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Estetrol Side Effects

The most commonly reported side effects of estetrol include intermenstrual bleeding, heavy menstrual bleeding, and headache, based on 216 FDA adverse event reports from 2020 to 2025. 4.2% of reports found the drug to be ineffective.

Estetrol side effects

Percentages show how often each reaction appears relative to total reports for estetrol.

1
Intermenstrual Bleeding10.6%23
2
Heavy Menstrual Bleeding7.9%17
3
Headache5.6%12
4
Nausea5.1%11
5
Mood Swings4.6%10
6
Drug Ineffective4.2%9
7
Migraine4.2%9
8
Weight Increased4.2%9
9
Dizziness3.7%8
10
Suicidal Ideation3.7%8
11
Depression3.2%7
12
Pulmonary Embolism3.2%7
13
Menstruation Irregular3.2%7
14
Dyspnoea2.8%6
15
Acne2.8%6

These are voluntary reports and do not establish that estetrol caused these reactions.

Report severity

25.0%Serious54 reports
4.6%Hospitalizations10 reports
0.5%Fatal1 reports

Seriousness is determined by the reporter, not by OpenClaim.

Estetrol drug interactions

Other drugs that appear in adverse event reports alongside estetrol. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Drospirenone88.4%191
2
Dupilumab2.3%5
3
Ocrelizumab1.4%3
4
Mometasone-furoate0.9%2
5
Olopatadine-hydrochloride0.9%2
6
Apixaban0.5%1
7
Galcanezumab-gnlm0.5%1
8
Diroximel-fumarate0.5%1
9
Cenegermin-bkbj0.5%1
10
Lumateperone0.5%1
11
Calcium-oxybate0.5%1
12
Magnesium-oxybate0.5%1
13
Potassium-oxybate0.5%1
14
Sodium-oxybate0.5%1
15
Amifampridine0.5%1

Taken alongside

1
Drospirenone10.2%22
2
Levothyroxine-sodium2.8%6
3
Ergocalciferol1.4%3
4
Albuterol1.4%3
5
Sertraline-hydrochloride1.4%3
6
Aripiprazole1.4%3
7
Hydroxyzine1.4%3
8
Dextroamphetamine1.4%3
9
Buspirone-hydrochloride1.4%3
10
Diphenhydramine1.4%3
11
Atorvastatin-calcium0.9%2
12
Propranolol-hydrochloride0.9%2
13
Topiramate0.9%2
14
Fluticasone0.9%2
15
Minoxidil0.9%2

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports estetrol side effects

66.7% of estetrol adverse event reports involve female patients and 0.5% involve male patients. The largest age group is adult at 89%. These figures reflect who reports side effects, not underlying risk.

Sex

Female66.7%
Male0.5%
Unknown32.9%

Age group

< 20.0%
2–110.0%
12–179.8%
18–6489.1%
65+1.1%

What is estetrol used for

Conditions and purposes for which patients were taking estetrol when the adverse event was reported.

Abnormal Uterine BleedingAcneContraceptionDysmenorrhoeaEndometriosisHeavy Menstrual BleedingHydrosalpinxIntermenstrual BleedingMenopausal SymptomsMenopauseMenstrual DiscomfortMenstruation IrregularMenstruation NormalOral ContraceptionOvarian Cyst

Showing 15 of 21 indications

Estetrol brand names and reporting trend

Estetrol is sold under the brand name Nextstellis.

Brand names

Nextstellis3

Quarterly reports (20202025)

2020202220242025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking estetrol with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.