If the product is kept refrigerated, it is good until its expiration date written on the box. If you keep this product unrefrigerated, it should last for a maximum of 28 days. If you missed a dose on the same day, you may usually inject the dose as soon as you remember.
However, it is vital that you contact your physician immediately for instructions. Do not double the dose on your own. Just like Gonal-F and Follistim, Ganirelix and Cetrotide is the same medication known by two different names. These medications come as pre-filled syringes. Some patients report that Ganirelix is a bit more difficult to inject than their other fertility medications, and they need to use more pressure when inserting the needle—this is normal!
Leuprolide is in a class of medications called gonadotropin-releasing hormone GnRH agonists the opposite of the antagonists defined above. Essentially, it tells the pituitary gland to stop producing luteinizing hormone and stimulates the ovaries to release estrogen. Lupron comes as a single pre-filled syringe. This is an alternative trigger medication which serves much the same function as the leuprolide trigger: to prompt your body to complete egg maturation.
Most of them come as a single pre-filled syringe, but if yours comes in a different form because of your pharmacy or insurance specifications , contact your healthcare team so they can give you instructions specific to your medication. It enables proliferation of more number of eggs and development and maturation of one egg. Follistim is used to stimulate egg production in women and to increase the sperm count in males.
It is used to develop and mature the eggs as well. Indications for use. Gonal f is indicated in patients in whom the infertility is purely due to functional causes. 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. It should be noted that pregnancy itself also carries an increased risk of thrombosis.
This may be related to OHSS, pregnancy, previous abdominal surgery, past history of ovarian torsion, previous or current ovarian cyst, and polycystic ovaries. Damage to the ovary due to reduced blood supply can be limited by early diagnosis and immediate detorsion. The woman and her partner should be advised of the potential risk of multifetal gestation and births before starting treatment.
This slightly higher incidence is thought to be related to differences in parental characteristics eg, maternal age, sperm characteristics and to the higher incidence of multifetal gestations after IVF or ICSI. There are no indications that the use of gonadotropins during IVF or ICSI is associated with an increased risk of congenital malformations. Spontaneous Abortion The risk of spontaneous abortions miscarriage is increased with gonadotropin products; however, causality has not been established.
The increased risk may be a factor of the underlying infertility.
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