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Wellbutrin xl online pharmacy, and the manufacturer provides an online service to fill prescriptions for its generic version, but also to obtain online assistance with all aspects of the health oral contraceptives and pregnancy. The availability of online assistance may help decrease barriers to the use of oral contraceptives and also make their benefits more easily accessible in diverse community settings. Conclusion Oral contraception has numerous order generic wellbutrin online health benefits, including reduced depression, irregular episodes of bleeding, and acne. The use of oral contraceptives is important because the risk for certain other adverse health outcomes that are common among adolescents (e.g., unintended pregnancy, sexual abuse, sexually transmitted infections) is typically highest during adolescence [3, 16, 17]. The use of oral contraceptives is a major contributor to prevention of unintended pregnancy in women aged under 25, and may have substantial effects on contraceptive choices and behavior among older women [18, 19]. Moreover, the risk for unintended pregnancy from oral contraceptives is generally lower than the risk from other forms of sex (sexual intercourse, having multiple partners, or injecting illegal drugs), and, therefore, the use of oral contraceptives is a strong contraceptive choice. Although all forms of contraception can prevent an unintended pregnancy, the greatest effect can be achieved by regular use of oral contraceptives. Although contraceptives can cause some side effects, they are considered safe and effective for their intended uses and are recommended for most women worldwide [5, 24]. Although there are potential adverse effects of oral contraceptives, the most common and serious problems are transient nausea (0.6-1.2%) that occurs during the first 3 months of use and is often mild well tolerated [5, 24, 25]. Although most patients have no problems, it is important to have an understanding that some individuals may experience milder symptoms such as headache, cramps, and upset stomach [5, 24]. Some women can develop a condition known as amenorrhea, which is an absence of the menstrual cycle, during first 3 months of using oral contraceptives [26]. Some women (typically those with progestin-only birth control) may also develop anemia [27] and, in rare cases, mild, transient breast tenderness [28]. The most common severe side effects associated with oral contraceptives are dysmenorrhea in about 25% of users, and headache in nearly 25% [5, 23]. Patients should be informed about the potential side effects that occur with oral contraceptives. The primary risk for side effects related to oral contraceptives is that of an unintended pregnancy [23, 27]. Adolescents have a higher risk for an unintended pregnancy if they smoke or use alcohol [23, 29, 30], and young women using oral contraceptives may be at increased risk of an unintended pregnancy compared to their nonusers because they have more sexual partners, practice unprotected behavior, and may be smoking or using alcohol [23, 31]. Adolescents should have access to accurate information about contraception, including effective contraception for noncontraceptive uses, including information about the possible side effects of oral contraceptive use in the form of a standard patient information leaflet [27]. They and their partners should be instructed about the importance of delaying sexual initiation and use of oral contraceptives until they are older and have more experience. In addition, providers should be informed about the possibility of pregnancy when woman has had an unprotected sexual encounter within the past 3 months. Health-care providers can help facilitate access to contraception for adolescents by providing education to patients, providers, and families about oral contraceptive use and discussing with patients whether oral contraceptives are right for them [5, 22, 26, 32]. This type of education is particularly helpful for adolescents who feel uncomfortable providing this information for fear of shame, embarrassment, or being judged. Providers should help patients and their partners to plan ahead and delay sex until they have decided whether to use oral contraceptives or not [23, 26]. Finally, providers should also help patients and their partners to use other forms of contraception and be open to talking openly about sexual information and contraception. This is especially important when counseling patients about unintended pregnancy. who choose not to use oral contraceptives should be counseled about the benefits of taking preventive services such as mammography or vaccination. The primary limitation of this article is the absence of national data on the use of oral contraceptives and unintended pregnancy. However, nationwide data [33] may be obtainable. In addition, these data do not address differences between oral contraceptive users and nonusers; therefore, more rigorous analysis is needed before we can establish a strong case for the effectiveness of oral contraceptives. Acknowledgment This work was supported in part by grants from the National Institutes of Health and the F. M. Kirby Foundation. Footnotes Conflict of Interest Eligible for granting. Disclosure The authors declare no conflicts of interest. further disclosures were reported. Correspondence The authors contribute entirely to this manuscript. Financial Relations None reported. Previous Presentations M.R.P. This article is a player stub. You can help Liquipedia by expanding it.

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