Wilma highlights another advantage of this method compared to the pill. While the hormones of the combined pill are absorbed from the intestine and metabolized in the liver before being discharged into the blood, with the vaginal ring (or patch), the hormones skip this extra step and are absorbed directly into the bloodstream. This is ideal for anyone who has difficulty swallowing, or for those who have problems with intestinal absorption and/or intolerance. The effectiveness of the vaginal ring is also not altered in case of vomiting or diarrhea.