Emails are serviced by Constant Contact. All Rights Reserved. Site by Red Olive. English Spanish. Urinary Products vs. Treatment Protocols and Monitoring FSH treatment protocols usually include Lupron, Ganirelix, or Cetrotide to control the length of the follicular phase and time ovulation. Learn More. RCC specialists will help you understand your treatment options. Sign up for news and updates. Follistim comes in medication cartridges that are inserted into a pen for injection, and Gonal-F comes as a prefilled pen.
Learn more about egg freezing side effects. Egg freezing patients are typically prescribed both FSH and menotropin. Like FSH, Menopur is typically begun on day one or two and continued for 8—11 days. Menopur requires mixing powder with sodium chloride fluid to reconstitute the medication, which is injected using a syringe.
These side effects are short-term, lasting only as long as the patient is taking the medication. This helps time your cycle so your body will release mature eggs just before the egg retrieval—instead of releasing them prematurely.
Antagonists are typically injected once daily, beginning about half or two-thirds of the way through your cycle. Ask your doctor or nurse to demonstrate how to safely perform the injections. They will likely do this without you asking. Over the next several days, your hormone levels, specifically estradiol, and the follicles on your ovaries will be closely monitored. This monitoring happens via blood work and ultrasound every few days. How often?
That will depend on your doctor's protocol, how you're responding to the drugs, and how close you are to ovulation. Your medications may be adjusted up or down depending on the ultrasound and hormone results.
The goal is to stimulate the ovaries enough to produce one good egg, but not to overstimulate them. Other stimulation can increase your risks of a multiple pregnancy or ovarian hyperstimulation syndrome OHSS.
When your hormone levels and follicle size indicate ovulation is close, your doctor may order an injection of hCG. This is also known as the " trigger shot ," as it triggers ovulation to occur approximately 36 hours later.
Your doctor should also tell you which days to have intercourse, so you can "catch" the egg and get pregnant. Once ovulation occurs, you may then start taking progesterone. Not everyone will need this, however. Your hormone levels will continue to be monitored, though less frequently. You'll take a pregnancy test at the end of the cycle to determine if treatment was successful. Sometimes, treatment may be canceled in the middle.
This may occur before the trigger shot or even earlier. The most common reason for cycle cancellation is when the doctor suspects the ovaries have been hyperstimulated. Stopping the medications can avoid a serious case of OHSS and high-order multiples triplets or more. Your doctor may also tell you to refrain from intercourse. As difficult as it is to hear this, it's very important you follow your doctor's instructions.
Pregnancy can increase the chances of a high-order pregnancy, which puts you and your babies at risk. Also, if you develop OHSS, pregnancy can complicate your recovery. There are two basic types of gonadotropins: recombinant gonadotropins and urinary-extracted gonadotropins. Recombinant gonadotropins are created in a laboratory using recombinant DNA technology. Currently, Luveris is the only recombinant LH gonadotropin available.
Urinary-extracted gonadotropins are extracted and purified from the urine of postmenopausal women. Their urine is naturally high in FSH. This group includes medications like Humegon, Menogon, Pergonal, and Repronex. Menopur is a highly purified hMG. It will produce a pregnancy in anovulatory infertile patients by induction of egg production. In men, this drug will cure the infertility due to primary and secondary hypogonadotrophic infertility. Follistim is used in combination with human chorionic gonadotrophin HCG and needs repeated levels of hormonal assays and sonography to check the status of the eggs.
Follistim is used in cases where there is low sperm count due to lack of hormones. The drug will increase the sperm count and help produce healthy sperms.
Contraindications for use. Lung and vascular complications are the main drawbacks of using Gonal F as it has produced acute exacerbation of asthma in many patients. Polycystic ovarian disease or PCOD is the main contraindication for this drug. Thromboembolism is another serious contraindication for Gonal F.
Follistim is contraindicated in presence of uncontrolled non- gonadal endocrinopathies and hypersensitivity reactions to drugs like neomycin and streptomycin as there are traces of these drugs present in Follistim. Tumors of ovary, uterus or prostate are contraindications for both the drugs. Adverse effects. Gonal F can produce severe headaches and Follistim may produce severe lower abdominal pain.
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