How should the combined contraceptive patch be started?
• New users with no previous hormonal contraception and no recent childbirth or abortion: • Apply the patch on day 1–5 of the menstrual cycle for immediate contraceptive cover. • If applied outside days 1–5 of the menstrual cycle, exclude pregnancy and use additional contraceptive cover for 7 days. • After abortion, or after miscarriage within 24 weeks of gestation: • Apply the patch within 7 days of abortion or miscarriage for immediate contraceptive cover. • If applied outside day 7 after abortion or miscarriage, use additional contraceptive cover for 7 days. • Postpartum women who are not breastfeeding (including any pregnancy over 24 weeks gestation): • Apply the patch on day 21 postpartum for immediate contraceptive cover. • If applied after day 21 postpartum, use additional contraceptive cover for 7 days. • Advise the woman that recommendations in the packet may differ from these recommendations, and that only application on day 1 is a licensed indication.