The Ortho Evra patch is a nice alternative to the pill or ring. There are stroke and blood clot risks with any hormone-containing birth control, though. Now-a-days they are all designed to be as low-dose as possible but still effective to decrease your risk of clots. The symptoms you are experiencing are variable person-to-person with how long they will last and could be expected with any BC when you start it new. To be protected you should try to stick with it and it will get better as your body gets used to the synthetic hormones and cuts down on your own production of hormones, but if you really can't stand how you feel, go barrier method and talk to your MD about something else. There are BC alternatives that don't contain hormones if you're looking for something more long term like a copper IUD. Good luck and feel better!