Ludovica’s question is not trivial because the number of over-weight people is increasing, and many false beliefs are in circulation that should be clarified. The vaginal ring may also be recommended in the case of excess weight and mild obesity since its main mechanism of action (inhibition of ovulation) is NOT affected by body weight. Several studies have in fact shown, contrary to what was thought up until a few years ago, that the hormone serum concentration levels reached, and thus the contraceptive efficacy and safety, are reliable even in the case of obesity.