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When taking this medication, some individuals might experience mild side effects such as nausea, vomiting, headaches, bloating, breast tenderness, and swelling of the ankles or feet due to fluid retention. These symptoms, along with potential weight changes, are generally manageable and often diminish over time. Additionally, some may notice irregularities in their menstrual cycle, such as spotting or missed periods, particularly during the initial months of use. It's important to monitor these changes and discuss them with a healthcare provider if they persist or worsen.

However, there are more serious side effects that require immediate medical attention. These include lumps in the breast, mental or mood changes like new or worsening depression, severe abdominal pain, or unusual changes in vaginal bleeding patterns. Rarely, this medication can lead to severe complications from blood clots, which may manifest as a heart attack, stroke, or clots in the lungs or legs. Symptoms to watch for include chest pain, sudden dizziness, calf pain or swelling, difficulty speaking, shortness of breath, severe headache, or vision changes.

Although very rare, a serious allergic reaction is possible. Warning signs include rash, itching or swelling, especially of the face or throat, severe dizziness, and trouble breathing. In such cases, it's crucial to seek emergency medical assistance. If you notice any other unusual effects, consulting a healthcare professional is advisable. Always prioritize safety and report any side effects experienced to help ensure proper management and care.