Males find females by following their scent trails, sometimes tracking them for hundreds of metres a day. If a female is found and then flees, the male follows. Courtship involves side-by-side parallel 'flowing' behaviour, tongue flicking along the back and excited lashing of the tail. Pairs stay together for one or two days after mating. Males chase away their rivals and engage in combat. Often, this also starts with the aforementioned flowing behaviour before culminating in the dramatic 'adder dance'. In this act, the males confront each other, raise up the front part of the body vertically, make swaying movements and attempt to push each other to the ground. This is repeated until one of the two becomes exhausted and crawls off to find another mate. Appleby (1971) notes that he has never seen an intruder win one of these contests, as if the frustrated defender is so aroused by courtship that he refuses to lose his chance to mate. There is no record of any biting taking place during these bouts. Females usually give birth in August or September, but sometimes as early as July, or as late as early October. Litters range in size from 3 to 20. The young are usually born encased in a transparent sac from which they must free themselves. Sometimes, they succeed in freeing themselves from this membrane while still inside the female. Neonates measure in total length (including tail), with an average total length of . They are born with a fully functional venom apparatus and a reserve supply of yolk within their bodies. They shed their skins for the first time within a day or two. Females do not appear to take much interest in their offspring, but the young have been observed to remain near their mothers for several days after birth. Venom Because of the rapid rate of human expansion throughout the range of this species, bites are relatively common. Domestic animals and livestock are frequent victims. In Great Britain, most instances occur in March–October. In Sweden, there are about 1,300 bites a year, with an estimated 12% that require hospitalisation. At least eight different antivenoms are available against bites from this species. Mallow et al. (2003) describe the venom toxicity as being relatively low compared to other viper species. They cite Minton (1974) who reported the values for mice to be 0.55 mg/kg IV, 0.80 mg/kg IP and