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Background Issues surrounding contraception access have been a national focus. During this debate, adolescent and adult women may seek these products online. Due to safety concerns, including potential counterfeit forms, we wished to assess whether online “no prescription” contraceptives were available. Study Design We assessed online availability of reversible, prescription contraceptive methods resulting in Results All contraceptives were available as “no prescription” products. Furthermore, IUDs were advertised as “over-the-counter” and YouTube videos provided “how to” videos, including a cartoon version. We also found that illicit online pharmacy marketing is shifting from direct search engine access to social media (Facebook, Twitter, Slidehare, flickr). Conclusion Online contraceptive sales represent patient safety risks and a parallel system of high-risk product access absent professional guidance. Providers should educate patients, while policy makers employ legal strategies to address these systemic risks. |
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