Obs and gynae

    Cards (10)

    • What is the only combined contraceptive patch licensed for use in the UK?
      The Evra patch
    • How long does the patch cycle last?
      The patch cycle lasts 4 weeks
    • How often should the Evra patch be changed during the first 3 weeks?
      The patch needs to be changed each week
    • What happens during the 4th week of the patch cycle?
      The patch is not worn and there will be a withdrawal bleed
    • What are the rules for delays in changing the patch at the end of week 1 or week 2?
      • If the delay is less than 48 hours: change immediately, no further precautions needed.
      • If the delay is greater than 48 hours: change immediately and use a barrier method for the next 7 days.
      • Consider emergency contraception if unprotected intercourse occurred in the last 5 days.
    • What should be done if the patch removal is delayed at the end of week 3?
      The patch should be removed as soon as possible and a new patch applied on the usual cycle start day
    • Is additional contraception needed if the patch is removed late at the end of week 3?
      No additional contraception is needed
    • What should be done if patch application is delayed at the end of a patch-free week?
      • Use additional barrier contraception for 7 days following any delay.
    • Where can further information on combined hormonal methods of contraception be found?
      On the NICE Clinical Knowledge Summary website
    • What is the URL for the NICE Clinical Knowledge Summary on combined hormonal methods of contraception?
      http://cks.nice.org.uk/contraception-combined-hormonal-methods#top
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