Photo ID- Texas Driver’s License, Texas ID card, work or school ID card with photo


If you are an adult female and a U.S. citizen or Permanent U.S. Resident, also bring

  •  U.S. birth certificate, passport, passport card
  • Certificate of U.S. naturalization
  • Religious record of birth with date and place of birth, such as baptism record
  •  I-551 card (permanent resident card)
  • Social Security Cards for you, your spouse, and your children 

Household Income (You and Your Spouse) to Qualify for Free Services               

Household Size   Monthly Maximum
1 $2,603
2 $3,523
3 $4,444
4 $5,365
5 $6,286
6 $7,207