22 year old female been on microgynon30 for 4 years

Patient : 22 year old female. been on microgynon30 for 4 years . last couple of months I have not had the fake period which I thought was weird. have had symptoms like neasea and dizziness recently. usually use condoms as well as I am not great at taking the pill missing 2 or 3 throughout the pack. worried I might be pregnant as I have not had the fake periods.
Symptoms:  Nearer, dizziness, tired
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