How do I switch birth control patch spots?

How to Switch Birth Control Patch Spots

When switching birth control patch spots, apply a new patch to a different skin area as soon as possible, keeping the same patch change day, and no additional contraceptive protection is needed if the switch occurs within 48 hours of when the patch should have been applied or reattached. 1

Proper Patch Application and Rotation

Location Options

• The patch can be placed on the:
  • Abdomen
  • Upper torso
  • Upper outer arm
  • Buttocks 1

Rotation Guidelines

• Always apply the new patch to a different skin area than the previous patch to minimize skin irritation
• Adolescents report the buttock (40%) as the preferred application site, followed by the lower abdomen (32%) 2
• Choose clean, dry, intact skin that is relatively free of hair

Timing of Patch Changes

Normal Schedule

• Use one patch for each of 3 weeks in a row
• Follow with 1 week off the patch (during which withdrawal bleeding usually occurs)
• Apply new patches on the same day of the week (your "patch change day") 1

Handling Delayed Application or Detachment

If less than 48 hours since a patch should have been applied/reattached:

• Apply a new patch as soon as possible
• If detachment occurred <24 hours since application, try to reapply the same patch or replace with a new patch
• Keep the same patch change day
• No additional contraceptive protection needed 1

If 48 hours or more since a patch should have been applied/reattached:

• Apply a new patch as soon as possible
• Keep the same patch change day
• Use backup contraception (e.g., condoms) or avoid sexual intercourse until the patch has been worn for 7 consecutive days
• If the delay occurred in the third patch week:
  • Omit the hormone-free week
  • Finish the third week of patch use (keeping the same patch change day)
  • Start a new patch immediately 1

Managing Patch Adhesion Issues

Common Adhesion Problems

• About 21% of adolescent users experience at least one episode of complete patch detachment
• 32% report partial peeling of patch corners 2

Tips to Improve Adhesion

• Ensure skin is clean, dry, and free of lotions, oils, or powder before application
• Press the patch firmly in place with the palm for 10 seconds
• Check the patch daily to ensure it remains fully attached
• Avoid placing the patch on skin that is red, irritated, or cut
• Avoid applying to areas where tight clothing might rub against the patch

Managing Skin Irritation

• Skin irritation is generally mild, with 97% of patches causing absent or mild irritation in clinical studies 3
• Rotating application sites with each new patch helps minimize irritation
• If irritation occurs, consider switching to a different application site with the next patch

Important Considerations

• The patch contains estrogen exposure approximately 1.6 times higher than low-dose oral contraceptives, which may increase risk of venous thromboembolism 1
• Effectiveness may be slightly lower for women who weigh more than 198 pounds (0.9% vs 0.3% failure rate in first 12 months) 1
• The patch provides a simpler regimen than daily pills, which may improve adherence for some users 1

Remember that proper and consistent patch use is essential for contraceptive effectiveness. If you have concerns about patch adhesion or skin irritation, consult with your healthcare provider about alternative contraceptive options.