When to suggest this OC alternative
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Recommend continuous or extended use of the transvaginal contraceptive ring to women who want fewer days of menstrual bleeding and have trouble remembering to, or prefer not to, take a daily pill. If breakthrough bleeding is troublesome, suggest a 4-day ring-free interval. Strength of recommendation B: Based on a single randomized controlled trial (RCT) with <80% follow up.
Journal of Family Practice, 58(4) 2009: 207-210.