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Obs and gynae
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Alice Turney
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Cards (10)
What is the only combined contraceptive patch licensed for use in the UK?
The Evra patch
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How long does the patch cycle last?
The patch cycle lasts 4 weeks
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How often should the Evra patch be changed during the first 3 weeks?
The patch needs to be changed each week
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What happens during the 4th week of the patch cycle?
The patch is not worn and there will be a withdrawal bleed
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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.
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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
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Is additional contraception needed if the patch is removed late at the end of week 3?
No additional contraception is needed
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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.
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Where can further information on combined hormonal methods of contraception be found?
On the NICE Clinical Knowledge Summary website
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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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