Name of the Procedure:

• Common Name: Hormone-Containing Vaginal Ring
• Medical Term: Contraceptive Supply, Hormone-Containing Vaginal Ring (HCPCS Code J7303)

Summary

The hormone-containing vaginal ring is a flexible, plastic ring inserted into the vagina to provide birth control. It releases a steady amount of estrogen and progestin hormones to prevent pregnancy. The ring is worn for three weeks, followed by a ring-free week.

Purpose

The procedure aims to provide a reliable form of contraception. It helps to regulate menstrual cycles, reduce menstrual cramps, and manage hormone levels.

Indications

• Women seeking birth control.
• Individuals who prefer a non-daily contraceptive method.
• Patients with heavy or painful periods looking for symptomatic relief.

Preparation

• No specific pre-procedure fasting required.
• Discuss current medications with a healthcare provider to avoid interactions.
• Have a routine gynecological check-up if one hasn’t been performed recently.

Procedure Description

1. Insertion: The vaginal ring is compressed and inserted into the vagina by the patient or a healthcare provider.
2. Positioning: The ring should be positioned comfortably inside the vagina, where it will release hormones continuously.
3. Duration of Use: The ring is worn for three weeks and removed for one week, during which menstruation occurs.

Duration

• Insertion takes a few minutes.
• The ring is worn for three weeks, with one week off.

Setting

• Typically performed in a home setting after initial instruction by a healthcare provider.

Personnel

• Patient (self-insertion).
• Healthcare provider (for initial guidance and any troubleshooting).

Risks and Complications

• Common: Vaginal irritation or discharge, headache, nausea, breast tenderness.
• Rare: Blood clots, stroke, heart attack, serious allergic reactions.

Benefits

• Provides 99% effective birth control when used correctly.
• Helps to regulate menstrual cycles and reduce cramps.
• Can be an easier, non-daily method of contraception.

Recovery

• Minimal recovery time needed.
• Patients may resume normal activities immediately.
• Schedule follow-up appointments if experiencing any discomfort or side effects.

Alternatives

• Oral contraceptives.
• Intrauterine devices (IUDs).
• Contraceptive implants or injections.
• Condoms or diaphragms.
• Pros: Varied suitability and convenience options.
• Cons: Effectiveness and ease of use differ by method.

Patient Experience

• During insertion: Minor discomfort similar to inserting a tampon.
• After insertion: Generally comfortable; some may feel it initially but get used to it quickly.
• Pain Management: Over-the-counter pain relief if needed for initial discomfort.