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While taking this medication, you might experience mild side effects such as bloating, cramps, stomach pain, constipation, diarrhea, nausea, breast swelling or pain, pain around the vaginal area, drowsiness, tiredness, decreased interest in sex, joint pain, or headache. These effects are generally manageable, but if they persist or worsen, it's important to consult your healthcare provider.

You may notice a vaginal discharge with small white gel balls, which is normal and harmless. However, if you experience unusual vaginal discharge, itching, or odor, contact your healthcare provider promptly.

More serious side effects, though less common, require immediate attention. Seek medical advice if you notice mental or mood changes like depression, nervousness, or mood swings, swelling of the hands or feet, increased urination at night, abnormal vaginal bleeding, breast lumps, or yellowing of the eyes or skin.

Rarely, this medication, especially when combined with estrogen, can lead to serious blood clot issues, potentially resulting in heart attack, stroke, or clots in the lungs or legs. Urgent medical help is necessary if you experience symptoms such as shortness of breath, chest pain, unusual sweating, confusion, sudden dizziness or fainting, pain or warmth in the groin or calf, severe headaches, difficulty speaking, weakness on one side of the body, or sudden vision changes.

Although a severe allergic reaction is rare, it demands immediate medical attention. Look out for symptoms like rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. If you observe any other unusual effects, contact your healthcare provider for guidance.