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Femring Ring contains a female hormone (estrogen). This product is used by women to help relieve symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by a woman's body making less estrogen. If you wish to treat symptoms only in and around the vagina, other products applied directly inside the vagina (such as creams, vaginal suppositories) should be considered before using this product.
1. Indications and contraindications of Femring Ring
Femring Ring is indicated in the following cases:
Vaginal atrophy Menopausal signs Vaginitis due to loss of hormone stimulation Postmenopausal urethral atrophy Femring Ring is contraindicated in the following cases:
Uterine fibroids Breast cancer Ovarian cancer Endometrial cancer Tumors that depend on estrogen to grow A condition with low thyroid hormone levels Diabetes High levels of triglycerides in the blood Liver porphyria dementia High blood pressure Liver disease Gallbladder disease Endometriosis Systemic lupus erythematosus Seizures Smoking Abnormal mammography Tumors of female reproductive organs
2. How to use Femring Ring
Read the instructions for use from your doctor carefully before you start using Femring Ring and each time you get a refill. If you have any questions about how to use Femring Ring, ask your doctor. Wash and dry your hands before handling the Femring Ring. Insert the ring into the vagina as directed. The Femring Ring is usually left in place for 3 months, then removed and replaced with a new ring if continued treatment is required. Do not leave a Femring Ring in place for longer than 3 months. Follow the Femring Ring dosing schedule carefully. If the ring is properly inserted, you will not be able to feel it and it will not interfere with sexual intercourse. If you can feel the bracelet or feel some discomfort from it, it may not be set high enough. Gently push the bracelet higher with your fingers. If the ring falls out of the vagina, rinse the ring with warm water and put it back in the vagina. Contact your doctor if your Femring Ring frequently falls out. The bracelet is removed by hooking your finger through the bracelet and gently pulling it off. Contact your doctor if you have trouble removing the ring. Throw the used bracelet in the trash. Don't flush it down the toilet. Tell your doctor if your condition does not improve or if it worsens after using Femring Ring. You should have regular physical exams (eg, once a year) including blood pressure checks, breast/mammograms, pelvic exams, and pap smears to monitor your progress. you and check for side effects. Follow your doctor's instructions to examine your own breasts and report any lumps right away. Preventing or controlling high blood pressure, high cholesterol, and diabetes can help reduce your risk of heart disease and stroke. Lifestyle changes that can help control or prevent these conditions include reducing stress, eating a low-fat/salt diet, losing weight if you're overweight, exercising regularly, and stopping smoking. Keep your mind active with mental exercises (such as reading, solving crossword puzzles) to help prevent dementia. Lifestyle changes that can help reduce hot flashes include stopping smoking, wearing light or layered clothing, avoiding/limiting certain foods (spicy foods, caffeine, alcohol), reducing stress, and exercising regular sex.
3. Femring Ring Side Effects
When using Femring Ring you may experience nausea or vomiting, abdominal bloating, tightness in the chest, headache or weight changes. If any of these side effects persist or get worse, tell your doctor right away.
Remember that your doctor has prescribed this medicine because they have judged that the benefit to you is greater than the risk of side effects. Many people using this product have had no serious side effects.
Tell your doctor right away if you have any serious side effects of Femring Ring, including: Mental/mood changes (such as depression, memory loss), breast lumps , unusual vaginal bleeding (such as bleeding, sudden bleeding, persistent/recurrent bleeding), increased or new irritation/itching/smell/discharge, severe stomach or abdominal pain , persistent nausea or vomiting, yellowing of eyes or skin, dark urine, swelling of hands/ankles/legs, increased thirst/urination.
This medicine can rarely cause serious problems with blood clots (such as heart attack, stroke, deep vein thrombosis, pulmonary embolism). If you have any serious side effects of Femring Ring get medical help right away, they include: Chest/jaw/left arm pain, unusual sweating, sudden headache /severe, weakness on one side of the body, confusion, slurred speech, sudden vision changes (such as partial/complete blindness), pain/redness/swelling of the legs, tingling/weakness/numbness of the arms/legs , difficulty breathing, coughing up blood, sudden dizziness/fainting.
Vaginal rings rarely cause a very serious bacterial infection that can be fatal (toxic shock syndrome -TSS). Discard this product and get medical help right away if you have any symptoms of toxic shock syndrome, including: High fever, sudden dizziness/fainting, unusual muscle pain, sunburn, rash, diarrhea.
A very serious allergic reaction to Femring Ring is very rare. However, if you notice any symptoms of a serious allergic reaction to Femring Ring, including: Rash, itching/swelling (especially of the face/tongue/throat), trouble breathing, dizziness serious, get medical help right away.
Below are Femring Ring side effects by likelihood.
Common side effects of Femring Ring include:
Breast pain Unusual or prolonged menstrual bleeding Non-menstrual bleeding Yeast infections in the vulva and vagina Stomach cramps Abdominal bloating
Less common side effects of Femring Ring include:
Urinary tract infections Uterine contractions Headache Rare side effects of Femring Ring include:
Uterine fibroids Uterine cancer A breast tumor Prolapse wisdom A blood clot in the small vein in the retina of the eye. Changes in vision High blood pressure A heart attack A blood clot in the lung Stroke A blood clot A blood clot in a deep vein in the extremities Stomach or bowel obstruction Cholecystitis Congestion in the gallbladder Cysts in the gallbladder Breasts Enlarged breasts Fluid discharge from the breasts Uterine overgrowth Vaginal irritation Erythema multiforme Erythema nodule Water retention in the hands, hands, feet, or legs. Weight gain Diarrhea Anaphylactic shock Angioedema Toxic shock Pancreatitis Vaginal ulcers High levels of triglycerides in the blood Fluid retention Mood changes Changes in sexual preferences Depression Migraine Itching Leech's nest Dizziness Chest pain Vomiting This is not a complete list of Femring Ring possible side effects. If you notice other effects of this product not listed above, contact your doctor immediately.
4. Femring Ring Side Effects Precautions
Before using Femring Ring, tell your doctor if you are allergic to this product and any other allergies if any. Femring Ring may contain inactive ingredients, and they may cause allergic reactions or other problems.
Before using Femring Ring, tell your doctor about your medical history, especially of: Unexplained vaginal bleeding, certain cancers (such as breast cancer, uterine cancer/ ovaries), blood clots (such as in the legs, eyes, or lungs), blood clotting disorders (such as protein C or protein S deficiency), stroke, heart disease (such as a heart attack), illness liver, kidney disease, family history (especially breast lumps, cancer, blood clots), family or personal history of a certain swelling disorder (angioedema), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure, diabetes, high cholesterol/triglyceride levels, obesity, lupus, hypothyroidism, mineral imbalances (low or high blood calcium levels), some certain hormone problems (hypoparathyroidism), uterine problems (such as fibroids, endometriosis), gallbladder disease, asthma, epilepsy, migraines, psychiatric disorders/ mood (such as dementia, depression), certain blood disorders (r porphyria), frequent vaginal infections.
Do not smoke or use tobacco. Estrogen combined with smoking further increases the risk of stroke, blood clots, high blood pressure and heart attack, especially in women over the age of 35.
Tell your doctor if you have just or will have surgery, or if you will be in a chair or bed for a long time (such as a long plane ride) before using Femring Ring. These conditions increase the risk of blood clots forming, especially if you are using an estrogen product. You may need to stop taking Femring Ring for a while or take special precautions.
Femring Ring may cause dark areas on your face and skin (melasma). Sunlight can worsen this effect.
If you are nearsighted or wear contact lenses, you may have vision problems or have trouble wearing contact lenses. Contact your eye doctor if these problems occur while using Femring Ring.
If you develop a vaginal infection while using this ring, you can leave the ring in place while the infection is treated.
Femring Ring must not be used during pregnancy. Femring Ring passes into breast milk. It can reduce the quality and quantity of breast milk produced. Women who are breastfeeding should consult their doctor before using this product.
5. Femring Ring interaction
Drug interactions can change the way Femring Ring works or increase your risk of serious side effects. Some drugs that may interact with Femring Ring include: aromatase inhibitors (such as anastrozole, exemestane, letrozole), fulvestrant, ospemifene, raloxifene, tamoxifen, tamoxifen, tranexamic acid.
Femring Ring may interfere with certain laboratory tests, possibly causing false test results. Make sure laboratory staff and all your doctors know you use the Femring Ring.
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Reference source: webmd.com