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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Supporting the User

Instructions for Late Removal or Replacement

Forgot to apply a new patch at the start of any patch cycle (during week one)?
  • Apply a new patch as soon as possible.
  • Record this day of the week as the new patch-change day.
  • Use a backup method* for the first 7 days of patch use.
  • Also, if the new patch was applied 3 or more days late (patch was left off for 10 days or more in a row) and she had unprotected sex in the past 5 days, consider taking emergency contraceptive pills (see Emergency Contraceptive Pills).
Forgot to change the patch in the middle of the patch cycle (during week 2 or 3)?
  • If late by 1 or 2 days (up to 48 hours):
    • Apply a new patch as soon as remembered
    • Keep the same patch-change day
    • No need for a backup method
  • If late by more than 2 days (more than 48 hours):
    • Stop the current cycle and start a new
      4-week cycle by applying a new patch immediately
    • Record this day of the week as the new patch-change day
    • Use a backup method for the first 7 days of patch use
Forgot to remove the patch at the end of the patch cycle (week 4)?
  • Remove the patch.
  • Start the next cycle on the usual patch-change day.
  • No need for a backup method.

* Backup methods include abstinence, male and female condoms, spermicides, and withdrawal. Tell her that spermicides and withdrawal are the least effective contraceptive methods. If possible, give her condoms.