Hello, thank you for your question!
Diane-35 has indeed the official indication for acne, but if this problem does not require any more or no treatment, it is possible in some cases that a change be made, if all parties agree
As far as Mirvala is concerned, this medication can also be effective on acne, and if taken regularly is effective as a contraceptive
The active ingredients are a little different so you might feel a little bit of a difference, but mostly at first
As for the long-term consequences of Mirvala, it is a contraceptive that has been used for a very long time, and its effects disappear when it is stopped. It has no effect on fertility when it is stopped, for example.
I hope I've been helpful, and I'm available if you have any further questions
Tom Samaha, pharmacist