In this circumstance, FSH stimulation is combined with IUI in an attempt to increase the number of eggs ovulated and, as a result, increase the likelihood of pregnancy. The success rate with FSH will depend upon the reason for using it. It cannot be taken orally because it is a protein and would be digested in the stomach.
At your FSH class or IVF class, your partner, or the person who will give your injections, will be taught how to administer the injections. Detailed injection instructions are available online. Monitoring will be done in the morning so that laboratory results can be ready by the same afternoon. Monitoring will consist of two tests to assess how the FSH stimulation is progressing.
These two tests are a vaginal ultrasound and a blood test to measure the serum estradiol level. Since FSH works to cause follicles to develop in the ovaries, a vaginal ultrasound will be used to follow follicular growth. Follicles of mm size are optimal. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur.
Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. A nurse or other trained health professional will give you this medicine.
This medicine is given as a shot under the skin. Menotropins injection is used with another hormone called human chorionic gonadotropin hCG. At the proper time, your doctor or nurse will give you this medicine. This medicine comes with a patient information leaflet. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. The dose of this medicine will be different for different patients.
Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
Store the unused medicine in the refrigerator or at room temperature until it is mixed. Protect it from light. The drugs that are used to stimulate fertility have been used for 50 years and remain the basis for fertility drug treatment. See the our fact sheets on ovulation induction and the risk of multiple pregnancy for more information.
This is treatment to get pregnant by means other than having sex. This treatment really just replicates what happens during sex. A small amount of sperm is placed inside your cervix when you ovulate. Because it is done in a clinical setting, the sperm is washed and concentrated. The success of the treatment will vary depending upon why you are having it.
It may be done as part of your normal cycle without the use of medication, or in a cycle after you have had fertility drugs such as FSH to develop one or two extra ovulated eggs. Generally, if you do not become pregnant within the first three or four attempts, the chances of further success are low and it is time to consider IVF. IVF involves fertilising the egg outside of the uterus. The usual method is as follows:. IVF often requires multiple attempts before achieving a pregnancy and may never do so.
As part of fertility treatment , an injection of hCG may be used to trigger ovulation. Ovarian hyperstimulation syndrome OHSS is a potentially serious complication of gonadotropin therapy. It's important you are familiar with the symptoms of OHSS.
Another possible risk factor of gonadotropin therapy is a multiple pregnancy. Most multiple pregnancies with gonadotropins are twins. Multiple pregnancies, including twin pregnancies , have increased risks both for the mother and the babies.
Close monitoring of a treatment cycle can help prevent a multiple pregnancy. Many doctors will cancel if more than three follicles develop or if estradiol levels are very high. The risk of ectopic pregnancy and miscarriage is also higher with gonadotropin-conceived pregnancies. Surgery is necessary to untwist or possibly remove the affected ovary. Your risk of pregnancy complications—like pregnancy-induced high blood pressure and placental abruption —may be also slightly increased compared to a naturally conceived pregnancy.
Whether this increased risk is caused by the gonadotropins or the infertility is unclear. Because gonadotropins are injectable medications, you may also experience soreness near the injection sites. If you suspect an infection, be sure to alert your doctor right away.
Your potential for pregnancy success with gonadotropins will depend on a variety of factors, including your age and the cause of infertility. A study by The Jones Institute for Reproductive Medicine looked at 1, gonadotropin treatment cycles. Younger patients had higher live birth rates. Older studies have found higher pregnancy rates with gonadotropins than this study. However, it's possible the higher success rate came at the expense of higher risk for OHSS and multiple pregnancy.
The higher price takes into account the required blood work and ultrasound monitoring. The also price varies because different women will need different amounts of drugs. Your insurance company may pay for part of the treatment. Or, they may pay for all of it You may need to pay your fertility clinic in full first. Then, you may need to file for a reimbursement from your insurance yourself, or the clinic may handle the insurance claims for you. Be sure to clarify all of this with your fertility clinic before you start treatment.
You don't want to be surprised by a high bill at the end. Get diet and wellness tips to help your kids stay healthy and happy. Recombinant versus urinary gonadotrophin for ovarian stimulation in assisted reproductive technology cycles.
Hum Reprod Update. Homburg R, Howles CM.
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