Conversation: The conversation between human and AI assistant.
[|Human|] I take ovranette oral contraceptive,  Im finishing my second pack so been using it for 7 weeks.  In that time,  Ive noticed Im experiencing painful joint pain in my wrist but predominantly my elbows.  I feel I have no strength in my elbow joints and both are very still and painful when I use my hands.  Im wondering if this could be a side-effect of the ovranette or a symptom of rheumatoid arthritis.  Prior to ovranette,  I took cilest,  but had to stop as I was suffering severe back pain. Thanks. Catherine.
[|AI|]  Hi, thanks for writing to Chat Doctor. Joint pains is not an established complication or side effect of Jeanette. There are numerous causes for joint pains occurring in multiple joints. A detailed clinical examination and appropriate blood investigations are needed to establish a correct diagnosis. I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. Hope this information is helpful. Good day