Same-day initiation of the transdermal hormonal delivery system (contraceptive patch) versus traditional initiation methods

Introduction: Published comparisons of oral contraceptive pill (OCP) initiation methods demonstrate that OCP initiation at the office visit (Quick Start) resulted in higher continuation rates into the second cycle. This trial was performed to investigate whether Quick Start with the contraceptive patch would provide similar results. Materials and Methods: Sixty women were randomized to initiate use of the contraceptive patch using Quick Start (Group 1, n = 30) or on the first day of their next menses (Group 2, n = 30). Telephone contact at 6 weeks occurred to ensure that the second cycle had been initiated. A single follow-up visit was scheduled after completion of the third patch cycle. Results: Continuation rates for Groups 1 and 2 were 97% and 93% (p = 1.0), respectively, into the second cycle, and 93% and 90%, respectively, into the third cycle (p = 1.0). Only approximately half of the subjects planned to continue using the patch after the study. Conclusion: Quick Start for the contraceptive patch did not improve continuation rates into the second or third cycle. (c) 2005 Elsevier Inc. All rights reserved.