Birth Control Patch Brands: Everything You Need to Know

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on January 28th, 2026.

Key Takeaways

Birth control patches provide a convenient contraceptive method for many individuals seeking hormonal birth control. These small, adhesive patches deliver hormones through the skin, offering an alternative to daily pills or more invasive contraceptive methods. Whether you're considering birth control for the first time or exploring new options, understanding the available patch brands can help you make an informed decision.

Understanding Birth Control Patch Brands

Currently, three birth control patch brands are FDA-approved in the United States: Xulane, Zafemy, and Twirla. Each patch contains hormones that prevent pregnancy by stopping ovulation and thickening cervical mucus. Understanding the risks of birth control is crucial when selecting the right method for your health needs.

Xulane

Xulane contains ethinyl estradiol and norelgestromin. Users apply the patch once weekly for three consecutive weeks, followed by a patch-free week. This method is nearly identical to the discontinued Ortho Evra patch.

Zafemy

Similar to Xulane, Zafemy uses the same hormone combination of ethinyl estradiol and norelgestromin. The application process remains consistent: one patch per week for three weeks, with a patch-free fourth week.

Twirla

Twirla differs slightly by containing levonorgestrel instead of norelgestromin. It delivers a lower estrogen dose compared to other patches and is applied similarly to Xulane and Zafemy.

Comparative Birth Control Patch Information

Brand

Active Hormones

Estrogen Dose

Weekly Application

Typical Effectiveness

Xulane

Ethinyl estradiol, norelgestromin

Standard

Once per week

91%

Zafemy

Ethinyl estradiol, norelgestromin

Standard

Once per week

91%

Twirla

Ethinyl estradiol, levonorgestrel

Lower dose

Once per week

91%

Considerations and Potential Side Effects

Birth control patches can cause various side effects, including:

  • Skin irritation

  • Breast tenderness

  • Headaches

  • Mood changes

  • Potential increased risk of blood clots, strokes and heart attacks

Getting a Birth Control Patch

You can obtain a birth control patch through:

  • In-person healthcare appointments

  • Telehealth consultations

  • Online prescription services

Frequently Asked Questions

Patches are 91-99% effective when used consistently and correctly.

If the patch falls off, follow the instructions provided with your specific brand for reapplication.

No, patches do not protect against STIs. Condoms are recommended for STI prevention.

Individuals who smoke, are over 35, have certain health conditions, or take specific medications may not be suitable candidates.

Most patches become effective immediately if applied during the first 24 hours of your menstrual period.

The Bottom Line

Ready to meet your AI doctor? Get started with Doctronic today. Our platform can help you explore birth control options and connect you with healthcare professionals who can provide personalized guidance.

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