Irregular menstrual bleeding. Nausea; fatigue, back or generalized pain; wt loss or gain; abdominal discomfort; mood swings, decreased libido, depression; pain or itching at insertion site; cervical inflammation, ovarian cysts; UTI; benign breast lumps, breast discharge; worsening of existing acne or excess face or body hair, hair loss, rash, itching or mild skin discoloration.