Clinical scenario: Hormonal birth control side effects

What providers need to know about managing side effects from combined hormonal contraception
A woman holding birth control pills in teal packaging against a pink background
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The scenario:

An 18-year-old (she/her) started a combined hormonal contraceptive pill (COC) three months ago, prescribed by her primary care provider. She’s been taking a pill with 0.15 mg levonorgestrel/30 mcg EE. She’s now following up with you because she’s been feeling moodier since starting the pill. She’s not totally sure if the pill is to blame, but says it’s affecting her quality of life and she’s interested in talking about other options.

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