What is a potential side effect of Ortho-Novum?

Ortho-Novum is a combination oral contraceptive that contains estrogen and progestin. One potential side effect of this medication is spotting, which refers to light bleeding that occurs between menstrual periods. This is a common occurrence when starting or adjusting to hormonal contraceptives, as the body may take some time to adapt to the changes in hormone levels. Spotting can diminish over time as the body adjusts.

The other choices, while they may be associated with various health conditions or other medications, are not typical side effects of Ortho-Novum. Severe menstrual cramps are often associated with menstrual disorders but not directly linked to Ortho-Novum use. Weight loss is not commonly reported as a side effect of this medication; in fact, some users may experience weight gain. High blood pressure can be a concern with hormonal contraceptives for certain individuals, but it is not a direct side effect like spotting is and usually requires monitoring rather than being a guaranteed outcome of the medication itself.