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This medication may cause a condition known as ovarian hyperstimulation syndromeOHSSRarelyserious OHSS causes fluid to suddenly build up in the stomachchestand heart areaThis may occur during therapy or after treatment has been stoppedGet medical help right away if you develop any of the following side effectssevere pain/swelling in the lower abdomenpelvicareasudden/rapid weight gainnausea/vomitingdiarrheashortness of breathdecreased urinationpain/redness/swelling of the legschest painfast/irregular heartbeat.

Might be pregnanthave a thyroid problem or another endocrine disorderhave undiagnosed vaginal bleedinghave endometriosis or endometrial carcinomahave uterine fibroidshave liver diseasehave ovarian cysts or ovarian enlargement not due to polycystic ovarian syndromeor have any other serious or chronic medical illness.

ClomiPHENE citrate is capable of interacting with estrogen-receptor-containing tissuesincluding the hypothalamuspituitaryovaryendometriumvaginaand cervixIt may compete with estrogen for estrogen-receptor-binding sites and may delay replenishment of intracellular estrogen receptorsClomiPHENE citrate initiates a series of endocrine events culminating in a preovulatory gonadotropin surge and subsequent follicular ruptureThe first endocrine event in response to a course of clomiPHENE citrate therapy is an increase in the release of pituitary gonadotropinsThis initiates steroidogenesis and folliculogenesisresulting in growth of the ovarian follicle and an increase in the circulating level of estradiolFollowing ovulationplasma progesterone and estradiol rise and fall as they would in a normal ovulatory cycle.

Round flat bevelled white tabletEngravedSon one and scored on the other side.

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