Common Side Effects
Nausea
vomiting
headache
stomach cramping
bloating
dizzienss
vaginal discomfort/irritation
increased vaginal fluids
breast tenderness/enlargement may occur
Acne may improve or get worse
Vaginal bleeding between periods (spotting) or missed/irregular periods may occur
especially during the first few months of use
Serious Side Effects
changes in vaginal bleeding (e.g., continuous spotting, sudden heavy bleeding, missed periods)
problem wearing contact lenses
dark patches on the skin (melasma)
unwanted facial/body hair
swelling of the ankles/feet
weight changes (gain or loss).
Serious (sometimes fatal) Problems
sudden shortness of breath
chest/jaw/left arm pain
confusion
coughing up blood
sudden dizziness/fainting
pain/swelling/warmth in the groin/calf
tingling/weakness/numbness in the arms/legs
headaches that are different from those you may have experienced in the past (e.g., headaches with other symptoms such as vision changes
lack of coordination
existing migraines becoming worse sudden/very severe headaches)
slurred speech
weakness on one side of the body
vision problems/changes.
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