The Shift from Ortho Evra to Current Brands
Introduced in 2002, the Ortho Evra birth control patch was the first of its kind, offering a convenient, weekly alternative to daily pills. It delivered a steady dose of estrogen and progestin through the skin to prevent pregnancy. However, concerns arose over the patch's delivery of a higher level of estrogen compared to many oral contraceptives, which was linked to an increased risk of blood clots. After a stronger warning label was added in 2011, the brand was officially discontinued in the United States in 2014, making way for generic versions.
Today, the market is served by newer formulations and generic equivalents that offer reliable and effective contraception, addressing the user's question, "Can you still get the contraceptive patch?" The availability of multiple brands also provides different options for patients, particularly concerning hormone dosage and potential side effects.
Current FDA-Approved Contraceptive Patches
As of 2025, there are three primary contraceptive patches available by prescription in the United States, which work by releasing hormones through the skin to prevent ovulation:
- Xulane and Zafemy: These are generic versions of the discontinued Ortho Evra and contain the same active ingredients: norelgestromin (a progestin) and ethinyl estradiol (an estrogen). The Xulane patch is square-shaped, while Zafemy is slightly smaller, though both deliver the same dose of hormones.
- Twirla: A newer brand, Twirla, was approved by the FDA with a different progestin (levonorgestrel) and a lower daily dose of estrogen. It is a circular, beige patch, offering an alternative for those seeking a lower hormonal exposure.
Accessing Your Prescription for the Patch
Obtaining a prescription for a contraceptive patch today is easier than ever, thanks to the growth of telehealth and convenient pharmacy options.
In-person:
- Schedule an appointment with a healthcare provider, such as a gynecologist or a general practitioner.
- Discuss your medical history and health goals to determine if the patch is the right contraceptive method for you.
- Your doctor will write a prescription, which you can fill at a local pharmacy.
Online (Telehealth):
- Use a reputable online service, such as Planned Parenthood Direct, Nurx, or Twentyeight Health.
- Complete a health questionnaire or have a video consultation with a licensed clinician.
- If approved, the prescription is sent to your local pharmacy for pickup or shipped directly to your door.
Xulane vs. Twirla: A Comparison
The choice between different brands often comes down to specific hormonal content and individual health factors. This table highlights the key differences between Xulane and Twirla.
| Feature | Xulane / Zafemy (Generics of Ortho Evra) | Twirla |
|---|---|---|
| Active Ingredients | Norelgestromin (progestin) and Ethinyl Estradiol (estrogen) | Levonorgestrel (progestin) and Ethinyl Estradiol (estrogen) |
| Daily Estrogen Dose | Higher (35 mcg) | Lower (30 mcg) |
| Patch Shape | Square with rounded edges | Circular |
| Weight Effectiveness | May be less effective in people over 198 lbs or with BMI ≥ 30 | May be less effective in people with BMI ≥ 25 kg/m2 |
| Estrogen-related Side Effects | May have a higher likelihood due to higher dose | May have a lower likelihood due to lower dose |
| Approval | Branded generic (FDA) | Newer drug product (FDA) |
How to Use the Contraceptive Patch
Using the patch correctly is crucial for its effectiveness, which can be up to 99% with perfect use. The standard cycle involves wearing a new patch every week for three weeks, followed by a patch-free week for your period.
- Application: Apply the patch to clean, dry skin on the buttocks, stomach, upper outer arm, or upper torso. Rotate the application site each week to prevent skin irritation.
- Weekly Change: Change your patch on the same day each week for three consecutive weeks.
- Patch-Free Week: Do not wear a patch during the fourth week. Your period should begin during this time.
- Restarting: Begin a new four-week cycle by applying a fresh patch on the designated day after your patch-free week.
Risks and Considerations
While a convenient and effective option, the patch is not suitable for everyone. Potential risks and factors to consider include:
- Increased Blood Clot Risk: Studies have suggested a higher risk of blood clots compared to oral contraceptives, especially with the higher-estrogen formulations like Xulane. This risk is heightened for smokers over 35.
- Lower Effectiveness at Higher Weights: The efficacy of the patch can decrease in individuals over a certain weight or body mass index (BMI).
- Skin Irritation: Some users experience skin irritation at the application site.
- Common Side Effects: Hormonal contraception can cause headaches, nausea, breast tenderness, and mood changes in some individuals.
- No STI Protection: The patch does not protect against sexually transmitted infections (STIs), so condoms are still necessary for preventing transmission.
For more detailed information on contraceptive methods, you can visit the Planned Parenthood website.
Conclusion: Navigating Your Options
In summary, the contraceptive patch is not only still available but comes in multiple modern formulations to suit different needs. The days of Ortho Evra are gone, replaced by generic options like Xulane and Zafemy, as well as the newer, lower-estrogen alternative Twirla. With the expansion of telehealth services, accessing a prescription is more convenient than ever, offering a seamless and discreet process for those who prefer not to visit a clinic in person. As with any birth control method, it is essential to consult with a healthcare professional to discuss your medical history, weighing the benefits against the risks to find the option that is safest and most effective for you. The weekly patch remains a highly effective choice for many, providing flexibility and convenience in managing reproductive health.
