How do I use it? You must have a prescription to use the birth control patch. See your doctor to discuss whether the patch is right for you. You can start using the patch as soon as you get it if you’re sure you’re not pregnant. The birth control patch is easy to use: • Open the foil pouch so that it lies flat.

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• Decide where you will put the patch. This should be an area of clean, dry skin on your stomach, upper arm, upper back, shoulder, or buttocks. • Peel the patch off of the foil. • Peel half of the plastic off the patch.

Be careful not to touch the sticky part. • Stick the patch to your skin, peeling off the rest of the plastic.

• Push the patch against your skin for 10 seconds using the palm of your hand. • On the same day the following week, remove the patch. • Dispose of the old patch by folding it in half so that it sticks to itself. Place it in a sealed plastic bag and throw it away. • Apply a new patch using steps 1–6.

• Do this for three weeks. On the fourth week, take a break from using the patch.

Then, start again the following week. Every few days, it’s also a good idea to check that the patch has not come loose. If you discover that the patch has fallen off, contact your doctor and ask them what to do. What are the risks? All hormonal birth control has the potential to cause rare but serious side effects, including: • • • • There have been conflicting findings, but recent and larger studies demonstrate no difference in risk among estrogen-containing pills, patches, and rings.

The overall risk is low. However, complications are more common in women who: • smoke and are older than 35 years • have diabetes • have high blood pressure or high cholesterol levels • have certain inherited blood clotting disorders If you fall into one of these categories, discuss with your doctor whether hormonal contraception is right for you.