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Birth Control Patch

Everything you need to know about birth control patches, including how they work, how to use, effectiveness, cost, and pros and cons.

Contraception

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Published on 14 Mar 2024

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By Thomson Team

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What is a birth control patch?

A birth control patch is a small sticky patch that administers a precise and controlled dose of hormones into the body through the skin to prevent pregnancy. Typically, it combines estrogen and progestogen, mimicking the hormonal composition found in oral contraceptives.

What are the different types of birth control patches?

The birth control patch market offers a variety of options, each with its unique hormonal composition and application instructions. Notable types include:

  1. Ortho Evra: One of the pioneering patches, containing 20 mcg of ethinyl estradiol and 150 mcg of norelgestromin.

  2. Xulane: A generic alternative to Ortho Evra, providing 35 mcg of ethinyl estradiol and 150 mcg of norelgestromin.

How effective is the patch?

When applied meticulously, the birth control patch achieves an impressive effectiveness range from 91% to 99%. It works by suppressing ovulation, thickening cervical mucus to impede sperm movement, and altering the uterine lining to deter implantation. 

How to use the patch?

The application process for the birth control patch is user-friendly. Users typically apply a new patch to clean, dry skin once a week for three weeks, followed by a patch-free week. During the patch-free week, the user will get a withdrawal bleed, like a period, although this may not always happen. After seven patch-free days, apply a new patch and start the cycle again.

Where do you put the patch?

You can stick the patch onto most areas of your body as long as the skin is clean, dry, and hairless. Don’t apply the patch onto sore or irritated skin, your breasts, and areas where the patch may get rubbed off.

What are the pros and cons of birth control patches?

Pros of birth control patch

  1. Convenience: Weekly application mitigates the need for daily reminders.

  2. Highly effective: The patch ranks among the most reliable contraceptive methods when used correctly.

  3. Less pain menstruation: The patch may lead to lighter and less painful periods.

Cons of birth control patch

  1. Potential skin irritation: Users may experience mild irritation at the application site.

  2. No STI protection: It's important to note that the patch does not protect against sexually transmitted infections (STIs), requiring additional precautionary measures.

  3. Potential side effects: Some users may experience side effects, such as breast tenderness, nausea, and mood changes, emphasising the importance of individual considerations when choosing a contraceptive method.

How much does a patch cost in Singapore?

A birth control patch in Singapore can cost between $36 and $60 per month.

What are the side effects of using the patch?

While most users experience minimal side effects, common occurrences may include skin irritation, breast tenderness, nausea, and mood changes. Serious side effects, such as blood clots, are rare but necessitate careful consideration, especially for women with specific pre-existing conditions.

Where to buy a patch?

The birth control patch is exclusively available by prescription, ensuring professional oversight. Accessible through healthcare providers, family planning clinics, or pharmacies, obtaining guidance from a healthcare professional ensures the selection of the most suitable brand and method.

Who is suitable for the patch?

The birth control patch is a suitable option for a wide demographic, particularly those seeking a practical and reversible contraceptive method. Its weekly application proves advantageous for individuals who may find adhering to a daily pill schedule challenging.

Who is not suitable for the patch?

Certain health conditions, including a history of blood clots, liver disease, or specific types of cancer, may render the birth control patch unsuitable for some individuals. Additionally, women over 35 who smoke are generally advised against using hormonal contraceptives due to an elevated risk of cardiovascular issues.

FAQ

Is the patch a good birth control?

When used consistently and correctly, the contraceptive patch is a highly effective form of birth control. 

Birth control patch vs pill: Is patch safer than pill?

Both the birth control patch and birth control pill are generally considered safe and effective methods of contraception when used as directed. However, the safety and appropriateness of each method can vary depending on individual health factors and lifestyle considerations.

Can I get pregnant if my patch falls off?

If the birth control patch falls off or becomes partially detached, it may affect the contraceptive effectiveness, and there is an increased risk of pregnancy.

Do I get periods with the patch?

The birth control patch typically regulates your menstrual cycle, and you may experience bleeding or withdrawal bleeding during the patch-free week. 

What do I do if I forget to change my patch?

If you forget to change your birth control patch on time, it's important to take prompt action to maintain its contraceptive effectiveness. Here are general guidelines to follow if you forget to change your patch:

If it’s less than 48 hours late:

  • Apply a new patch as soon as you remember.

  • Continue with your regular patch-change schedule.

If it’s more than 48 hours late:

  • Apply a new patch immediately.

  • You may need to use a backup method of contraception, such as condoms, for the next seven days to ensure continuous contraceptive coverage.

  • If you had unprotected sex during the patch-free week or within the previous week, consider the possibility of pregnancy and consult with your healthcare provider.

    • Your healthcare provider may provide specific instructions based on the type of patch you are using and your situation.

  • If you had unprotected sex during the patch-free week or within the previous week and the patch change was significantly delayed, you may consider taking a pregnancy test to rule out the possibility of pregnancy.

For more information, contact us:

Thomson Specialists (Women's Health)

Thomson Women's Clinic


Notice

The range of contraceptive options may vary between Thomson Women's Clinic (TWC) locations. Please contact your preferred TWC branch directly to enquire about the current availability of specific contraceptive methods.

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Dr Ryan Lee Wai Kheong

Obstetrics & Gynaecology (O&G)

Thomson Specialists Woodleigh (Women's Health)

English, Mandarin

Adept, MHC, HSBC, Alliance MediNet and 1 other

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Dr Ryan Lee Wai Kheong