Annovera is designed to be worn during sex. However, if you’d prefer, you can remove it for up to 2 hours. If it is out of your vagina for more than 2 hours at a time, or at different times that add up to more than 2 hours over the first 21 days of your cycle, then you will need another method of birth control (for example, condoms) until it has been in your vagina for 7 consecutive days.