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The Only Long-Lasting
Birth Control Available
Without A Procedure

It's Time For ANNOVERA

An Alternative Approach To Long-Acting Contraception


Procedure-Free Insertion and Removal1

Predictable Scheduled Bleeding1,2,*

Multiple Visits Not Required





3-10 YEARS

*5-10% of females experienced unscheduled bleeding and/or spotting for ~1 day or less per 28-day cycle.

Inserted for 21 continuous days and removed 7 days for 13 cycles.


Demand For Long-Term
Contraception Is Increasing3

Yet many women are not interested in Long-Acting Reversible Contraceptives (LARCs).4

~50% Decline Larcs5

Nearly half of women presented with LARCs reject them due to the procedure required for insertion and removal.

20-30% Have Their IUD Or Implant Removed Within One Year6-8

Common reasons for removal include: irregular bleeding, cramping, expulsions, pain, and other side effects.

See How Women

View Now Examine ANNOVERA'S Clinical Profile


  1. Annovera® [Full Prescribing Information]. Raleigh , NC: Mayne Pharma, Inc; 2022,
  2. Vieira CS, Fraser IS, Plagianos MG, et al. Bleeding profile associated with 1-year use of the segesterone acetate/ ethinyl estradiol contraceptive vaginal system: pooled analysis from Phase 3 trials. Contraception. 2019;100(6):438-444. doi: 10.1016/j. contraception.2019.07.145.
  3. Kavanaugh ML, Jerman J. Contraceptive method use in the United States: trends and characteristics between 2008, 2012 and 2014. Contraception. 2018;97:14-21.
  4. Mansour C. International survey to assess women’s attitudes regarding choice of daily versus nondaily female hormonal contraception. Int J Women’s Health. 2014; 6: 367–375.
  5. Ipsos Healthcare. Birth Control ATU. November 2020.
  6. Diedrich JT, Zhao Q, Madden T, et al. Three-year continuation of reversible contraception. Am J Obstet Gynecol, 2015;213:662.e1-8.
  7. Crosignani PG. Intrauterine devices and intrauterine systems. Human Reproduction Update. 2008 Vol.14, No.3 pp. 197–208, 2008.
  8. Moray KV, Chaurasia H, Sachin O, et al. A systemic review on clinical effectiveness, side-effect profile, and meta-analysis on continuation rate of etonogestrel contraceptive implant. Reprod Health; 18:4, 2021.



See full prescribing information for complete boxed warning.

  • Females over 35 years old who smoke should not use ANNOVERA.
  • Cigarette smoking increases the risk of serious cardiovascular events from combination hormonal contraceptive use.


ANNOVERA (segesterone acetate and ethinyl estradiol vaginal system) is contraindicated and should not be used in women with a high risk of arterial or venous thrombotic diseases; current or history of breast cancer or other estrogen- or progestin-sensitive cancer; liver tumors, acute hepatitis, or severe (decompensated) cirrhosis; undiagnosed abnormal uterine bleeding; hypersensitivity to any of the components of ANNOVERA; and use of Hepatitis C drug combinations containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir.


  • Stop ANNOVERA if a thrombotic or thromboembolic event occurs, and at least 4 weeks before and through 2 weeks after major surgery. Start ANNOVERA no earlier than 4 weeks after delivery, in females who are not breastfeeding. Consider cardiovascular risk factors before initiating in all females, particularly those over 35 years.
  • Discontinue if jaundice occurs.
  • Stop ANNOVERA prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir. ANNOVERA can be restarted 2 weeks following completion of this regimen.
  • Do not prescribe ANNOVERA for females with uncontrolled hypertension or hypertension with vascular disease. Monitor blood pressure and stop use if blood pressure rises significantly in females with well-controlled hypertension.
  • Monitor glucose in pre-diabetic or diabetic females taking ANNOVERA. Consider an alternate contraceptive method for females with uncontrolled dyslipidemias.
  • Patients using ANNOVERA who have a significant change in headaches or irregular bleeding or amenorrhea should be evaluated. ANNOVERA should be discontinued if indicated.
  • Other warnings include: gallbladder disease; depression; cervical cancer; increased serum concentrations of binding globulins; hereditary angioedema; chloasma (females who tend to develop chloasma should avoid exposure to the sun or UV radiation while using ANNOVERA); toxic shock syndrome (TSS) (if a patient exhibits symptoms of TSS, remove ANNOVERA, and initiate appropriate medical treatment); vaginal use (ANNOVERA may not be suitable for females with conditions that make the vagina more susceptible to vaginal irritation or ulceration).


The most common adverse reactions reported in at least 5% of women who received ANNOVERA were: headache/migraine, nausea/vomiting, vulvovaginal mycotic infection/candidiasis, lower/upper abdominal pain, dysmenorrhea, vaginal discharge, urinary tract infection, breast pain/tenderness/discomfort, bleeding irregularities including metrorrhagia, diarrhea, and genital pruritus.


Drugs or herbal products that induce certain enzymes, including CYP3A4, may decrease the effectiveness of ANNOVERA or increase breakthrough bleeding. Counsel patients to use a back-up or alternative method of contraception when enzyme inducers are used with ANNOVERA.


ANNOVERA (segesterone acetate and ethinyl estradiol vaginal system) is a progestin/estrogen combination hormonal contraceptive indicated for use by females of reproductive potential to prevent pregnancy.

Limitations of Use: ANNOVERA has not been adequately studied in females with a body mass index >29 kg/m2.

Please note that this information is not comprehensive. Please click here for the Full Prescribing Information, including BOXED WARNING.

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