IVF Medications FAQ
Questions about IVF medications, injection techniques, storage, and side effects.
How do I store IVF medications?
Storage varies by medication. Gonal-F pens and mixed Menopur should be refrigerated. Unmixed powder medications can be stored at room temperature. Always check the package insert for specific storage instructions.
What time should I take my IVF injections?
Consistency is more important than the specific time. Most clinics recommend evening injections (6-9 PM). The trigger shot timing is precise and must be taken at the exact time prescribed by your doctor.
What do I do if I miss a dose?
Contact your clinic immediately. For stimulation medications, taking it within a few hours is usually fine. Never double-dose. Your clinic may adjust your protocol based on your next monitoring appointment.
How do I mix Menopur?
Menopur requires reconstitution. Use the provided diluent to dissolve the powder, swirl gently (do not shake), and draw the solution into the injection syringe. Your clinic will provide specific instructions for your dose.
Why do I need progesterone after transfer?
Progesterone supports the uterine lining and early pregnancy. In IVF cycles, the natural progesterone production may be insufficient because the egg retrieval disrupts the corpus luteum. Supplementation continues until 8-12 weeks of pregnancy.
What is a trigger shot?
The trigger shot (hCG or Lupron) is given 36 hours before egg retrieval to trigger final egg maturation. Timing is critical: eggs are retrieved just before they would naturally release.
Can IVF medications cause weight gain?
Temporary bloating and water retention are common during stimulation due to hormonal changes and growing follicles. Most patients return to their baseline weight within 1-2 weeks after retrieval.
How do I reduce injection pain?
Ice the injection site for 30 seconds before injecting. Let refrigerated medications reach room temperature. Use a quick, dart-like motion to insert the needle. Rotate injection sites to prevent soreness.
What is Lupron used for in IVF?
Lupron (leuprolide) serves multiple purposes: as a GnRH agonist for pituitary suppression in long protocols, as a trigger shot alternative that reduces OHSS risk, and for endometriosis treatment before IVF.
Are IVF medications covered by insurance?
Coverage varies significantly by state and insurance plan. Currently, 20 US states have fertility insurance mandates, though coverage depth varies. Many pharmacies offer cash-pay discounts and manufacturer rebate programs.