Recommended Actions after Delayed Application or Detachment with Combined Hormonal Patch - Flowchart
Recommended Actions after Delayed Application or Detachment with Combined Hormonal Patch - Flowchart Contraception Contraception
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Delayed application or detachment for <48 hr since a patch should have been applied or reattached*

Delayed application or detachment for <48 hr since a patch should have been applied or reattached*

Delayed application or detachment for <48 hr since a patch should have been applied or reattached*

* * Delayed application or detachment for <48 hr since a patch should have been applied or reattached

Delayed application or detachment for ≥48 hr since a patch should have been applied or reattached

Delayed application or detachment for ≥48 hr since a patch should have been applied or reattached

Delayed application or detachment for ≥48 hr since a patch should have been applied or reattached

≥ Delayed application or detachment for >=48 hr since a patch should have been applied or reattached


Apply a new patch as soon as possible.
Keep the same patch change day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a patch has been worn for 7 consecutive days.
If the delayed application or detachment occurred in the third patch wk:


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed application or detachment occurred within the first wk of patch use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Apply a new patch as soon as possible.
Keep the same patch change day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a patch has been worn for 7 consecutive days.
If the delayed application or detachment occurred in the third patch wk:


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed application or detachment occurred within the first wk of patch use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Apply a new patch as soon as possible.
Keep the same patch change day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a patch has been worn for 7 consecutive days.
If the delayed application or detachment occurred in the third patch wk:


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed application or detachment occurred within the first wk of patch use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Apply a new patch as soon as possible.
Keep the same patch change day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a patch has been worn for 7 consecutive days.
If the delayed application or detachment occurred in the third patch wk:


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.


Emergency contraception should be considered (with the exception of UPA) if the delayed application or detachment occurred within the first wk of patch use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Apply a new patch as soon as possible.
Keep the same patch change day.
Use back-up contraception (e.g., condoms) or avoid sexual intercourse until a patch has been worn for 7 consecutive days.
If the delayed application or detachment occurred in the third patch wk:


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.


Omit the hormone-free wk by finishing the third wk of patch use (keeping the same patch change day) and starting a new patch immediately;
If unable to start a new patch immediately, use back-up contraception (e.g., condoms) or avoid sexual intercourse until a new patch has been worn for 7 consecutive days.
Emergency contraception should be considered (with the exception of UPA) if the delayed application or detachment occurred within the first wk of patch use and unprotected sexual intercourse occurred in the previous 5 days.
Emergency contraception may also be considered (with the exception of UPA) at other times as appropriate.


Apply a new patch as soon as possible. (If detachment occurred <24 hr since the patch was applied, try to reapply the patch or replace with a new patch.)
Keep the same patch change day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed application or detachment occurred earlier in the cycle or in the last wk of the previous cycle.


Apply a new patch as soon as possible. (If detachment occurred <24 hr since the patch was applied, try to reapply the patch or replace with a new patch.)
Keep the same patch change day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed application or detachment occurred earlier in the cycle or in the last wk of the previous cycle.


Apply a new patch as soon as possible. (If detachment occurred <24 hr since the patch was applied, try to reapply the patch or replace with a new patch.)
Keep the same patch change day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed application or detachment occurred earlier in the cycle or in the last wk of the previous cycle.


Apply a new patch as soon as possible. (If detachment occurred <24 hr since the patch was applied, try to reapply the patch or replace with a new patch.)
Keep the same patch change day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed application or detachment occurred earlier in the cycle or in the last wk of the previous cycle.


Apply a new patch as soon as possible. (If detachment occurred <24 hr since the patch was applied, try to reapply the patch or replace with a new patch.)
Keep the same patch change day.
No additional contraceptive protection is needed.
Emergency contraception is not usually needed but can be considered (with the exception of UPA) if delayed application or detachment occurred earlier in the cycle or in the last wk of the previous cycle.

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*If detachment takes place but the woman is unsure when the detachment occurred, consider the patch to have been detached for ≥48 hr since a patch should have been applied or reattached.

*If detachment takes place but the woman is unsure when the detachment occurred, consider the patch to have been detached for ≥48 hr since a patch should have been applied or reattached.

*If detachment takes place but the woman is unsure when the detachment occurred, consider the patch to have been detached for ≥48 hr since a patch should have been applied or reattached.

*If detachment takes place but the woman is unsure when the detachment occurred, consider the patch to have been detached for ≥48 hr since a patch should have been applied or reattached.

* ≥