 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  doctor if your condition does not get better or if it gets worse.The side effects of Imvexxy Maintenance Pack Vaginal: See also Warning section. Nausea/vomiting, bloating, diarrhea, breast tenderness, headache, or weight changes may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as new/worsening depression), lumps in the breast, unusual changes in vaginal bleeding (such as continuous spotting, sudden heavy bleeding), increased or new vaginal irritation/itching/odor/discharge, signs of liver problems (such as nausea/vomiting that doesn't stop, loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine), swelling hands/ankles/feet, symptoms of high blood sugar (such as increased thirst/urination). This medication may rarely cause serious (sometimes fatal) problems from blood clots (such as deep </s>