Patches

Question 1

Evra

Answer 1

• Ethinylestradiol
• Norelgestromin

Question 2

How to use

Answer 2

1 cycle =
- Weekly patch for 3 weeks
- 1 week patch-free

Question 3

Missed patch

Answer 3

Detachment or delayed application

Question 4

Missed patch - type 1

Answer 4

Detached for > 24 hours
Delayed application at BEGINNING of cycle
- Apply new patch ASAP
- Start new “day 1 cycle”
- Condom for 7 days

Question 5

Missed patch - type 2

Answer 5

Delayed application in middle of cycle (week 2 or 3)
< 48 hours = apply new patch, continue as normal
> 48 hours = start a new day 1 cycle + condom for 7 days

Question 6

Ring

Answer 6

• 1 ring per cycle (leave in for 3 weeks)
• Can be removed for up to 3 hours during sex (if it is painful to keep in)
• Not affected by vomiting/diarrhoea

If ring is expelled, delayed insertion or broken:
- After day 7 = new ring and use additional contraception for 7 days after.
- Broken = new ring + EHC if UPSI occurred in the last 5 days