Birth Control Patch (Ortho Evra) Ortho Evra is a tiny skin patch with the same hormones (estrogen and progesterone) as in many birth control pills. The contraceptive patch prevents pregnancy by delivering a continuous amount of these hormones through the skin and into the bloodstream.
A new patch is worn for one week and then replaced on the same day of the week for three consecutive weeks. The fourth week is a "patch-free week." This is when you should have your period.
The patch can be worn on the buttocks, abdomen, upper torso (except for the breasts) or the outer part of the upper arm. You should not place the patch on skin that is red, irritated, or cut, or on skin where you apply makeup, creams, or powders. Only wear one patch at a time.
Where Do I Get a Birth Control Patch? Ortho Evra is available only by prescription from a doctor. Obtain one here from our associate MedicalWeb.
How Effective Is the Birth Control Patch? The Ortho Evra contraceptive patch is 99% effective at preventing pregnancy when used correctly. The patch does not protect against STDs, including HIV (the virus that causes AIDS). The male condom provides the best protection from most STDs.
Birth Control Patch Side Effects Possible side effects include:
- Breast tenderness
- Headache
- Rash or redness at the site of the patch
- Nausea
Who Should Not Get the Birth Control Patch? Some women should not get the Ortho Evra patch. They include women:
- With blood clots, history of heart attack, hypertension, or stroke
- Over 35 who smoke cigarettes
- With certain cancers, such as breast cancer
- With liver disease
- Who are pregnant or think they might be pregnant
I heard there were some new risks?
There have been reports of severe consequences, significantly of pulmonary embolism, a deadly blood clot in the lung, in several women using the Ortho Evra Patch. It is possible that the incidence of deadly heart attacks, strokes and blood clots, always a risk with any hormonal birth control method, are greater when using the Patch. The issues remain open, research and investigation is now being done. Review both sides of the issue by reading the links below.
Are there alternatives I could consider?
If convenient hormonal birth control is your goal, investigate the Nuva Ring, a low estrogen device that may be safer than the patch. Avoid the risk of hormonal birth control entirely and choose from the many safer methods available including the FemCap - a tiny reusable cervical cap.

