I have been on the NuvaRing for over a year. I chose it because the medication I was taking for a neck problem was not safe for pregnancy, but I wanted to have the ability to get pregnant quickly once I was off the medication. I had no side effects or issues at all while using NuvaRing. Of course there was spotting and irregularity when I first went on it, but that is standard when there are hormone changes. Periods got lighter and shorter over time, and that is one of the stated side effects. My neck problem is resolved and now I am going off of that medication. So I did not re-insert a NuvaRing this month. Wow, what a change! I am having horrible hot flashes and night sweats. So two possibilities as I see it: 1) these perimenopause symptoms are with me for the next few years and the NuvaRing was holding them at bay, or 2) my body was expecting NR and its associated hormones but since it didn't get them, the resulting hormone changes are causing short-term hot flashes and night sweats. I sure hope it is the latter. But either way, I can't see where NR is at fault. I would recommend it.