Contraceptive Patch

The contraceptive patch prevents the ovaries from releasing an egg each month (ovulation). If there is no egg to meet the sperm, pregnancy will not occur. It also changes the lining of the uterus making it difficult for an egg to attach itself. Finally, the patch changes the mucus in the cervix making it harder for sperm to enter the uterus.

All individuals seeking a reliable and reversible method of birth control that does not require daily attention. It is important to consult a health care provider, as the patch should not be used if you have certain health conditions. 

Each patch is worn on the skin for seven days. One patch is worn each week for 3 weeks. The patch should be changed on the same day each week. The fourth week is patch-free; your period should begin during the patch-free week.

• Apply to clean, dry and intact skin. To ensure that the patch sticks well on the skin, avoid using creams, lotions or other skin products around the patch area.
• To avoid skin irritation, apply the patch to a different area every time it is changed.
• Place the patch in one of four areas: the buttocks, the lower abdomen, the upper outer arm and upper back (shoulder blade area). Do not place on the breasts.
• Check patch daily to ensure it is well in place.
• The patch can be worn during all daily activities, including bathing and swimming.
• Do not cut, write on or change the patch in any way.
• Do not use other tapes or wraps to hold Evra® in place, even if the edges start to peel away from the skin.
• Note: Avoid spending a lot of time in saunas or hot tubs, as this could increase your exposure to estrogen.

It takes 7 days for the patch to start taking effect and prevent a pregnancy. Use a back-up method of birth control during this time to prevent a pregnancy, such as condoms or abstinence. If this is the first time you start the patch, it is best to use a back-up method for the first month, as you adjust to the routine of changing the patch weekly. 

Less than 24 hours: re-apply it right away or apply a new patch, no backup method of birth control needed and your “patch change day” remains the same.

More than 24 hours: STOP the current cycle. Start a new cycle right away by applying a new patch and this is now day one of your cycle and your new “patch change day”. Use a back-up method of birth control if you have sex in the next seven days.

Advantages:

• Convenient – once a week
• Decreased cramping and menstrual bleeding
• Improved cycle control
• Reduced risk of ovarian and endometrial cancer
• Can reduce acne

Possible side effects:

Slight possibility of:

• Irregular bleeding
• Nausea
• Headaches
• Sore breasts
• Local skin reaction, redness or itchiness on or around the patch area.

*Side effects will likely resolve within the first three months.

Possible complications:

People who have any of these symptoms while on the contraceptive patch should go to the hospital immediately:

• Abdominal pain (severe pain or lump in the abdomen).
• Chest pain or shortness of breath.
• Headache (severe) with dizziness, weakness or numbness.
• Eye problems (vision loss or blurred vision) or speech problems.
• Severe leg pain or numbness (calf or thigh).

Follow the instructions included in your package or visit Stay on Schedule for more information.  

Which week of your cycle did you forget to change the patch?