Evra Patch

Evra patch is a popular alternative female contraception medication, which is also a Combined Hormonal Contraceptive (CHCs). The properties of the patch are similar to that of the combined pill contraceptives. These patches ensure consistent production of oestrogen and progesterone.
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Images for illustrative purposes only

Evra Patch

Evra patch is a popular alternative female contraception medication, which is also a Combined Hormonal Contraceptive (CHCs). The properties of the patch are similar to that of the combined pill contraceptives. These patches ensure consistent production of oestrogen and progesterone.


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Evra Patch is a female contraceptive medication, a birth control patch to prevent the development of a pregnancy.

The Evra Patch is a topical patch which is applied to the skin. The patch facilitates the daily release of the hormones oestrogen and progesterone and works like any other combined hormonal contraceptive (CHC). The role of these hormones is to prevent ovulation (the process where an egg is released) during a woman's menstrual cycle. 

The patch helps thicken the mucus inside the cervix, which makes it difficult for the sperm to make its way. Simultaneously, it thins the lining inside the womb. This makes it difficult for the egg to implant itself inside the womb lining.

 

When the Evra Patch is used effectively, it is known to prevent pregnancy up to 99.99% probability.

The Evra Patch can be purchased online via MedsNow. However, this is a prescription-only medication since the patch is not suited for each and everyone. Hence, you will need to consult your GP or any prescriber who is not connected with any pharmacy to ensure that this patch is the right medication for you.

Evra Patch is one of the most convenient contraception methods. Here are a few advantages of the patch:

  • Evra Patch is very easy to use and does not interfere with sexual intercourse.

  • You will not need to think about applying the patch daily, like in the case of the contraceptive pill. 

  • It may help lessen your premenstrual symptoms 

  • It may help make your periods lighter and easier

  • The hormones are released directly into the bloodstream. Hence, the effect will not reduce even if you have an upset stomach, diarrhoea or vomiting. 

  • It may also help reduce the risk of ovarian cancer, womb or bowel cancer, ovarian cysts, and fibroids.

 

Wear your first patch on day 1. Let it stay for 7 days. Change the patch on day 8, which is the second week. Continue like this for 3 weeks. After 21 days, you will have a patch-free week. During this week, you may sometimes experience some bleeding too. But that is not mandatory, so do not worry if you do not see any bleeding. 

Once the patch-free week is over, you can reapply the patch and continue the system again for the next four weeks. In case you are bleeding in the patch-free week, restart the cycle nevertheless.

    • Where to put the patch

The patch can be applied to any part of the skin which is clean and dry, and not too hairy. Do not apply the patch on your breasts, or any area which can get frequently rubbed due to tight clothing, or on sore and irritated skin. 

You may change the position of the patch every week, to reduce the chances of skin irritation. 

    • What to do if the patch falls off

Ideally, the patch will not fall off because it is very sticky. Even if you take a shower, sauna or a swim, chances are pretty low that the patch will come off. 

But in case it does, you will need to take an action depending for how long it has come off. 

If the patch has come off within 48 hours or lesser:

  • You can stick it back immediately if it is still sticky. 

  • If it has lost its stickiness, do not try to stick it with a tape or bandage. Instead, replace it with a new patch. 

  • After that, continue to use the patch as usual and change it on the usual day when it was due.

  • You will be protected against pregnancy if you have used it correctly for the last 7 days before the patch came off

  • However, if the patch has fallen off after having used it only for 6 days or a lesser period of time, you will need to use other contraception methods like condoms too, for the next 7 days 

If the patch has fallen off unnoticed for more than 48 hours, 

  • Take a new patch and begin a fresh new cycle from that day

  • Use other contraception methods like condoms too, for the next 7 days 

  • You may need to visit your GP or nurse if you have had unprotected sex within the last seven days. They will recommend you emergency contraception.

    • When does the patch start to work?

If you apply Evra patch on the first to the fifth day of your period, you will be protected from pregnancy right away. 

If you apply it on some other day, you will need to use other contraception methods like condoms too, for the next 7 days 

If you have a shorter menstrual cycle, then even the fifth day of the period may be risky and you will need other contraception methods for the next 7 days 

    • What to do if you forget to take the patch off

If you have crossed less than 48 hours after the take-off day, 

  • You can take it off and replace the patch with a new one as usual.

  • You do not need any additional contraception medication and you will be protected from any risk of pregnancy. 

If you have crossed over 48 hours after the take-off day,

  • Apply and new patch and begin a new cycle 

  • This will be the first day of the new cycle, and for the next 7 days, you will have to continue using other contraception methods like condoms too 

  • You may need to visit your GP or nurse if you have had unprotected sex within the last seven days. They will recommend emergency contraception.

    • What to do if you forget to put a patch on after the patch-free week

Apply the patch as soon as you recollect and begin this as a new patch cycle. 

If you haven’t had a patch for less than 48 hours from the end of the patch-free week, you will still be protected against pregnancy. 

  • However, if you have forgotten to wear the patch for more than 48 hours, you will need to use other contraception methods like condoms too, for the next 7 days.

  • You may need to visit your GP or nurse if you have had unprotected sex within the last seven days. They will recommend emergency contraception.

    • How do you remove the patch?

To remove the patch, lift it from one corner of the square and gently peel it off from your skin. 

Ensure that you fold it into half, with the sticky side being on the inside. Then dispose off the patch in the dustbin. Be careful that it does not come in contact with children or pets. Do not flush it down the toilet.

 

 

Every 20 cm(square) of the EVRA patch contains 6 mg Norelgestromin (NGMN) and 600 micrograms Ethinyl Estradiol (EE).

If this is the first time you are using any contraception or switching from any other form of contraception, wait till your next period and begin using it on the first day of your period. 

If you begin using the patch on any other day, you must continue using other contraception methods like condoms too, for the next 7 days.

 

The Evra patch is not suited for everybody. You must not use the patch if: 

  • You are pregnant or think you may be pregnant

  • You are breastfeeding

  • You are 35 years or older and you smoke

  • You are 35 years or older and have stopped smoking less than one year ago

  • You weigh more than 90 kgs

  • You are taking medicines to treat epilepsy, HIV r tuberculosis

  • You currently have or have had in the past any history of blood clots

  • You have heart disease or any of your family members has had a heart issue before the age of 45 years

  • You have breast cancer, migraine, lupus, or any disease of the liver or gallbladder

  • You have diabetes with other complications

 

If you are taking any other medicines, it is essential that you inform your doctor about them, especially if they include: 

  • cholesterol-lowering medicines - atorvastatin, rosuvastatin; or

  • acetaminophen, ascorbic acid (vitamin C);

  • HIV or AIDS medicines - atazanavir, etravirine, indinavir.

  • antifungal medicine - fluconazole, itraconazole, ketoconazole, voriconazole;

This is not a complete list, some other medicines, over the counter products, herbal medicines, may also have an interaction with the path. Hence, it is best to speak to your doctor before you start using the patch.

 

The patch has a very small risk percentage associated with it. However, there is a small risk of blood clots if you are using the patch. And a small percentage of women have even developed breast cancer or cervical after using the patch for the long term. Hence, it is best advised that you consult a GP or nurse and fully understand the risks involved, and then make an informed decision.

  1. Can I skip my patch-free week? If you wish to skip your period or stop having periods when you are using the patch for birth control, you can skip the patch-free week.

  2. Can you put the Evra patch on your thigh? The patch can be applied to any area of the skin as long as it is dry, clean and not too hairy. Also, ensure that the area does not experience frequent rub-offs.

  3. Can the Evra patch cause weight gain? No, the patch does not appear to cause weight gain. 

  4. Is the patch safer than the pill? The patch has one advantage over the pill, that it gets directly absorbed into the bloodstream via the skin. Hence, it does not lose its efficacy even when you have an upset stomach.

  5. How long after the patch can I get pregnant? You will be protected from unwanted pregnancy up to 48 hours since you have completed your last patch cycle.

  6. How do I know if the patch is working? You cannot see any explicit change in the patch which shows that it is working. But you can be assured that it is continuously releasing hormones into the bloodstream via the skin. 

  7. What happens when you come off the patch? Your fertility will return to what’s normal for you once you stop using the patch. If you do not get periods immediately, do not worry. It may even take months for some people before they start getting their period as usual.

  8. Does the patch make you emotional? Yes, the patch is like any other birth control contraceptive and can have similar effects, including emotional mood swings.

  9. What makes the patch less effective? If you do not use the patch correctly as per the required peel off and new application duration, the patch becomes less effective.

  10. Does Evra patch cause bloating? Yes, bloating as well as breast tenderness are some common effects of the patch as seen in women.

  11. Does the patch make you tired? Fatigue is known to be a side effect of birth control contraception medication, including the patch.

  12. Can the patch stop my period? The hormones released from the patch into the bloodstream can make your period lighter, and may sometimes even cause your period to skip altogether.

  13. Can you shower with birth control patch? Yes, the patch is very sticky and does not come off easily in case of a bath or shower, sauna or a swim.

  14. Why am I getting my period on the patch? The patch is not a menstrual control method, and you may continue getting your periods on the patch. However, they may be lighter than earlier. 

  15. How do I stop my birth control patch from falling off? Ensure that you stick your patch on clean, dry skin which is not too hairy. Also make sure that it does not experience frequent rub offs due to tight clothing.

  16. Can I put tape over my birth control patch? No, if your patch becomes loose and does not stick back by itself, it is advised to change your patch and use a fresh one.

  17. Can the patch give you diarrhoea? Diarrhoea is a potential side effect of birth control contraception medications.

  18. Can the patch cause yeast infections? Sometimes, the use of birth control medications may disrupt your body’s natural hormonal levels and result in yeast infections or overgrowth. 

 

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