Ob-Gyn questions? Ask a gynecologist online.

Ask a Doctor, Get an Answer ASAP!

Ortho Evra Problems

Ortho Evra is a contraceptive designed in the form of a convenient patch that is applied weekly. While Ortho Evra is very effective in preventing pregnancy and is easily applied, it can be obtained by prescription only and doesn't provide the user protection from HIV or other sexually transmitted diseases. Like many other forms of contraceptives, the Ortho Evra patch has side effects. To learn about Ortho Evra, take a look at the questions below that have been answered by the Experts.

Is it normal for a woman at the age of 48 to experience heavy bleeding and lots of clots while on the Ortho Evra patch?

Generally, when a woman of this age has abnormally heavy bleeding, the cause is usually uterine fibroids or polyps. In most cases, an ultrasound or an examination is enough to determine if these growths are present. However, there are also a number of other things that could be causing the bleeding. For example, a hormone imbalance or excess growth of the uterine lining can cause excessive bleeding. But, if a woman is using the Ortho Evra patch correctly, this is unlikely the cause of the problem. An ultrasound is usually the first step to take in diagnosing the cause of the bleeding. Once the problem is found, a surgical procedure may be done to correct the heavy bleeding and clotting. In the event a woman begins to feel weak and has a fast heartbeat, she should be seen by medical staff immediately. Otherwise an appointment could be made with her OB/GYN for an examination and possible ultrasound at the earliest.

What can a person do if they miss taking a dose of Ortho Evra?

Under normal conditions, this isn't a big concern. If a woman misses a dose, she can begin a new patch and then use three patches for three consecutive weeks. Once she starts this dosage, typically, she would have a period in the fourth week. However, when a dose is missed, irregular bleeding can be expected which should generally clear up within one or two menstrual cycles. Also, many women choose to use condoms or other forms of contraceptives for one or two weeks as a backup to ensure that pregnancy doesn't occur.

If a person experiences tightness and spotting while on Ortho Evra does that mean that they could be pregnant?

While it is possible for about 1% of women who use Ortho Evra to become pregnant, it isn't likely due to the effectiveness of the patch. If a woman thinks that there is a possibility of pregnancy, she can take a urine pregnancy test just to be safe. Very often, stress, anemia and thyroid issues can also create these symptoms. However, a pregnancy test is the most direct way to determine if a woman is pregnant. If the pregnancy test shows negative results and the woman still feels tired and weary, a visit to her OB/GYN may be required.

What is unique about these contraceptive drugs: Implanon, Mirena, NuvaRing, and Ortho Evra?

Implanon is an implant placed in the arm that has progesterone and doesn’t lead to an increased risk of developing clots due to low estrogen. Mirena is an intra-uterine device that provides protection from pregnancy for up to five years and contains progesterone only. This contraceptive also provides relief from excessive bleeding during a woman's period. NuvaRing is a combination contraceptive that is placed in the vagina. The advantage to this contraceptive is that one can avoid taking a pill daily. Ortho Evra is a combination contraceptive that is absorbed through the skin by way of a patch.

Can someone have a period if the Ortho Evra doses are messed up?

In most cases, a woman won't have a period while using the Ortho Evra patch until the patch is removed. However, if the same patch is left on for two weeks, a woman may have a period due to a decrease in the level of hormones in the body. Generally, the Ortho Evra patch has to be changed after one week of use. In many cases, a woman will choose to use a secondary form of birth control until the doses are back to normal. This usually takes a week. However, this only applies if the woman has worn the same patch for two weeks. Other reasons may require a secondary birth control for a longer period. There are many forms of birth control in the market today. Many women prefer using Ortho Evra because of the easy application. After a single patch is applied, it can be forgotten about for one week, after which time the patch can be removed and another one applied. If you have questions or concerns about the Ortho Evra patch, ask an Expert for medical insights and suggestions on the best method of birth control based on your individual needs.

Please type your question in the field below

3 verified OB GYN Doctors are online now

OB GYN Doctors on JustAnswer are verified through an extensive 8-step process including screening of licenses, certifications, education and/or employment. Learn more

Dr. C.

Board Certified

Doctoral Degree

2537 positive reviews
Monika Hearne, M.D.

Board Certified OB/GYN

Doctoral Degree

5752 positive reviews
Dr. Charles

OB/GYN (Doctor)

Doctoral Degree

141 positive reviews
See all OB GYN Doctors
JustAnswer in the news:
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
Web sites like justanswer.com/legal
...leave nothing to chance.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.