Dear Reader, The prescription contraceptive Ortho Evra is the first birth control patch approved by the U.S. Food and Drug Administration (FDA). With effectiveness rates equal to the pill, the contraceptive patch is 99 percent effective at preventing pregnancy when used correctly and consistently according to the manufacturer’s guidelines and 91 percent effective with typical use. The patch, as you suggested, may be easier to keep up with for those who frequently forget to take the pill or don't want to mess with their birth control every day.

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The Ortho Evra contraceptive patch and the Evra contraceptive patch are both intended to gradually release into the systemic circulation approximately 20 µg/day of ethinylestradiol and 150 µg/day of norelgestromin. Because the Ortho Evra patch works similar to that of birth control pills, many of the benefits are the same.

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Unlike the daily regimen of the pill, the patch only has to be placed on the skin three times a month. As far as the side effects are concerned, it’s hard to say whether the patch's potential side effects are worse than those associated with the pill. The experience and severity of side effects vary from person to person.

This variance likely contributes to the reasons why many people try several birth control methods before finding one that works best for them (i.e., one that is compatible with their lifestyle and few or no side effects are experienced). As you already seem familiar with the pill, it may be good to go over some similarities and differences to help you determine whether the patch might be an appropriate option for you. Using the same type of hormones as the combination pill (which contains both estrogen and a progestin), the patch prevents pregnancy by slowly and continually supplying the bloodstream with hormones through the skin. This suppresses ovulation and causes the cervical mucus to thicken, making it difficult for sperm to enter the uterus. Additionally, both the pill and patch are reversible, meaning fertility resumes quickly when they’re no longer used. The cost of a four-week supply of the patch is comparable to that of a birth control pill pack.

Another trait these two methods have in common is that neither the pill nor the patch protect against sexually transmitted infections (STIs). While the cost and hormones are similar, they’re used in different ways. The patch follows a four-week cycle consisting of 28 days. For the first week, a new patch is placed on the skin and worn for seven continuous days.

It’s recommended that the patch only be placed on clean, dry skin and only on one of four body parts: the buttocks, the abdomen, the upper arm, or the upper torso. The patch is then replaced on the same day of the week for the next two consecutive weeks. However, it's best that the patch be placed in a different of the specifically indicated locations each week. The fourth week, during withdrawal bleeding, a patch won't be worn for seven days before starting the process all over again! You might be wondering about keeping the patch on for seven days.