Birth control patch

The effectiveness of almost all types of birth control will not be impacted by your weight. Two exceptions are the patch and emergency contraception.

For the patch, Xulane may be less effective if you weigh more than 198 pounds. Twirla, the other patch option, may be less effective at preventing pregnancy if your BMI is 25 or greater, and it should not be used at all if your BMI is 30 or greater because of decreased effectiveness and a potentially increased risk of blood clots.

When it comes to emergency contraception, over-the counter levonorgestrel-based emergency contraception, like Plan B One-Step, Next Choice One Dose, and others, may not be as effective in people who weigh 165 pounds or more. Ella, which is prescription-only emergency contraception, is equally effective in people who weigh between 165 and 194 pounds as it is in people who weigh under 165 pounds. But ella may not work as well if you weigh 195 pounds or more. The copper IUD and IUDs with 52mg of levonorgestrel (Mirena and Liletta) are the only emergency contraception options proven equally effective if you weigh 195 pounds or more. IUDs are also the most effective form of emergency contraception for everyone, regardless of weight.

One of the main ways hormonal birth control prevents pregnancy is by stopping ovulation—so the egg never leaves the carton, so to speak. The pill, the patch, the ring, and the shot are most reliable at blocking ovulation, so people using these methods may have fewer ovarian cysts. If you tend to get ovarian cysts, your provider may recommend one of these methods to prevent future cysts. /The progestin-only or mini-pill has an unpredictable effect on ovulation and may lead to more cysts. These almost always disappear on their own, but if you’ve had problems with cysts in the past, the mini-pill may not be the best contraception for you.

Sorry to say, the answer is no. However, you can place the patch in one of the recommended locations that can’t be seen with clothes on if you don’t like the way it looks.

Without insurance, the patch costs about $55 per month, a little more than other prescription methods.

If you’re on Medicaid or have private insurance, you’ll probably just have to cover your copay.

If you don’t have insurance and aren’t on Medicaid, check out clinics in your area that may give you a discount if you can’t afford the full price of the patch.

To learn more about the cost of the patch, check out our patch details page.

The patch can decrease blood loss during periods, and possibly reduce PMS symptoms and acne. There’s also the chance of a decreased risk of endometrial and ovarian cancer and benign breast conditions.

In a word, no. The best way to guard against sexually transmitted infections (STIs) if you’re having sex is still the good ol’ condom. If you’re concerned about both pregnancy and STIs, doubling up with the patch and condoms is a great option.

Any form of birth control is better than no birth control when it comes to the environment. But let’s look a little closer at the claim that hormones in birth control are getting into the environment through pee. The simple answer is: yes, it is. But—and this is a big but—it is small compared to other sources of estrogen. Current research finds that the contribution of EE2 (the primary active ingredient in the pill, the ring, and the patch) to the total amount of estrogen in of our waterways is small. Bigger—much bigger—sources of estrogen in the environment come from industrial and manufacturing processes; agricultural fertilizers and pesticides; the drugs we give livestock; and the waste and runoff produced by these sources. Simply removing hormones from contraceptives will not eliminate the environmental impacts of estrogenic compounds. It’s much better to buy organic food if you can and even better to tell Congress to do its job and regulate chemicals, than to forego birth control. From Mother Earth’s standpoint, any form of birth control is better than no birth control.For purists who don’t want to add any hormones to the environment or to their body, no matter how small, there are options for you. Natural latex condoms and the copper IUD are two frequently cited examples of ultra-green contraceptives.

Unless you’re in a totally exclusive relationship and you and your partner have both been tested recently for every single STI, you should definitely use condoms with whatever other birth control method you choose. Using a condom with another form of birth control is called dual protection. It means you’re being super-safe and protecting yourself against both pregnancy and STIs.

No, most forms of birth control are not effective immediately, so you want to check with you doctor before having unprotected sex. Until then, use a condom for added protection.

Using a method of birth control with estrogen increases a young woman’s risk of forming a blood clot by several times, but for women who have no history of stroke, blood clots, or heart attack, and whose family members have never experienced a blood clot, the risk is still quite low. Women with a history of these medical conditions in their family have a higher risk of forming a new blood clot; adding birth control with estrogen to the mix increases that risk to an unacceptable level. 


Progestin-only methods like the implant, mini-pill, the shot, and Skyla and Mirena IUDs don’t increase your risk. If you’re worried about blood clots, we recommend talking to your doctor about which birth control options are best for you.

A cyst is basically a bubble—a collection of fluid with a thin wall around it. Functional cysts are formed when a follicle (the fluid-filled sac that develops around an egg during ovulation) grows larger than expected. Sometimes they can cause un-fun symptoms like abdominal discomfort, pelvic pain, pain during bowel movements, or pain during sex. Most cysts disappear on their own, but if they keep growing they can cause severe pelvic pain or pain that causes dizziness or fainting and comes with a fever or vomiting. If you have any of these severe symptoms, go see your health care provider ASAP. Some hormonal birth control methods—the ones that work by blocking ovulation—may mean fewer ovarian cysts. If you tend to get cysts, your provider might recommend you try a method like the pill, the ring, the patch, or the shot.

If you’re just not vibing with your choice of birth control, it might be time to switch things up! But before you do, it’s important to take a second to ask yourself some questions to make sure you’re ready. Thinking about why you want to switch methods and what your needs are going forward will help you and your health care provider plan your next steps.

If you’d like to stop your birth control and try to get pregnant, here’s some information about returning to fertility after using different methods of birth control.