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The transdermal contraceptive system, specifically the norelgestromin and ethinyl estradiol transdermal system (marketed as Ortho Evra), is a combined hormonal contraceptive delivered via a skin patch. Developed by Johnson & Johnson's Ortho-McNeil Pharmaceutical, it was the first contraceptive patch approved by the FDA in 2001. The system releases a daily dose of 150 micrograms of norelgestromin (a progestin) and 35 micrograms of ethinyl estradiol (an estrogen) into the systemic circulation over a seven-day period. Its primary mechanism of action is the suppression of gonadotropins, which inhibits ovulation. Secondary contraceptive effects include increasing the viscosity of cervical mucus to prevent sperm penetration and altering the endometrium to reduce the likelihood of implantation. It is indicated for the prevention of pregnancy in women who choose a transdermal method of birth control.
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