The Patch

What is it? How does it work?

The patch (brand name Ortho Evra) is a transdermal contraceptive patch that contains estrogen and progesterone, similar to birth control pills. The patch is a thin, beige, flexible, two inch square patch (like a band aid) worn on the body. It releases a continuous low dose of hormones that keep the ovaries from releasing eggs and thickens cervical mucus to block sperm from getting into the uterus. It also thins the lining of the uterus so that implantation is less likely to occur.

How effective is it?

• 99% effective for preventing pregnancy if used properly
• Ortho Evra does not protect against HIV or other STIs

How do you use it?

1. Apply the patch once a week on the same day of the week for 3 weeks in a row. (For example, every Monday for 3 weeks.)
2. The patch can be worn on the buttocks, abdomen, upper torso (not the breasts) or on the outside of the upper arm. Change the location each week.
3. During week 4, do not wear a patch.
4. During the one-week break menstruation will occur. She is still protected from pregnancy during this time.
5. Following week 4, repeat the same application routine each month.

Pros

• The patch is very effective
• It only has to be changed once a week.
• A woman can predict when her period will come.

Cons

• Hormones increase the clotting factors in the blood and put women at a slightly higher risk for developing a blood clot that could cause a heart attack or stroke. Smoking increases this risk, so women who use hormonal contraceptives are strongly encouraged not to smoke.
• Side effects may include breast tenderness, headache, nausea, weight gain, and spotting. (Most side effects are not serious and often go away.)

Where can you get it?

The patch can be obtained at a doctor’s office or clinic and must be prescribed by a clinician.

When should you use it?

A woman must apply the patch 3 out of 4 weeks. Ortho Evra does not protect against HIV and other STIs. A condom should be used along with the patch every time you have sex. Using condoms can prevent HIV and other sexually transmitted infections and it shows that you care about yourself and your partner.

What does it cost?

$15-$35 per month depending upon insurance coverage and/or place of purchase.

> next: The Ring