Otho Evra is a transdermal patch. The birth control patch gradually releases the hormones progestin and estrogen into the skin over week long period that it is applied. These hormones then enter the user's bloodstream.

The hormones thicken the women's cervical mucus which reduces the chance for the sperm to join with the egg. These hormones also help to prevent ovulation, which means that the egg will not be released by the ovaries. They also change the endometrium, which makes implantation less likely.

The active ingredients in the Ortho Evra birth control patch are norelgestromin and ethinyl estradiol. Norelgestromin is a progestin which is mainly used to suppress ovulation. Ethinyl estradiol is synthetic estrogen. These are both sex hormones.

Contraceptives that use hormones are often used to prevent pregnancy. They are in general more effective then other non-surgical birth control methods. When the birth control patch is used correctly it is 97-99% effective, which is comparable to the birth control pill. When used incorrectly or if the woman weighs more then 198 pounds Ortho Evra becomes less effective.

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