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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?