At your Program Start visit, an RMIA nurse or medical assistant may instruct you on how to administer subcutaneous and intramuscular injections. When the time comes to do injections, please refer to your handouts or watch the injection teaching videos below.
Bravelle/Menopur: This medication will stimulate the follicular grown on the ovaries. It comes as a powder and is mixed to the desired dose and injected subcutaneously.
Follistim: This medication will stimulate follicular growth on the ovaries. It comes as a multi-dose pen with refillable cartridges, dialed up to the desired dose and injected subcutaneously.
Gonal-F: This medication will stimulate follicular growth on the ovaries. It comes as a multi-dose pen and dialed up to the desired dose and injected subcutaneously. This does not have refillable cartridges; once a pen is empty, a new one will be needed.
Ganirelix Acetate: This medication helps to prevent ovulation but can also be used to shrink small cysts and to decrease elevated estrogen levels. It comes as a prefilled syringe and is injected subcutaneously.
Ovidrel: This medication will induce ovulation. It comes as a prefilled syringe and is injected subcutaneously. This needs to be refrigerated until used.
Lovenox: This medication slightly thins the blood and is most commonly used to prevent abnormal clotting and to increase blood flow. It comes as a prefilled syringe with a safety cap and is inject subcutaneously.
Lupron Prefilled syringe: This prefilled syringe is used in conjunction with another form of HCG to induce ovulation. It has a 9 day shelf life and needs to stay refrigerated. This is injected subcutaneously.
Lupron Kit: The lupron kit has multiple uses: as a cheaper option for some patients needing a lupron trigger in conjunction with HCG, for FET patients, or for lupron cycles of IVF. This is injected subcutaneously.
Lupron for FET: The lupron kit for FET is a multi-dose kit that will help to prevent the ovaries from producing any hormones and follicles while the body is preparing for a frozen embryo transfer. It is given subcutaneously
HCG 10,000iu: This medication will induce ovulation. It is mixed similar to Menopur and injected subcutaneously.
HCG 5,000-7,500iu: This is a decreased dose of HCG, often used simultaneously with a lupron trigger. It is injected subcutaneously.
Progesterone in Ethyl-Oleate: This injection is a form of progesterone mixed with Ethyl Oleate (for absorption). It is typically dispensed in a more concentrated dose than the progesterone in sesame oil. It is used for patients with peanut allergies or those who have had a previous reaction to the progesterone in sesame oil. It is given intramuscularly in the buttocks.
Endometrin Vaginal Insert: This vaginal insert is a form of progesterone to help support a healthy pregnancy. It can be inserted vaginally with the corresponding applicator or with a finger. It may give off white/creamy discharge.