ADVERSE REACTIONS
An increased risk of the following adverse reactions has been reported with the use of progestin-only oral contraceptives (see WARNINGS section for additional information):
Ectopic pregnancy
Delayed follicular atresia/ovarian cysts
Menstrual irregularity, changes in menstrual flow; breakthrough bleeding/spotting; amenorrhea, prolonged bleeding
The following adverse reactions also have been reported with the use of progestin-only oral contraceptives:
Abdominal pain, cramps, distention
Acne
Alopecia
Anaphylactic/anaphylactoid reactions, including urticaria, throat tightness, and facial edema
Appetite increase or decrease
AST, ALT, bilirubin increase
Blood pressure increase
Breast pain, enlargement, secretion, and tenderness
Chloasma/melasma that may persist
Cholestasis
Dizziness
Edema
Fatigue
Galactorrhea
Glucose intolerance
HDL decrease
Hirsutism
Leg cramps/pain
Libido decrease
Migraine/headache
Mood disturbances, including depression
Myocardial infarction
Nausea
Nervousness
Rash
Stroke
Vaginal discharge
Vomiting
Weight change (increase or decrease)
See WARNINGS section for discussion of:
Carcinoma of the breast and reproductive organs
Hepatic neoplasia
Arterial and venous thromboembolic events
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