As Emily presented with hirsutism, anovulation, oligomenorrhea, and amenorrhea, the efficacy of her treatment can be monitored by evaluating the differences in hirsutism and menstrual cycle regularity (Suvarna, Maity, Kalra, & Shivamurthy, 2016). Toxicity of Drospirenone-ethinyl-estradiol can cause nausea and withdrawal bleeding. The most common adverse effects include, premenstrual syndrome, headache, breast pain, nausea, abdominal pain and mood changes. Patient need to be educated to watch these warning signs. Emily should stop taking this medicine when she notices, signs of stroke, blood clot, heart attack, liver problems, severe headache or change in the pattern of migraine headache, swelling on the hands and legs, breast lump and symptoms
