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Helen, a 21 year old student has been on the OCP for 3 years, she is worried about long term use and side effects. She is definite she doesn�t ever want children.

A 22 year old comes for a pill check, she says she wants to change (from Microgynon) as she is always tired, her hair is greasy and it just doesn�t suit her.
What sort of problems are these?
What alternatives are there?