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Gemma Ching-A-Sue* is a General Practitioner with an extended role in Ophthalmology at the John Radcliffe Hospital, Oxford

The principal serious adverse reactions are: (1) Ovarian hyperstimulation, a syndrome of sudden ovarian enlargement, ascites with or without pain and/or pleural effusion, (2) Rupture of ovarian cysts with resultant hemoperitoneum, (3) Multiple births and (4) Arterial thromboembolism