Should I Put on My Patch Without a Period?

QUESTION

Dear Midwife,
I am on OrthoEvra and am now 2 weeks late. I do not have any common symptoms (morning sickness, sore breasts, frequent urination). I do have an increased body temperature, body aches and get light headed sometimes. I have taken HPT's (one 3 days after my missed period and one 10 days after my missed period) which come up negative. I am worried about putting on my patch since I have not had a period yet. Should I be concerned about being pregnant? When should I consult a physician?

ANSWER

If you have your patch off more than seven days, you actually INCREASE your chance of getting pregnant over using nothing at all. So if you still haven't put on your patch after 10 days and are having unprotected intercourse, you may already be pregnant and it is too early to show up on a test. Using the patch for a brief time when you are pregnant will not hurt the baby.When you are on the patch, your periods can be VERY light or even non-existent. That doesn't mean that you are pregnant, so keep using the patch until your pregnancy test is positive.

-- Cynthia, CNM

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, teaches in the College of Nursing at Seattle University and is President of the American Association of Birth Centers. She also practices midwifery at Valley Medical Center where she cares for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.

Cynthia hosts a monthly "Ask the midwife" chat as well as answers questions via our expert section.

Listen to Cynthia live on Pregnancy.org Live: Before, During and After.

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