<s>[INST] I m a 22 year old female and was diagnosed with low estrogen , i have been on bc for about 3 months to get a cycle and i have a terrible time remembering to take my pill . i have sharp pains in my lower abdomen alot and nausea often, sometimes i feel like vomitting even without nausea...i m not sure whats wrong. could this be affects from the birth control? [/INST] Hi, Oral contraceptive pills can often lead to side effects like nausea, abdominal pain, and periodic monitoring of liver function, sonograms to look for the development of any ovarian cysts etc. is necessary. To confirm the cause, you need to have a proper clinical evaluation and also get investigated. If it is deemed that the pill is causing the effect, it should be changed and a suitable alternative should be supplemented. Micro-pills are often helpful in such situations. Hope this helps. </s>