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The Patch

What is the contraceptive patch?

The contraceptive patch is a lightweight, thin, flexible, beige-colored patch. It has three layers: the outer, protective, polyester layer; the medicated, adhesive layer; and a protective liner which is removed prior to applying the patch. The patch can be applied to the skin of the buttock, abdomen, upper torso (but not the breasts), or the outside of the upper arm. Each patch lasts seven days. Women replace the patch each week for three weeks, then have a seven-day patch-free week, during which time they begin their menstrual bleeding. During a year of typical use, eight women will experience pregnancy; with perfect use, only three in 1,000 women will experience pregnancy. For protection against sexually transmitted diseases, use condoms as well.

Complete information about the patch is available through a clinician or the package insert accompanying this contraceptive method.

What are the advantages of choosing the contraceptive patch?

  • Used properly and consistently, the patch is highly effective at preventing unintended pregnancy.
  • It is easy to use, since it needs to be applied only once a week. In addition, the user can easily verify that her patch is still in place.
  • It is rapidly reversible, should you decide that you wish to conceive a child.
  • Because the hormonal mechanisms of action are similar to that of birth control pills, experts believe the patch may provide many of the same advantages and non-contraceptive health benefits of contraceptive pills, although hard data about long-term health benefits may not be available for decades.

What are the disadvantages?

  • The patch provides no protection against HIV or sexually transmitted infections. For protection against HIV or STIs, a woman should use condoms.
  • Women must remember to change the patch once a week for three weeks and then to resume the patch after seven patch-free days.
  • It is difficult to hide and thus offers less privacy than many other contraceptive methods.
  • The patch is expensive.
  • The patch must be stored carefully in a clean, cool, dark place—not in a purse or the glove compartment of a car.
  • If a patch becomes dislodged and cannot be firmly reattached with ten seconds of continuous pressure, then it must be removed and replaced.
  • Women who use the patch are vulnerable to the same health issues that arise with birth control pills, including increased risk of heart attack and stroke. Women who smoke should not use the patch.
  • The patch can cause skin irritation, redness, or rash.
  • The patch can cause breast tenderness, vaginal spotting, and/or temporary interruption of menses. These side effects usually disappear within the first two cycles of patch use.
  • The patch is less effective in preventing pregnancy among women who weigh more than 198 pounds.

Where can I get the contraceptive patch?

The patch is available with a prescription from a clinician, local health department, or family planning clinic.

Adapted from Hatcher RA et al. Contraceptive Technology. 18th rev. edition. New York, NY: Ardent Media, 2004.

Additional Information >> Contraceptive Choices

Chart Comparing the Effectiveness of Various Methods :: Contraceptive Myths & Facts :: Local Clinics & Hotlines

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