1 st International Conference Nursing Practices & Era Challenges Faculty of Nursing 30 January , 2017 120 13- ng and Its Relation to Discontinuation Zeinab A. Ali 1 , Howieda Fouly 2 , Amany A. Ahmed 3 & Ahmed I. Hassanin 4 . 1 BSN, Obstetrics and Gynecologic Nursing, Faculty of Nursing- Sohag University, Egypt. 2 PhD, Lecturer of Obstetrics and Gynecologic Nursing, Faculty of Nursing-Assiut University, Egypt 3 PhD, Lecturer of Obstetrics and Gynecologic nursing, Faculty of Nursing-Sohag, University, Egypt. 4 Professor of Obstetrics and Gynecology, Faculty of Medicine-Assiut University, Egypt. Abstract Oral contraceptive has side effects on wellbeing including: physical and emotional well-being, premenstrual syndrome , sexual interest, enjoyment, frequency of sexual activity and un planned pregnancy and the continuation of women in using OCs was continued OCs and discontinued. Therefore, the aims were to evaluate the impact of oral woman's wellbeing through counseling. Methods: Descriptive, quasi-experimental design was used to conduct this research .This study was carried out at outpatient clinics of family planning at Sohag University Hospital. The sample consisted of Tools used in this study, tool I: Patient assessment sheet. Tool II: Premenstrual syndrome questionnaire. Tool III: Sexual Function questionnaire. Tool IV: - Counseling. Tool IIV:-follow up sheet. Results: revealed that there is a statistically significant differences between pretest and post-test in studied women regarding premenstrual syndrome at p- value=0,000 regarding counseling done by investigator. Also, a statistically significant difference at p-value=0.000 Conclusion: According to our study, the adverse effects on mood and sexuality are important factors causes the discontinuation of OCs and yet two potentially important factors emotional and sexual wellbeing have been virtually ignore in our locality. Therefore, counseling before any method of contraception is an initial to improve compliance and continuation of women related OCs. Keywords: Oral contraceptive, Counseling, Wellbeing & Discontinuation. Introduction Oral contraceptive has side effects on wellbeing including: physical and emotional well-being, premenstrual syndrome (PMS), sexual interest, enjoyment, frequency of sexual activity and un planned pregnancy and the continuation of women in using OCs was 38% continued OCs, 47% discontinued, and 14% switched to another OCs. Emotional side effects, worsening of PMS, decreased frequency of sexual thoughts, and decreased psychosexual arousability correctly categorized 87% of cases by using logistic regression (Sanders et.al, 2001) Many patients and even physicians are not aware of the sexual side effects caused by hormonal contraceptives. A commonly used Web-based resource (Up To Date) does not mention mood or sexual side effects in its list of the adverse effects of oral contraception. Sexual and mood side effects are one of the main reasons that women discontinue the use of oral contraceptives ( Marchese, 2015). Thus, there is high discontinuation rate for oral contraceptives due to adverse effects of mood, well- being and sexuality is explored. Contraceptive pill users seem to discontinue for depression and low libido less frequently than did users of higher dose pills, and severity scores of adverse effects are lower. It is likely that women with depressive and premenstrual complaints tend to discontinue pills, leaving the remaining users with greater reported well- being (Bancroft & Sartorius, 2008). Therefore, the interaction between service providers or counseling sessions and women lies at the heart of family planning programs. Good counselling provides a woman choose an appropriate family planning method. It also gives the women knowledge and support needed to continue using a method effectively and knowledge to cope with possible side effects. Improving interaction between service providers and women is a crucial part of the new United States (Young, et al ,2012). Significance of the study The recent demographic and health surveys in, Egypt (18% to 63% across countries) showed that contraceptive discontinuation in the first year of use is common, and that the majority of these discontinuations are among women who are still in need of contraception: between 12 and 47% of women