### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I use Ortho Evra birth control patches. usually my period is only 4-5 days. however recently having sex with my boyfriend, after him ejaculating inside me, my period randomly came on 2 weeks in advance.But before my boyfriend and i had sex i wasn t wearing my patch when he came inside me. i put one on 2 days after us having sex.. the weird thing is my blood is dark red and clumpy and my flow is heavy. after a couple days upon me removing my patch the blood started to go away, however when i put on a new patch it started bleeding again and this time heavier, and it has been 7 days now of bleeding. im afraid im going to become anemic with all this blood loss. Am i pregnant? or sick?

### output:

Hi dear, I have gone through your question and I understand your concern. Ortho Era is a contraceptive skin patch containing a combination of female hormones (ethanol estradiol and norelgestromin) that prevent ovulation (the release of an egg from an ovary). So firstly your cycles are ovulatory- no ova, no fertilization and no pregnancy. Secondly as per your details as you removed patch, hence it leads to with Chat Doctor. Thought the flow is heavy with clots, but you must not worry because this is not pregnancy and this is due to hormonal fluctuations as you removed patch. You may take iron folic acid supplements if you feel so much lethargic and pale looking .and take plenty of water and green veges.advice:-If an Or tho Era patch is partially or completed detached for less than 1 day (up to 24 hours), reapply it to the same place or replace it with a new patch immediately. No backup contraception is needed. If this event occurs for more than 1 day (24 hours or more), or if the woman is not sure how long the patch has been detached, she should stop the current contraceptive cycle and start a new cycle immediately by applying a new patch. Backup contraception, such as condoms, spermicide, or diaphragm, must be used for the first week of the new cycle.don't worry you will get well soon with reapplying patch and starting new cycle. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Rate 5 stars for answer if you are happy. Wishing your good health. Regards