I started the Ortho Evra Patch about a year ago. It worked wonderfully. In January I skipped a pack. I was not able to get it on time and so I waited until my period came to start a new pack. Well, my fiance' and I had unprotected sex around the week of before and after my period. I was afraid to start the patch again for fear of birth defects or miscarriage if in fact I did become pregnant so I decided to wait. Well, that cycle continued and I am now in May. Well, I know that my cycle is about 33-35 days long and my last period started on the 4th which makes my ovulation around the 17th of May. We had unprotected sex last night the 13. I know that sperm can last 7 days and with my ovulating on the 17 in four days it is very possible I could become pregnant. My question is, could I start the patch NOW and not have to worry about birth defects or miscarriage if a pregnancy were to occur? Or should I wait until my next period which won't be until the first week of June. Can I get a blood test next week to determine? I wouldn't mind if I got pregnant, we are financially and emotionally ready. We are 22 and planning to get married. I just don't want things to go wrong. I also drink an unbelievably amount of caffine. I mean no water for weeks or months at a time, only soft drinks. Will that cause miscarriage or infertility?
You shouldn't start the patch until after you have a period. If you have a period and it's normal for you, then you can start the patch after that. If you don't get your period when expected, you can take a pregnancy test. Pregnancy tests are accurate 10-14 days after the last time you had a pregnancy risk, so you can also test starting on the 23rd if you need to know sooner.
If you are considering pregnancy, it's always good to think about your overall health. That would include taking vitamins (including folic acid, which has been shown to decrease the risk of birth defects), exercising, and eating and drinking healthily (including replacing some of the soda in your diet with water).
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