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Womens Health > Birth Control Forum > Ortho-evra Missed One Day
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Q: Ortho-evra Missed One Day
asked by: muirhejs on May 17th, 2006
New User
My fiance and I had intercourse on the evening of monday, may 15th. She took her patch off later that night to change it (she always changes it on mondays), and forgot to put a new one on.

We didn't realize this until tuesday night, so she was without a patch from late monday night until tuesday evening.

Her last period ended may 8th. From looking at a standard menstration calendar, it seems that she would normally be ovulating right around may 15th.

How concerned should we be for this nearly 24 hour lapse? We are generally very consistent about birth control.

Best regards,

john
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Carifairy
replied on May 17th, 2006
Extremely eHealthy
Okay, first of all ovulation is stopped by hormonal birth control, except the mini pill and iud....
So her ovulation would not even come at the usual time of the month like a regular cycle, because her birth control changes her cycle.
A birth control period is not like a regular period, it is just a withdrawal from hormones bleed, used to make women feel better about their birth control. Women associate periods with not pregnant..

So because she put a patch on late she could be at a very slight increased risk of pregnancy.. I would say to get "plan b" just to be on the safe side.. She still needs to keep her patch on..

Plan b can be 20$-40$

an abortion, and I have had one is around 400$ it is worth the peace of mind and less $$ out of your pocket.
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muirhejs
replied on May 19th, 2006
New User
Thanks so much for the advice; one thing we found was this article on planned parenthood's website:

http://www.Plannedparenthood.Org/pp2/porta l/files/portal/medicalinfo/birthcontrol/pu b-patch-orthoevra.Xml

based on the article, it seems like we are probable ok- just like you said, probably a bit of a increased risk but not that much more..

Best regards,

john

from the article:

what to do if you forget
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if you apply the patch late during week one: apply a new patch as soon as you remember. Use a backup method for seven days. Use emergency contraception if you have had unprotected vaginal intercourse. Change the patch one week after the day you applied your late patch — that will be your new "patch change day."

if you apply the patch late during week two or three: if you are one or two days late changing your patch, change it as soon as you remember. Maintain your regular "patch change day" for the next patch. If you are more than two days late changing your patch, change it as soon as you remember. This will be your new "patch change day." use a backup method for seven days. Use emergency contraception if you have had unprotected vaginal intercourse. Wear the late patch for one week.

If you apply the patch late during week four: remove the patch. Apply a new patch on your regular "patch change day."
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