<s>[INST] Hi I am a seemingly healthy 35 yr old woman. I am currently taking mercilon 20 mg which as I am nearly 100 kg is too low a dose. I have been having some very light spotting outside of menstruation for the past two months. I recently had a series of blood tests including thyroid, liver, kidney and general blood count levels. All cam back within normal limits except ers which was 50. I experience severe anxiety re: health issues and this is causing me a great deal of worry. I have also been getting some abdomen discomfort and what feels like ovulation pain. Please help! [/INST] I appreciate your concern and asking on Chat Doctor. Based on your history I would suggest the following:1. There is need of evaluation to ascertain the details of anxiety. Has the anxiety started after the start of the merlon? If yes, it may be a side effect of the Chat Doctor. 2. If it can be excluded that the anxiety was present before as well and not related to the medicine that you are taking, steps can be taken to reduce the anxiety.3. You may discuss with your doctor and consider changing merlon to some other class of contraceptive pill, for reasons discussed above, if present.4. For anxiety, you need to work on your thinking and find out if there are some particular thoughts or events that are triggering them? Self-help cognitive behavioral therapy (CBT) or professional CBT are particularly helpful for anxiety.5. You can practice deep breathing exercises to reduce the symptoms of anxiety.6. Reduce caffeine intake as it promotes anxiety.7. If self-help does not work, seek professional help and there are certain medicines to reduce anxiety as well. I hope you find this helpful. </s>