How is Ortho Evra (“the patch”) different from a contraceptive pill (“the pill”)?
Unlike the pill, which is traditionally taken once a day by mouth, the Ortho Evra patch is a medicated patch placed directly on a woman’s body. The patch is used in four week cycles and is changed every week for three weeks and no patch is worn the fourth week. A woman who uses the patch can be exposed to 60% more estrogen than users of the birth control pill with 35mg of estrogen. It is this increased exposure to estrogen that is believed to be responsible for the increased incidence of serious injury when using the patch versus the pill. This increased exposure to estrogen was reflected in the recent warning label changes for Ortho Evra.
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