How effective is the Birth controle patch Ortho Evra on the very FIRST week? They said after the first week its 99.9% protective against pregnancy. And to wear a condom the first week or another back up method. On the first week if he came inside of me whats the risk? What percentage? My boyfriend and I just got so wrapped up. He was so passionate. Making love in the dark with candles and being so gentle you forget about everything except eachother. He came in me durring the first week of the patch. How effective is it on the first week? How effective is it on the first day if he cums in me on thst day?