Being an estrogen-progestin contraceptive, the contraindications are the same as for the pill. The vaginal ring is not recommended for women older than 35 years of age, (especially if they are heavy smokers), during lactation (a condition for which the progestin-only pill is recommended), in the case of a family history of thrombosis (presently or in the past), for women with serious chronic diseases (type 2 diabetes, hypertension, hyperlipidemia, cancer, Crohn’s disease and others), for women with irregular vaginal bleeding, liver disease, severe obesity (BMI ≥ 30) or with allergies to the ingredients (active and/or inactive ingredients).