contraceptives--postcoital and Epilepsy

The combined oral contraceptive pill is the most popular method of contraception worldwide, with modern low-dose formulations significantly improving tolerability. Breakthrough bleeding is the most significant adverse event associated with the low-dose combined oral contraceptives. Monophasic, biphasic, triphasic and progestogen-only preparations are available, and the choice of formulation should be tailored to best suit the patient. Any areas of uncertainty or concern that the patient has should be addressed, and the patient should be clearly informed of how to use the oral contraceptive effectively, the likely initial adverse effects and what to do if a pill is missed.

Topics: Acne Vulgaris; Adolescent; Adult; Age Factors; Contraceptives, Oral, Combined; Contraceptives, Oral, Hormonal; Contraceptives, Postcoital; Drug Prescriptions; Epilepsy; Female; Follow-Up Studies; Humans

An overview is presented of the major methods of contraception available to the sexually active adolescent. Emphasis is given to the combined birth control pill, while the literature describing absolute and relative contraindications to oral contraception is reviewed. It is noted that adolescents with chronic illness must also be evaluated for contraceptive needs. Other methods covered include the intrauterine device, barrier methods (diaphragm, condom, and vaginal contraceptives), injectable contraceptives, postcoital contraception, and methods under current investigation. The approach to each patient must be individualized, based on her coital activity, understanding of alternatives, medical status, and what method is chosen.

Topics: Adolescent; Adult; Chemical and Drug Induced Liver Injury; Collagen Diseases; Contraception; Contraceptive Agents, Female; Contraceptive Devices, Female; Contraceptive Devices, Male; Contraceptives, Oral, Synthetic; Contraceptives, Postcoital; Diabetes Mellitus, Type 1; Epilepsy; Female; Humans; Intrauterine Devices; Male; Migraine Disorders; Oligomenorrhea; Progesterone; Risk; Vaginal Creams, Foams, and Jellies