Problem: The patient is a 19-year-old mother of two, the younger of which is 9 months old. Her last pregnancy was a difficult one and she does not want another child for several years. She came to the clinic 2 months ago and after initial counseling decided to use combined oral contraceptives (COC) as her family planning method. She has now returned to the clinic complaining of spotting and nausea since she began taking her first packet of pills. She is very worried that she is losing too much blood from the spotting; she is also worried about losing weight because she isn't eating due to the nausea. She is thinking about switching to another method. Finding no other causes, what would you tell her about spotting and nausea and the use of COCs? Need Assignment Help?