birth control
"I took this medicine for about 9 months for perimenopausal symptoms and birth control since I am still fertile in late 40s.  This took about 3 months to acclimate to.... Had the mood swings and nausea and headaches in the first couple of months. Then it worked quite well and actually improved my sleep which wasn't doing so well pre birth control.  However the biggest factor making me discontinue use of this drug was a big raise in my blood pressure!  I am a non smoker and a bit overweight but have always had very low blood pressure.  After 8-9 months on this my blood pressure was high. I've been off this a few weeks and top reading on my blood pressure has dropped into 140s from the 160s I was peaking at. Still, I've always had 110 or so before taking Loestrin 24."