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When taking this medication, you might experience common side effects such as nausea, vomiting, headaches, bloating, breast tenderness, ankle or foot swelling due to fluid retention, and weight changes. Some individuals may also notice vaginal bleeding between periods (spotting) or missed/irregular periods, particularly during the initial months of use. These effects are generally mild, but if they persist or worsen, it is important to inform your healthcare provider.

It is essential to monitor your blood pressure regularly, as this medication might cause an increase in blood pressure. Notify your healthcare provider if you observe any significant changes. Serious side effects, though less common, require immediate attention. These include lumps in the breast, changes in mood or mental state such as worsening depression, severe stomach or abdominal pain, or unusual menstrual changes like continuous spotting or unexpected heavy bleeding. Additionally, symptoms like dark urine or yellowing of the skin and eyes should be reported promptly.

Rarely, this medication can lead to severe complications from blood clots, which might result in a heart attack, stroke, or clots in the lungs or legs. Seek urgent medical attention if you experience chest pain, confusion, sudden dizziness, fainting, pain or swelling in the groin or calf, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes. Although a serious allergic reaction is rare, immediate medical help is needed if you develop a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing. If you notice any other concerning effects, consult your healthcare provider.