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Serious risks (rare) Blood clots: Increased risk of deep vein thrombosis (DVT) and pulmonary embolism. Stroke or heart attack: The risk is higher for smokers, especially those over 35. Liver disorders: A small increased risk of certain liver problems. When to contact a doctor Contact your healthcare provider immediately if you experience any of the following serious symptoms: Severe headache, confusion, or vision changes. Chest pain or coughing. Severe pain, swelling, or tenderness in one leg. Severe abdominal pain or vomiting. Yellowing of the skin or eyes (jaundice). What to do if side effects don't improve If common side effects like nausea or headaches persist after three months, talk to your healthcare provider. You may need to switch to a different brand of pill or try another form of contraception. Do not stop taking the pill without starting a new birth control method to ensure continuous protection against pregnancy.