How you can Mix Infertility Medications Bravelle and Menopur

 

Menopur

Video taken from the channel: Infertility TV


 

Menopur® Medication Information and Injection Instructions The Reproductive Medicine Group

Video taken from the channel: The Reproductive Medicine Group Florida Fertility


 

How to Mix Menopur for IVF

Video taken from the channel: IVF Twins Dad


 

Mixing Follistim and Menopur

Video taken from the channel: Carolina Conceptions


 

Gynaecologist Demos IVF Drug Menopur

Video taken from the channel: Amanda Tozer


 

Menopur Injection Instructions with Q Cap

Video taken from the channel: Aspire Fertility Centers


 

RMIA Bravelle and Menopur Mixing Instructions

Video taken from the channel: Reproductive Medicine and Infertility Associates


How to Mix Infertility Medications Bravelle and Menopur Preparing to Mix Bravelle and Menopur. Wash your hands well with soap and water before preparing to do any type of Mixing the Medications. Pop the Q-cap (still attached to the syringe) onto the first vial of medication. Demonstration of how to mix medication for self injection for in vitro fertilization process. Part 1 of 2 Bravelle Repronex Menopur Injection Teaching Video.m4v Duration: 9:17.

If your healthcare provider tells you to use more than 1 vial of MENOPUR or tells you to mix your MENOPUR with BRAVELLE in the same syringe: Mix your first vial of MENOPUR powder or BRAVELLE powder with 0.9% Sodium Chloride, USP. Do not inject your dose yet. Use the liquid in the syringe you have just mixed to mix the next vial of MENOPUR or BRAVELLE.

Each gonadotropin medication is different. Some groups, like Bravelle, Menopur and Repronex come in vials. With these medications, the powder and liquid are mixed together with syringe and Q-cap reconstitution device before the injection is given. Bravelle en Menopur word op dieselfde manier verpak en bevat vyf flessies poeier en vyf flessies vloeistof.

Mengtoestelle wat ook Q-doppe genoem word, bevat ook. As u dokter Bravelle en Menopur voorgeskryf het, moet u dit kan meng sodat u albei kan saamneem. Bespreek dit egter eers met u dokter om seker te maak dat dit in u behandelingstrategie. These fertility medications contain a hormone called follicle stimulating hormone (FSH) that is normally produced by the pituitary gland which is located at the base of the brain.

The FSH can be made in the lab using recombinant DNA technology (Follistim and Gonal-F) or extracted from urine (Bravelle). — Mix your first vial of MENOPUR powder with 0.9% Sodium Chloride, USP — Do not inject your dose yet — Use the liquid in the syringe you have just mixed to mix the next vial of MENOPUR — Repeat steps 5 through 7 — Note that you can use the liquid in the syringe to mix up to 5 more vials of MENOPUR. I start drugs tomorrow. Anyone have any experience with Menopur?

Anything I should know that the nurses don’t tell you? All she told me was how to mix and the usual injection. I’m on 225 of Gonal or Follistim in AM and 2 viles of Menopur in PM starting tomorrow. Yep, that sounds just about right, especially if you are starting with just Menopur.

I did a mix of 150 Menopur and 150 Bravelle, and I ended up stimming for a long time and using 52 vials (I definitely went into my first refill). Good luck with the cycle!Bravelle, Menopur. SQ.

Use 3cc syringe and 22g 1.5” needle (or Q-cap) to inject 1cc of diluent into powder. Use same supplies to draw 1cc of mixture back into syringe. Use that mixture to dilute and mix additional vials as needed for total dose. Change to 27g 1/2” needle to inject.

Repronex. IM.

List of related literature:

The addition of dexamethasone, 0.5 mg orally at bedtime, to blunt the nighttime secretion of adrenocorticotropic hormone may be useful in hyperandrogenic women who fail to ovulate in response to clomiphene.

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If cervical patency is questionable (closed cervix pyometra), misoprostol (prostaglandin E2) can be administered intravaginally (Cytotec, [Searle] 100 µg tablet dissolved in 5 mL water; at 1-3 µg /kg q24h) in an attempt to relax the cervix before ecbolic therapy is instituted.

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Imoedemhe et al. (79) used two doses of GnRHa (Suprefact 100 mg) by nasal spray eight hours apart to induce follicular maturation 34–36 hours prior to oocyte recovery in 38 women considered at risk of OHSS (E2 >4000 pg/mL) in an IVF program.

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To avoid intrauterine infusions in the presence of high circulating concentrations of progesterone, treatment can be initiated 1 or 2 days after an injection of PGF2α in diestrual mares and continued until 1 or 2 days after ovulation.

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In addition, the intervention group was administered 120 mg A. racemosa (Klimadynon, Bionorica) per day, from day 1 until the day of the pregnancy test or the start of the next cycle.

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Treatment with clomiphene citrate alone or clomiphene citrate combined with A. racemosa (120 mg/day) found that the A. racemosa group had improved cycle outcomes and pregnancy rates.[264] Dioscorea villosa (wild yam) Traditionally, Dioscorea villosa was prescribed in instances of ovarian or uterine spasm.

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Traditionally, when the serum progesterone concentration reveals persistent anovulation after clomiphene treatment, a progestin is prescribed (e.g., medroxyprogesterone acetate, 5–10 mg daily for 5–7 days) to induce menses before the next cycle begins at a higher dosage.

“Clinical Gynecologic Endocrinology and Infertility” by Marc A. Fritz, Leon Speroff
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Women with euestrogenic ovulatory dysfunction can be treated with clomiphene citrate as a first-line agent, using 50 mg in the first cycle attempt and increasing the dose by 50 mg up to a maximum dose of 200 mgifthe patient fails to ovulate.

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To avoid toxic side effects during pregnancy (e.g. hypertension), the dose of calcineurin inhibitor should be adjusted to keep levels at the lower end of the therapeutic range.

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If, however, a pregnancy is planned in highrisk women (previously affected child), supplementation should be started with 4 mg of folic acid daily, beginning 1 mo before the time of the planned conception.

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Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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5 comments

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  • Thanks a lot for this video. I’m doing an egg donation and my nurse rushed through the teaching part. I was so frustrated and scared tonight mixing menopure because I couldn’t remember how my nurse showed me. Thank you for this video.

  • Good video and helps lot but one should not pull air and inject in to vial.. it increase risk of air particle or Bactria to get mixed with vial content..
    Please consult nurse or doctor

  • This video is crazy “ you can mixed the medications ���������� please guys doing want you doctor tell you! Don’t go with this video ��

  • Hey what do you do with the left over menpor? Do you have to keep using it until it’s empty or do you use it once like for 1 cc and throw the rest away

  • I am injecting a mix of 150 Gonal F and 75 menopur into my belly fat. Since I’ve gained many body fat, so my belly fat become bigger/thicker. Will drug still get around in thicker belly fat?