Which of the following is NOT a common side effect associated with etonogestrel/ethinyl estradiol (NuvaRing)?

• A. Vaginitis
• B. Breast tenderness
• C. Increased appetite
• D. Severe headache

Answer: (D)

Etonogestrel/ethinyl estradiol, commonly known as NuvaRing, is a combined hormonal contraceptive that delivers estrogen and progestin to prevent ovulation. When considering the common side effects associated with this medication, it's important to recognize the typical reactions that users may experience.

Vaginitis can occur due to hormonal changes that may alter the vaginal environment, leading to irritation or infections. Breast tenderness is another well-documented side effect, often resulting from hormonal fluctuations caused by the introduction of synthetic hormones into the body. Increased appetite may also be experienced by some users as a side effect, although this varies greatly among individuals.

Severe headaches, while they can occur with various hormonal contraceptives, are not as commonly reported specifically with NuvaRing. Instead, many users may experience mild to moderate headaches as a side effect; however, severe headaches should be evaluated carefully as they can indicate a risk for complications such as migraines or vascular issues. Therefore, identifying severe headache as not a common side effect highlights the importance of recognizing variations in individual reactions to hormonal contraception and underscores the need for monitoring any significant changes in health.