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Patch (Ortho Evra Patch)
What is the patch?
The patch is 4.5 cm square, combined estrogen and progestin adhesive
devise, similar to a large band aid. One patch is worn for one week for
each of three consecutive weeks. The fourth week is patch free to allow
for withdrawal bleeding (a period). The patch can be applied to the
lower abdomen, buttocks, or the upper outer arm or upper torso (except
on the breasts). The patch prevents pregnancy by suppressing ovulation,
similar to birth control pills. The patch's effectiveness is equal to
the pill. A cycle of three weekly patches costs about the same as a
cycle of pills. It is recommended that the first patch be placed on the
first day of a menstrual period. If started any other day, a back up
method should be used for the first seven days. More complete
information about this contraceptive can be obtained from your
health-care provider, pharmacist or the package insert accompanying the
patch.
What are the advantages?
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This method of contraception
is useful for women who want to avoid having to do something on a daily
basis or at the time of intercourse.
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This is a good option for women wanting to have monthly/regular periods.
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Single replacement patches are available from a pharmacist.
What are the disadvantages?
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Women must remember to
remove and replace the patch weekly.
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During the first cycle of patch use, about 20 percent of women experience
breakthrough bleeding (spotting).
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The most common side effects were headaches (22 percent), nausea (20
percent), breast tenderness (15 percent during first patch cycle - this
decreased to about 2 percent in subsequent cycles), and skin irritation
at site of application (1 percent).
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Women weighing more than 198 pounds should be aware that the patch may be
slightly less effective and they should use a back-up method of
contraception.
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Women do need to take some care with and observe patch placement. (Do not
place over tattoos. You need to rotate sites. You need to check each day
to be sure patch edges are secure and that the patch has not has not
fallen off. You must not move patch mid-week.)
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This method offers no protection against HIV or other sexually transmitted
infections/diseases. Use a condom if you are at risk.
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The patch requires a prescription. It cannot be obtained over the counter.
Where can I get the patch?
The patch or a prescription for the patch may be obtained from
your doctor, nurse practitioner, nurse midwife, local health department
or family planning clinic.
What if I have sex and don't use birth
control?
Did you know that for 72 hours after sex, you can take emergency
contraceptive pills to avoid becoming pregnant? Did you know that for
five to seven days after sex, you can have an IUD inserted so you won't
become pregnant? Not all clinicians know about these options.
If you want more information or would like the phone numbers of
clinicians near you who prescribe emergency birth control, call the
toll-free number 888.NOT2.LATE or 800.584.9911. Some of these sources of
help are free.
The North Dakota Department
of Health, Division of Family Health, does not assume responsibility for
the content obtained from external hyperlinks accessed from this website.
Any links to external sources are outside of our domain. Information on
external websites does not necessarily reflect the views and opinions of
the North Dakota Department of Health or the Division of Family Health.
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