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This medication comes with several important safety warnings and considerations that you should review carefully. Please discuss any concerns with your healthcare provider.

• Severe Allergic Reactions: Use of HCG can lead to serious allergic reactions, including anaphylaxis, which may cause difficulty breathing, swelling of the lips or tongue, or a rash. Seek immediate medical attention if these symptoms occur.

• Ovarian Hyperstimulation Syndrome (OHSS): Females may experience OHSS, characterized by enlarged ovaries after HCG injections. Symptoms include abdominal pain, bloating, and weight gain. Severe symptoms can involve intense pain, significant bloating, breathing difficulties, nausea, vomiting, diarrhea, or a ruptured cyst. These symptoms can manifest within days or up to 10 days post-injection and typically resolve within two weeks. If severe symptoms develop, contact your healthcare provider immediately.

• Blood Clots: HCG increases the risk of blood clots, potentially leading to serious conditions like heart attack, stroke, or pulmonary embolism. Risk factors include smoking, history of blood clots, and OHSS. Immediate medical help is required for symptoms such as leg or arm pain, chest pain, severe headaches, difficulty breathing, or sudden changes in speech or vision.

• Multiple Pregnancies: HCG, like other gonadotropin fertility treatments, raises the likelihood of conceiving multiple babies (e.g., twins, triplets). Discuss this possibility with your partner before starting the treatment.

• Early Puberty in Males: HCG can trigger early puberty in males treated for cryptorchidism. Signs include voice changes and hair growth in areas like the underarms or genitals. Discontinue use and inform your child's healthcare provider if these signs appear.

• Cancer Risk in Male Infertility Treatment: There have been reports of testicular tumors in young men using HCG for infertility. If you detect lumps, enlargements, or experience pain in the testicles, abdomen, groin, or back, contact your healthcare provider promptly.

• Water Retention: HCG can increase androgen levels, leading to water retention, which may exacerbate conditions such as asthma, kidney issues, heart problems, seizures, and migraines. Ensure your medical history is discussed with your healthcare provider before beginning HCG.

Contraindications:

HCG should not be used if you have any of the following, as it could pose serious health risks:

• Early puberty
• Prostate cancer or other androgen-dependent cancers
• Current pregnancy

Please consult your healthcare provider if you have any of these conditions before taking HCG.

When taking this medication, you may encounter several side effects, some of which are common and mild, while others are less frequent but more severe. Common side effects include headache, restlessness, tiredness, pain at the injection site, irritability, and depression. While these can be uncomfortable, they typically do not require immediate medical attention unless they persist or worsen.

In some cases, individuals might experience swelling (edema), early signs of puberty in boys, or growth of breasts in males. Women may notice unusual vaginal bleeding. Though these are less common, they should be discussed with your healthcare provider if they occur.

More serious side effects, although rare, demand prompt medical attention. These include symptoms of ovarian hyperstimulation syndrome (OHSS), such as severe abdominal pain, nausea, vomiting, sudden weight gain, or decreased urination. Additionally, watch for signs of blood clots, such as shortness of breath, chest pain, or swelling in the limbs, which require urgent care.

A severe allergic reaction is also rare but can manifest as rash, itching, swelling of the face, tongue, or throat, severe dizziness, and trouble breathing. If you experience any of these symptoms, seek immediate medical help. Always consult with your healthcare provider if you notice any side effects, even those not listed here, to ensure your safety and well-being.