Conversation: The conversation between human and AI assistant.
[|Human|] Due to high blood pressure Ive been on 3 different pills this year. Im on micronor just now but took it 10 minutes later 2 days in a row. Im now having a slight bleed but its more brown coloured? I was wondering if you maybe knew why? Thanks, jen 20 yrs old
[|AI|]  Hello! Thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms seem to be caused by a hormonal imbalance. It is normal to have some similar symptoms when using oral contraception pills. But at your age, the most concerning thing is high blood pressure. Do you have any family history for high blood pressure? What about your past medical history? I would recommend you to consult with your GP for a careful physical examination, a resting ECG, a chest x-ray and some lab blood tests: - complete blood count- PCR, sedimentation rate-kidney and liver function tests-fasting glucose-thyroid hormone levels-cortisol plasma levels-blood electrolytes, etc. to identify the possible cause of high blood pressure. From the other hand, oral contraception pills can exacerbate high blood pressure and increase your cardio-vascular risk (besides high blood pressure). You can try a different contraception method instead of oral pills. I would recommend consulting with your attending physician on the above issues. Hope to have been helpful! Best regards,