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FERTILITY TREATMENT

Medication Administration

Administration of Gonal-F

The manufacturer of Gonal-F, Merck Serono, provides detailed injection instructions including video examples at their website. RMSCVA uses the following preparations of Gonal-F. Please note which preparation you have been ordered to watch the correct video demonstration:

  • Gonal-F 75 IU Vials
  • Gonal-F 450 IU Multidose Vials
  • Gonal-F Redi-ject Pens in 300 IU, 450 IU, and 900 IU

Administration of Follistim

Please go to www.follistim.com for injection instructions for this medication. 300 IU, 600 IU, or 900 IU Follistim pens may be ordered for you.

Administration of HCG 10,000 U (Also called Novarel or Pregnyl)*
*This is trigger shot to induce ovulation.Do not take until instructed.

Supplies:         

  • Vial of sterile water
  • Ampule of HCG (powder)
  • 3 cc syringe with 1 ½” needle
  • 30 gauge ½” needle
  • Alcohol wipe

Preparation:

  • Wash your hands.
  • Pop tops off of both ampules.
  • Remove syringe from wrapper, tighten needle, & pull plunger back to 1 ml.
  • Push needle through rubber stopper of water ampule, push air in, and draw out 1 ml of water. 
  • Push needle through rubber stopper of HCG ampule, inject liquid slowly.  You may gently swirl it with the needle still in the ampule to mix. 
  • When medication is thoroughly mixed, pull the medication back up into the syringe.
  • Recap the needle and remove it by unscrewing it, and attach the 30 gauge needle by screwing it firmly onto the syringe.  Leave the cap on until ready to inject.

Injection:

  • Sit comfortably, and expose the area to be injected; usually the abdomen, to the side of the belly button.
  • Wipe the site with alcohol.
  • Remove the needle cover; hold the syringe in your dominant hand so that you can easily press on the plunger.
  • Gently pinch the skin.
  • Insert the needle swiftly, straight into the skin (90’ angle)
  • Press the plunger in a controlled, steady manner.
  • When fully injected, withdraw the needle and use clean gauze to stop any bleeding.  Cover with band aid if needed.
  • Put used ampules, needles and syringes into empty soda bottle, recap and dispose in trash.

(Area may get pink and swollen in a day or two; this is not cause for concern.  You may apply a cold compress for relief of discomfort)

Administration of Menopur

Supplies:

  • Vial of sterile saline
  • Ampules of medication (powder)
  • 3 cc syringe with 1 ½” needle
  • 30 gauge ½” needle
  • Alcohol wipe

Preparation:

  • Wash your hands. 
  • Pop tops off of all the ampules that you will use for this dose.
  • Pop top off of ONE vial of sterile saline.
  • Remove syringe from wrapper & tighten needle.  Pull plunger back to 1 ml.
  • Push needle through rubber stopper of saline vial, push in air, and then draw out 1 ml of saline (vial contains 2 ml).
  • Push needle through rubber stopper of first medication ampule, inject liquid slowly.  You may gently swirl it with the needle still in the ampule to mix. 
  • When medication is thoroughly mixed, pull the medication back up into the syringe.
  • For each other ampule, repeat steps 6 and 7.
  • Recap the needle and remove it by unscrewing it and attach the 30 gauge needle by screwing it firmly onto the syringe.  Leave the cap on until ready to inject.

Injection:

  • Sit comfortably and expose the area to be injected; usually the abdomen, to the side of the belly button.
  • Wipe the site with alcohol.
  • Remove the needle cover; hold the syringe in your dominant hand so that you can easily press on the plunger.
  • Gently pinch the skin.
  • Insert the needle swiftly, straight into the skin (90’ angle)
  • Press the plunger in a controlled, steady manner.
  • When fully injected, withdraw the needle and use clean gauze to stop any bleeding.  Cover with band aid if needed.
  • Put used ampules, needles and syringes into empty soda bottle, recap and dispose in trash.

(Area may get pink and swollen in a day or two; this is not cause for concern.)