 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  been out of your vagina for less than 3 hours, rinse it with cool to lukewarm (not hot) water and re-insert the ring as soon as possible. If the ring has been out longer than 3 hours, you could become pregnant. Re-insert it or insert a new ring as directed and use an additional form of non-hormonal birth control (such as condoms, spermicide) for the next 7 days to prevent pregnancy. If you are not sure how long the ring has been out of your vagina, you may not be protected from pregnancy. Contact your doctor for a pregnancy test before inserting a new ring and using additional back-up birth control for 7 days. If you have left the ring in place longer than directed, up to an extra week (4 weeks total), you will still be protected from pregnancy. Remove the ring and insert a new ring after 1 ring-free week. However, if you have left the ring in place longer than 4 weeks, you may not be protected from pregnancy. Remove the ring and contact your doctor for a pregnancy test before inserting a new ring and using additional back-up birth control for 7 days. Rarely, the vaginal ring has broken at the weld joint after placement. This increases the chance of it </s>