Common side effects can include headache, nausea, breast tenderness, mood changes, and changes in menstrual flow. Rare but serious side effects include blood clots, heart attack, or stroke, especially in smokers over 35 or those with certain health conditions. Not suitable for women with a history of thromboembolism, certain cancers, or liver disease. Always read the patient information leaflet before use and consult a healthcare professional if unsure.