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You might experience some common side effects such as nausea, vomiting, headache, bloating, breast tenderness, fluid retention leading to swelling of the ankles or feet, or changes in weight. Occasionally, you may notice vaginal bleeding between periods or irregularities in your menstrual cycle, particularly in the initial months of use. These effects are generally mild, but if they persist or worsen, reach out to your healthcare provider.

Monitoring your blood pressure is important as this medication can cause an increase. Notify your healthcare provider if you observe any significant rise. Some serious side effects require immediate attention, including new lumps in the breast, mood changes like increased depression, severe abdominal pain, or unusual changes in vaginal bleeding patterns. Additionally, look out for symptoms such as dark urine or yellowing of the skin or eyes, as these may indicate serious conditions.

Rarely, the medication can cause severe, potentially life-threatening blood clot issues, such as heart attack or stroke. Seek urgent medical help if you experience chest pain, difficulty speaking, sudden dizziness, severe headache, or any unusual weakness or vision changes. An allergic reaction is also rare but serious; symptoms can include rash, swelling, severe dizziness, or breathing difficulties.

While this list covers many possible side effects, it is not exhaustive. If you experience any other unusual symptoms, contact your healthcare provider for guidance.