Reported Reactions

Drugs › Estrogen

Brand name · Etonogestrel and ethinyl estradiol

EluRyng: adverse event reports filed with FDA

722 reports list it as a suspect or interacting product, 2020–2026. Class: Estrogen.

722
reports as suspect product
0% of all reports · about 111 a year
75
reports, 12 months to June 2026
90 in the 12 months before
9.4%
marked serious by the reporter
57.2% across the class
0%
record death among outcomes, as reported
0 reports · not verified by FDA

Between January 2020 and January 2026, 722 adverse event reports received by FDA list the brand name EluRyng (etonogestrel and ethinyl estradiol) as a suspect or interacting product. Reports that mention it only as a concomitant medication (49) are left out of every figure here.

In the 12 months to June 2026, 75 reports listed it, down 17% from 90 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 111 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the estrogen class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are device breakage (67.3%), no adverse event (55.4%) and product substitution issue (14.8%). A report can list several reactions, so shares add to more than 100%; 122 different terms appear across these reports. Device breakage is recorded in 67.3% of these reports, with no counterpart in the median estrogen drug (0%).

9.4% of the reports are marked serious by the reporter (57.2% across the class); 0% record death among the outcomes and 0.6% record hospitalisation, as reported. 87.3% of the reports came from consumers, and the largest patient age group is 18 to 44 (24.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

069137Jul 2021: 36Aug 2021: 3Sep 2021: 2Oct 2021: 41Nov 2021: 1Dec 2021: 262022Jan 2022: 2Feb 2022: 1Mar 2022: 2Apr 2022: 29May 2022: 2Jun 2022: 4Jul 2022: 38Aug 2022: 1Sep 2022: 3Oct 2022: 37Nov 2022: 1Dec 2022: 02023Jan 2023: 31Feb 2023: 2Mar 2023: 0Apr 2023: 1May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 1Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 12024Jan 2024: 137Feb 2024: 0Mar 2024: 0Apr 2024: 1May 2024: 0Jun 2024: 0Jul 2024: 1Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 1Dec 2024: 02025Jan 2025: 88Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 1Dec 2025: 12026Jan 2026: 73Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0761522020: 11120202021: 15220212022: 12020222023: 3620232024: 14020242025: 9020252026: 732026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of EluRyng reports recording the termmedian drug in estrogen

  1. Device breakagethe device broke67.3%486
  2. No adverse eventno adverse event was reported55.4%400
  3. Product substitution issuea problem after switching products14.8%107
  4. Vulvovaginal discomfort6.2%45
  5. Headachehead pain4.6%33
  6. Vaginal haemorrhagevaginal bleeding4.2%30
  7. Vulvovaginal pain4%29
  8. Medical device site pain3.9%28
  9. Device physical property issuea physical problem with the device3.5%25
  10. Migrainemigraine3.5%25
  11. Mood swingsmood swings3.5%25
  12. Device expulsionthe device came out3.3%24
  13. Nauseafeeling sick3.3%24
  14. Anxietyanxiety3.2%23
  15. Depressionlow mood3%22
  16. Fatiguetiredness3%22
  17. Muscle spasmsmuscle cramps2.8%20
  18. Weight increasedweight gain2.5%18
  19. Painpain, site not specified2.2%16
  20. Acneacne2.1%15
  21. Medical device site discomfort1.8%13
  22. Abdominal distensiona bloated abdomen1.7%12
  23. Dizzinesslight-headedness or unsteadiness1.2%9
  24. Abdominal painstomach or belly pain1.1%8
  25. Discomfortdiscomfort1.1%8

Top 30 of 122 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 25 drugs in the estrogen class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0%0
Life-threatening0.7%5
Hospitalisation (initial or prolonged)0.6%4
Disability0.8%6
Congenital anomaly0%0
Other serious7.5%54
Not serious90.6%654

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 127,523 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110%0
12 to 170.8%6
18 to 4424.8%179
45 to 641.9%14
65 to 740%0
75 and over0%0
Age not given72.4%523

Patient sex

Female95%686
Male0%0
Not given5%36

Who reported

Physician0.8%6
Pharmacist8.4%61
Other health professional2.5%18
Lawyer0%0
Consumer or non-health professional87.3%630
Not given1%7

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception14720.4%
Endometriosis40.6%
Dysmenorrhoea20.3%
Menorrhagia20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 722 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of EluRyng reports
Nuvaring121.7%
Zyrtec60.8%
Levothyroxine50.7%
Vitamin d50.7%

Other products listed in reports where EluRyng is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureEluRyngEstrogenAll reports
Reports as suspect product722127,52320,646,523
Share of that pool—0.6%0%
Reports, latest 12 months75—1,332,454
Marked serious9.4%57.2%57.4%
Death recorded among outcomes, per 1,000 reports01791
Hospitalisation recorded, per 1,000 reports6105213
Consumer-filed share87.3%49%45.8%
Top term, share of reportsDevice breakage 67.3%median 0%0.2%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the estrogen class

DrugName typeReportsLatest 12 monthsMarked serious
Premarinbrand34,40115877.8%
Premprobrand19,8323690.4%
Nuvaringbrand18,6435549.2%
Estradiolgeneric15,4792,77743%
Estradiol Transdermal Systembrand5,9891,3083.2%
Estracebrand4,6492558.9%
Estringbrand3,81311530.5%
CombiPatch (estradiol/norethindrone acetate transdermal system)brand3,60838419.5%
Climarabrand3,1463725.9%
Minivellebrand2,823334%
Climara Probrand1,94911511%
Xulanebrand1,5376510.3%
Vivelle-Dotbrand1,4886232.1%
EstroGelbrand1,3129474.9%
Conjugated estrogensgeneric1,1671298.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about EluRyng reports

How many adverse event reports has FDA received for EluRyng?

722 reports list EluRyng as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 75 of them arrived in the latest 12 months. Another 49 list it only as a concomitant medication.

What reactions are recorded in EluRyng reports?

device breakage (67.3%), no adverse event (55.4%), product substitution issue (14.8%), vulvovaginal discomfort (6.2%) and headache (4.6%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that EluRyng was responsible.

How serious are the reports?

9.4% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (87.3%), pharmacist (8.4%) and other health professional (2.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for EluRyng rising?

75 reports in the 12 months to June 2026, down 17% from 90 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that EluRyng was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of EluRyng?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists EluRyng as a suspect or interacting product; reports listing it only as a concomitant medication (49) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.