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What Is Annovera?

Annovera is a prescription combined hormonal contraceptive vaginal system containing segesterone acetate and ethinyl estradiol. It is used by females of reproductive potential to prevent pregnancy. One vaginal system is reused for thirteen 28-day cycles, covering one year. It stays in the vagina for 21 consecutive days, followed by a 7-day interval outside the vagina.

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What Is Annovera?

Annovera is a prescription combined hormonal contraceptive vaginal system containing segesterone acetate and ethinyl estradiol. It is used by females of reproductive potential to prevent pregnancy. One vaginal system is reused for thirteen 28-day cycles, covering one year. It stays in the vagina for 21 consecutive days, followed by a 7-day interval outside the vagina.

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How Does Annovera Prevent Pregnancy?

Annovera releases a progestin and an estrogen while it is in the vagina. Combined hormonal contraceptives prevent pregnancy mainly by suppressing ovulation. The system releases approximately 0.15 mg of segesterone acetate and 0.013 mg of ethinyl estradiol per day during use.

How Is Annovera Used During Each Cycle?

The same vaginal system is inserted for 21 continuous days and then removed for 7 days. This 28-day pattern is repeated for thirteen cycles. The system is washed with mild soap and water, rinsed, and dried before each insertion and at each removal. It is stored in its case during the 7-day interval.

Who Should Not Use Annovera?

Annovera is contraindicated in females with several conditions that raise cardiovascular, clotting, liver, or hormone-sensitive cancer risks. Females over age 35 who smoke should not use it. Other contraindications include current or past blood clots, certain migraine patterns, uncontrolled hypertension, certain diabetes complications, breast cancer, severe liver disease, and unexplained uterine bleeding.

What Serious Risks Are Linked to Annovera?

Annovera carries a boxed warning about cigarette smoking and serious cardiovascular events in females over age 35. Combined hormonal contraceptives also raise the risk of venous blood clots and arterial events. Other concerns include high blood pressure, liver problems, gallbladder disease, abnormal bleeding, headaches, and changes in glucose or lipids. Headache, nausea, vaginal infection, and abdominal pain are common reactions.

Frequently Asked Questions About Annovera

How long does one Annovera vaginal system last?

One Annovera vaginal system is reused for thirteen 28-day cycles, which covers one year of contraception.

How long does Annovera stay in place each cycle?

It stays in the vagina for 21 days, followed by a 7-day interval outside the vagina.

Does Annovera protect against sexually transmitted infections?

No. Annovera prevents pregnancy but does not protect against HIV or other sexually transmitted infections.

Can smokers use Annovera?

Females over age 35 who smoke should not use Annovera due to increased cardiovascular risk.

References

ANNOVERA (segesterone acetate and ethinyl estradiol vaginal system) Prescribing Information. https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=37bb9ebd-2e99-4453-bbe6-9dd4a2897193&type=pdf. Date Accessed September 14, 2026.

ANNOVERA Vaginal Birth Control Ring. https://www.annovera.com/. Date Accessed September 14, 2026.

DailyMed - ANNOVERA (segesterone acetate and ethinyl estradiol) ring. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=37bb9ebd-2e99-4453-bbe6-9dd4a2897193. Date Accessed September 14, 2026.

Estrogen and Progestin (Vaginal Ring Contraceptives). MedlinePlus. https://medlineplus.gov/druginfo/meds/a604032.html. Date Accessed September 14, 2026.

NDA/BLA Multi-disciplinary Review and Evaluation: Annovera. U.S. Food and Drug Administration. https://www.fda.gov/media/116378/download. Date Accessed September 14, 2026.