"i&#039;ve been on the nuvaring now for two years. as a birth control medicine and ease of use, i give it a 10, because i&#039;ve had no pregnancies and just set a reminder on my phone. i&#039;m giving it zero stars for my quality of life. it has caused dryness during sex so much that i&#039;ve developed vaginal fissures and the dryness has made my sex life with my husband non-existent. i also have no libido to speak of when before it was healthy. i&#039;m looking into getting the paragard inserted because even if that gives me heavy periods at least i&#039;d get my vagina back."