Ruth means "compassionate friend" and "vision of beauty".
I'm a Ruth and although I hope I fit into the former, I definitely don't fit the latter description, mores the pity!
I do think my name is a bit boring but it isn't overly used and I think it's inoffensive. I like being called Ruthie though, even as a middle aged women.
Pronunciation wise, there is the Roof thing (I would actually get birthday cards as a child with Roof) and also it's an oddly difficult name for some non-English speakers to even hear never mind pronounce. I've had Rut, Rot, Roth, Roat... in fact one of DH's friend gave up and has called me Miriam for the last 11 years.