My gynecologist suggested that I keep my Nuvaring for 28 days instead of 21 as usual and insert a new one.

Spotting while using the Nuvaring or any other hormonal contraceptive can be common. If you experience spotting, it is recommended to stop the contraception for 3 to 4 days and then resume. If spotting continues to be a problem, it may be necessary to adjust the number of days you use the ring continuously, such as taking a break for 7 days after 3 months of continuous use. It is important to monitor the frequency of spotting and adjust your cycle accordingly. Additionally, if the bleeding persists, consider factors such as the consistency of taking the contraceptive, the presence of diarrhea or vomiting, pain after sex, bleeding after sex, taking new medications or natural health products, increased stress, or smoking.