The chart below shows the blood levels of ethinyl estradiol
and etonogestrel achieved with NuvaRing®. The percentage of
estrogen absorbed into the bloodstream (i.e. bioavailability) is the
same whether given orally or through the vagina. The blood levels of ethinyl
estradiol achieved with NuvaRing® are about half of that seen
with a 30 microgram oral contraceptive pill and truly reflect NuvaRing®'s
15 microgram delivery of estrogen.
Note that fairly even
blood levels occur throughout most of the cycle, which is what most
likely accounts for the very low breakthrough bleeding rates of NuvaRing®.