 <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] ankles/feet, mental/mood changes (such as depression, irritability), signs of early puberty in boys (such as facial/pubic hair, voice change, acne), pain/swelling of the breast (in boys), unusual vaginal bleeding (women). This medication may cause a condition known as ovarian hyperstimulation syndrome (OHSS). This condition may occur during or after treatment. Rarely, serious OHSS causes fluid to suddenly build up in the stomach, chest, and heart area. Get medical help right away if you develop the following side effects: severe pain or swelling in the lower abdominal (pelvic) area, severe nausea/vomiting, sudden/rapid weight gain, or decreased urination. Get medical help right away if you have any very serious side effects, including: chest/jaw/left arm pain, sudden severe headache, confusion, weakness on one side of the body, trouble speaking, sudden vision changes, pain/redness/swelling in the legs. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), </s>