Combined Patch

What Is the Combined Patch?

  • A small, thin, square of flexible plastic worn on the body.
  • Continuously releases 2 hormones—a progestin and an estrogen, like the natural hormones progesterone and estrogen in a woman’s body— directly through the skin into the bloodstream.
  • The woman puts on a new patch every week for 3 weeks, then no patch for the fourth week. During this fourth week the woman will have monthly bleeding.
  • Also called Ortho Evra and Evra.
  • Works primarily by preventing the release of eggs from the ovaries (ovulation).
How Effective?

Effectiveness depends on the user: Risk of pregnancy is greatest when a woman is late to change the patch.

  • As commonly used, about 7 pregnancies per 100 women using the combined patch over the first year. This means that 93 of every 100 women using the combined patch will not become pregnant.
  • When no mistakes are made with use of the patch, less than

1 pregnancy per 100 women using a patch over the first year (3 per 1,000 women).

  • Pregnancy rates may be slightly higher among women weighing 90 kg or more.

Return of fertility after patch use is stopped: No delay

Protection against sexually transmitted infections: None

Side Effects, Health Benefits, and Health Risks

Side Effects

Some users report the following:

  • Skin irritation or rash where the patch is applied
  • Changes in bleeding patterns
  • Lighter bleeding and fewer days of bleeding
  • Irregular bleeding
  • Prolonged bleeding
  • No monthly bleeding
  • Headaches
  • Nausea
  • Vomiting
  • Breast tenderness and pain
  • Abdominal pain
  • Flu symptoms/upper respiratory infection
  • Irritation, redness, or inflammation of the vagina (vaginitis)

Known Health Benefits and Health Risks

Long-term studies of the patch are limited, but researchers expect that its health benefits and risks are like those of combined oral contraceptives

Where to address?

For a family planning consultation:

  • Ask your family doctor at your health care facility in your area of residence  (see here). WARNING: if you belong to one of the socially vulnerable groups (see here) you can benefit from free contraceptives!
  • Ask  Youth Friendly Health Centers
  • Call the RHTC  Hotline (free and confidential call) – 0800-088-08
  • Call  RHTC – 022355072 / 060903782 / 078306973
  • Write to RHTC e-mail  – cidsr2012@gmail.com