Conversation: The conversation between human and AI assistant.
[|Human|] I recently started a birth control pill called Microgynon 30 and its my first pack, so I took the active pills and recently started the sugar pills. I bled about 3 pills into the pack there is 7. Before starting the pills my periods werent that heavy or painful now they are heavier and more painful. Im getting really sharp pains in my lower abdomen and sore heads where I cant look at light. What could be wrong? Thanks Rebecca
[|AI|]  ALL THE BIRTH CONTROL PLUS ARE HORMONAL.THEY DO PRODUCE SYMPTOMS LIKE HEAVY BLEEDING AND PAIN.1. THE SYMPTOMS CAN BE MORE DURING THE FIRST PACK2. THE VASCULARITY OF THE UTERUS IS MORE WHEN You're IN Estrogen + PROGESTERONE COMBINATION PILLS3. THE ENDOMETRIUM CAN GET THICKER RESULTING IN MORE BLEED.YOU MAY NEED ADDITIONAL EVALUATION DEAR, A BASIC ULTRASOUND IS A MUST TO RULE OUT FIBROID/ ENDOMETRIOSIS