"Lots of side effects including making pill ineffective."
The majority of adults are not using hormonal birth control.
And have you seen the side effects linked to setraline?
Side-effects
Very common: More than 1 in 10 people who take Sertraline hydrochloride
difficulty sleeping
dry mouth
feeling dizzy
nausea
sexual dysfunction including ejaculation problems or erectile dysfunction. Sexual dysfunction may affect men and women
sleepiness
tiredness
withdrawal symptoms can occur when this medicine is stopped. These include feeling dizzy, paraesthesiae, difficulty sleeping, strange dreams, feeling agitated or anxious, nausea, vomiting, tremors or headaches
Common: More than 1 in 100 people who take Sertraline hydrochloride
appetite gain
chest pain
constipation
decreased libido
depersonalisation
depression
eye or eyesight problems
feeling anxious
feeling nervous
flatulence
hot flushes
increased muscle tone
indigestion
loss of appetite
musclepain or tenderness
nightmares
palpitations
paraesthesiae
pharyngitis
skin rash or rashes
stomachpain
taste changes
teeth grinding
tinnitus
vomiting
yawning
Uncommon: More than 1 in 1000 people who take Sertraline hydrochloride
abnormal thoughts or feelings
apathy
back pain
belching
bleeding problems such as unexplained or easy bruising of the skin or mucous membranes, nose bleed, gastrointestinal bleeding or blood in the urine - some of these bleeding problems may be fatal
breathing difficulties
bronchospasm
changes to weight
chills
cold sweats
convulsions
coordination problems
dry skin
ear pain
euphoria
faster heart rate
fever
flushing
general feeling of being unwell
haemorrhoids
hair loss
hyperactivity
hypoaesthesia
increased salivation
migraine
muscle contractions
muscle twitching
muscle weakness
oesophagitis
osteoarthritis
passing much more urine than usual
raised blood pressure
respiratory tractinfection
rhinitis
speech problems
swallowing difficulties
swelling around the eyes
thirst
tongue problems
unexplained or unexpected increase in muscle movement
urinary problems
urinary retention
urinating more often at night
urticaria
vaginal bleeding - this may be fatal
weakness
Rare: More than 1 in 10,000 people who take Sertraline hydrochloride
abnormal gait
abnormal laboratory test results
abnormal muscle movements or problems controlling muscle movement
abnormal smell of the skin
behavioural problems such as feelings of hostility, anger, aggression, thoughts of committing suicide or suicidal tendencies - you or your carer must seek immediate medical advice if you have behavioural changes, thoughts of committing suicide or have attempted to commit suicide. Thoughts of committing suicide or suicidal behaviour may also occur soon after stopping treatment with Sertraline hydrochloride
blood in the stool
bone problems
certain types of dermatitis
coma
conversion disorder
decreased blood sugar levels
difficulty speaking
dose tolerance decreased
double vision
ear infection
enlargement of the pupil
faster breathing rate
feeling paranoid
galactorrhoea
gastroenteritis
gastrointestinal problems
genital discharge
glaucoma
hair problems
heart attack
heart or circulation problems
heavy or long menstrual periods
hernia
hiccups
high levels of cholesterol in the blood
hypersensitivity to external stimuli such as light, noise and physical contact
hypoventilation
inflammation or infection of the mouth or tongue
injury
irritation or inflammation of the penis and foreskin
irritation or inflammation of the vagina and vulva
lymphadenopathy
melaena
mouth or tongue ulcers
neoplasms
over-sensitivity or fear of light
priapism
psychosis or psychotic-like behaviour or worsening of psychosis or psychotic-like behaviour
semen abnormal
sensory problems
Sertraline hydrochloridedependence
sleep walking
slower heart rate
spasms of the throat
stridor
tooth problems
urinary hesitation
urinary incontinence
urinating less or less often
vasodilation procedure
The frequency of these side-effects is unknown
allergic or anaphylactic reactions
angioedema
blood problems
blood sugar control changes in diabetics - people with diabetes may be advised to adjust their anti-diabetic therapy
breast enlargement in men
cerebrovascular problems
diabetes
extrapyramidal side effects such as hyperactivity, increased muscle tone, abnormal muscle movement, teeth grinding or abnormal gait
face oedema
feeling restless and inability to sit still
increased blood sugar levels
increased pressure in the eye
irregular menstrual periods
itching
jaundice
jointpain
liver problems
lung problems
mania or mania-like behaviour - seek medical advice if you get mania or mania-like behaviour
may affect the results for certain tests
metabolic problems - some metabolic problems may be fatal. Seek medical advice if you develop headaches; concentration or memory problems; weakness; unsteady movement which may lead to falls; hallucinations; fainting or brief loss of consciousness or respiratory arrest
muscle cramps
neuroleptic malignant syndrome or serotonin syndrome - symptoms may include a fever, rigidity, confusion, feeling agitated, sweating excessively or diarrhoea
oedema of the extremities
pancreatitis
photosensitivity skin reaction
seizures - you or your carer must seek medical advice if you have seizures or there is a change in seizure frequencies
Stevens-Johnson syndrome
strange dreams
thyroid problems
toxic epidermal necrolysis"