Conversation: The conversation between human and AI assistant.
[|Human|] Hi i been on nuva ring for 3 weeks noe and i took it off just today because ive had not spotting but blending alot and when i took it off it was dark almos black blood and it had a strong smell .. And then i passes  two big flesh .. To be exact it lookt like chichen breast when u thinly cut it and really rubbery im sure it was skinn and it happend again 5min ago what is it..
[|AI|]  Hi. Thanks for asking in Chat Doctor. Nuva ring contains both estrogen and progesterone like the OCP. If you have used it for first time, then it would not have prevented the ovulation and the subsequent fertilization, but it would have prevented the implantation of the fertilized ovum. If such is the case, then the rubbery tissue you are passing indicates abortion and the tissues are UN implanted fertilized ovum. Black blood is also suggestive of the same. If the bleeding increases with lots of such tissue coming out, then it is in favor of miscarriage. The bleeding should stop in a few days once all the tissue is passed out. Ultrasound of uterus will reveal if the uterine cavity is empty and if it is a complete abortion. You should consult a gynecologist if the bleeding continues which indicates incomplete abortion, in that case you will need a D&C. I hope this is useful to you.