Irregular vaginal bleeding or spotting may occur in the first few months. It is usually temporary. However, should the bleeding occur more than once in one cycle or last more than a few days in a cycle, refer to the doctor.
The patient may also experience in the first few months a change in appetite and mood, tenderness of breasts, headache, nausea, dizziness, rash, but these symptoms are usually temporary and reversible. Should the side effects be severe or persist, refer to the doctor. In some women, the long-term use of oral contraceptive may lead to an increased risk of high blood pressure, heart attack or venous thrombosis.