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Taking this medication can lead to significant bone density loss, which might not fully recover after discontinuation. The likelihood of bone loss is heightened with prolonged use and smoking. It is advised not to use this medication for more than two years unless other contraceptive methods are unsuitable for you. Adolescence and early adulthood are crucial periods for bone development. Using this medication during these times may elevate the risk of developing osteoporosis, resulting in fragile bones in later life. Please consult your healthcare provider to thoroughly discuss the potential risks and advantages of this medication, along with other contraceptive options.

Key Points:

• Risk of significant bone loss, potentially irreversible.
• Increased risk with extended use and smoking.
• Limit use to two years unless necessary.
• Critical bone-building years: adolescence and young adulthood.
• Higher risk of osteoporosis and fractures as you age.
• Discuss risks and contraceptive alternatives with your doctor.

When taking this medication, you might experience mild side effects such as nausea, bloating, headaches, changes in appetite, weight gain, tiredness, swelling, acne, hot flashes, breast tenderness, or irritation at the injection site. Some may also encounter vaginal bleeding between periods or missed/irregular periods, especially in the initial months. It's common for periods to stop after about a year of use, but they typically resume once the medication is discontinued. If you suspect you might be pregnant due to a missed period and a missed injection, consult your healthcare provider for a pregnancy test.

Serious side effects require immediate attention. These include persistent nausea or vomiting, mood changes like depression, altered sexual interest, ankle or foot swelling, bone pain, unusual vaginal bleeding, severe pain in the stomach, abdomen, or pelvis, unusual weakness, dark urine, yellowing of the skin or eyes, and seizures. There is also a slight increase in the risk of breast cancer, so report any breast lumps or nipple discharge promptly.

Rarely, the medication can lead to serious blood clot issues, such as heart attack or stroke. Seek emergency help if you experience shortness of breath, chest or jaw pain, unusual sweating, confusion, sudden dizziness, pain or swelling in the groin or calf, severe headaches, speech difficulties, weakness on one side of the body, or sudden vision changes. Although very rare, severe allergic reactions can occur. If you notice symptoms like a rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing, seek immediate medical assistance.

This summary does not cover all possible side effects. If you experience any other unusual symptoms, reach out to your healthcare provider for guidance.