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While taking this medication, you might experience some mild side effects such as bloating, stomach or abdominal pain, nausea, breast tenderness, headache, drowsiness, mood swings, irritability, or vaginal discomfort. These are generally not serious and often improve over time. However, if they persist or worsen, consult your healthcare provider.

It's important to be aware of more serious side effects, which require immediate medical attention. These include unusual vaginal bleeding, significant mental or mood changes such as depression, swelling of the ankles or feet, yellowing of the skin or eyes, or the presence of breast lumps. Additionally, the medication, particularly when used with estrogen, can very rarely lead to severe blood clot issues, potentially causing heart attacks, strokes, or clots in the lungs, legs, or eyes. Urgent symptoms to watch for include chest, jaw, or left arm pain, one-sided weakness, difficulty speaking, sudden vision changes, confusion, severe headaches, sudden dizziness or fainting, shortness of breath, pain or swelling in the groin or calf, and unusual sweating.

Though a severe allergic reaction to this drug is rare, immediate medical assistance is crucial if you experience a rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing. Always communicate any unexpected side effects to your healthcare provider for advice and management.