Fertility Medication

A follicle stimulating hormone (FSH) which is given to women in order to produce multiple follicles in ovulating women when undergoing assisted reproductive technology treatment.  This helps increase the number of mature viable eggs available to move forward in the IVF process.  Gonal-F may also be used for ovulation induction in anovulatory women in whom the cause of infertility is functional and not due to primary ovarian failure.  Daily doses are based on individual evaluation by your Reproductive Endocrinologist, past treatment response history, and other individualized factors.

Gonal-F RFF 75IU

Gonal-F RFF 75 IU vial – a sterile, lyophilized powder that is administered subcutaneously after reconstitution.

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Gonal-F MDV Vial

Gonal-F Multidose – a sterile, lyophilized powder that is administered subcutaneously after reconstitution.

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Gonal-F RFF Redi-ject – available in 300 IU, 600 IU, and 900 IU prefilled pens which are ready to use.  The Redi-ject pen is a disposable auto-injection device intended for multiple dose uses and dosed subcutaneously. The pen allows to dose in increments of 12.5 IU.

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A follicle stimulating hormone (FSH) which is indicated to produce multiple follicles in normal ovulatory women undergoing assisted reproductive technology treatment.  This helps increase the number of mature viable eggs available to move forward in the IVF process.  Follistim is also indicated for ovulation induction in anovulatory women in whom the cause of infertility is functional and not due to primary ovarian failure.  Daily doses are individualized based on type of treatment, individual evaluation, past treatment responses, and at the discretion of your Reproductive Endocrinologist.

Follistim AQ Cartridge 300IU 600IU 900IU and Pen

Follistim AQ Cartridge – available in 300 IU, 600 IU, and 900 IU cartridge.  This product is to only be used with the Follistim pen to provide the daily prescribed dose of medication ordered by your provider.  The Follistim Pen allows patients to dose in increments of 25 IU.

 Product Information | Injection Instructions | Instructional Video

Highly purified human menopausal gonadotropins (hMG) that contains both FSH and LH (75 IU of each per vial).  This medication works directly on the ovary to stimulate follicular development in the IVF process.  Menopur is often included in a medication regimen that contains an FSH product like Gonal-F or Follistim. This medication requires reconstitution before use and is dosed subcutaneously.  The dose may vary depending on your specific needs and protocol established by your Reproductive Endocrinologist.

Menopur 75IU Vial

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A gonadotropin releasing hormone that has antagonistic activity which blocks the normal function of GnRH on the pituitary.  This antagonistic activity allows this medication to block premature ovulation (delaying the LH surge) in order to produce follicles/eggs more suitable for fertilization during controlled ovarian stimulation.  This medication is given by subcutaneous injection with a typical dose of 0.25mg once every 24 hours.

Product Information | Injection Instructions | Instructional Video

A gonadotropin releasing hormone that has antagonistic activity which blocks the normal function of GnRH on the pituitary.  This antagonistic activity allows this medication to block premature ovulation (delaying the LH surge) in order to produce follicles/eggs that are more suitable for fertilization during controlled ovarian stimulation.  This medication is typically dosed at 0.25mg once every 24 hours and is given by subcutaneous injection.

Ganirelix Acetate 250mcg

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A human chorionic gonadotropin that is administered the day after the last dose of stimulation medication.  This medication is considered a “trigger” shot which helps to finalize the maturation of the follicle/egg and triggers ovulation. This medication requires reconstitution before use.

Pregnyl

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A human chorionic gonadotropin that is administered the day after the last dose of stimulation medication.  This medication is considered a “trigger” shot which helps to finalize the maturation of the follicle/egg and triggers ovulation. This medication requires reconstitution before use. 

Novarel

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A recombinant human chorionic gonadotropin that is dosed subcutaneously as a “trigger” shot.  This medication helps to finalize the maturation of the follicle/egg and triggers ovulation.  This is dosed the day after the last dose of stimulation medication and is administered by subcutaneous route.

Ovidrel

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A gonadotropin releasing hormone analogue which acts as an agonist in the hypothalamic/pituitary axis when being used to control ovulation in an agonist protocol. It suppresses the body’s natural production of gonadotropins & therefore prevents ovulation until it is desired.  Leuprolide is dosed subcutaneously following a dosing regimen provided by your Doctor.

Leuprolide Acetate

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This is a compounded form of leuprolide acetate, which is a gonadotropin releasing hormone analogue.  This is prepared in a much lower concentration than the commercially available 2-week kit. The low doses of leuprolide in this protocol stimulate the pituitary to produce FSH & LH. This dosing is often used in patients that are possible poor responders or those with poor results using other protocols.

A gonadotropin releasing hormone analogue which may be used as a “trigger” shot. Leuprolide indirectly acts on the ovary by using the body’s natural production of LH surge from the pituitary to finalize follicle maturation and induce ovulation.

A compounded version of HCG.  This may be used in certain assisted reproductive technology treatment regimens along with an FSH product like Gonal-F or Follistim to help stimulate and develop the growth of multiple follicles prior to ovulation.

Instructional Video

A hormone required to prepare the uterus for a pregnancy by helping to maintain the lining of the endometrium in preparation for implantation.  There are several commercially available forms of progesterone, or your provider may request a compounded form that is specifically prepared for your needs.  Progesterone may be administered by oral route, vaginal route, or by injection.

Common commercial products: Crinone, Endometrin, Prometrium, Progesterone in sesame oil

Instructional Video

An orally dosed medication that is often used in patients with anovulation or irregular ovulation to help produce a follicle and ovulation.  This is often a treatment of choice in patients with PCOS.  Clomiphene causes an increase in the release of pituitary gonadotropins FSH & LH which leads to the growth of the ovarian follicle.  Doses range from 50mg-150mg per day and are generally given between cycle days 3-7 or 5-9.  Clomiphene may also be used in the treatment of male infertility to help improve the sperm count and quality. 

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An aromatase inhibitor that is proven effective for women with ovulation problems.  Letrozole causes an increase in FSH output to hopefully produce a mature follicle and lead to ovulation.  Sometimes this medication is used to develop multiple follicles in patients that ovulate on their own. Typical dosing may range from 2.5mg-7.5mg once daily on days 5-9 of the cycle.

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May be used in specific patient populations where anovulation is caused by elevated levels of prolactin.  Bromocriptine may help induce ovulation in these patients.

This medication is commonly used to treat diabetes.  Metformin has been shown to be an effective treatment in women who have PCOS to help produce ovulation.