Intro and a Menopur question, please help ((loss mentioned))

LizBlue

Hi all,

I normally post on TTCAL but have been lurking here for awhile too.  My name is Liz and I am going through IVF#1 after six unsuccessful IUIs and one missed m/c from a spontaneous pregnancy.  My protocol is lupron (10 units, just reduced to 5 when I started stims), Follistim (375 units) and now Menopur.

I am on day 4 of stimming and just got results of my b/w.  My E2 is at 262 and the nurse called and said to start Menopur tonight --150 and to reduce follistim to 225.  After we got off the phone, I realized that one vial of Menopur is 75.  She repeated 150 twice, so I'm assuming she means to take two vials of Menopur-but my IVF nurse had never mentioned that as a possibility.  I called and left a message to clarify so hopefully she calls back soon.  Just wondering if anyone here has had a dosage of more than one vial of Menopur.

My other question--will my menopur dosage eventually go down?  If not, I will run out of menopur in five days.  Also, does 375 of follistim seem high for day four of stimming?  Will that go down?  (My follistim went down to 225 but the menopur contains 75 each, so I'm still at 375).

I hope this makes sense.  I'm sorry for the ramble, but I was sitting among a bunch of vials and syringes all confused and realized that there was a whole community of knowledgeable IVF ladies I could reach out to. So...here I am!

I hope to get to know you all.  Thanks for reading this far--much appreciated.

anitaflora

Hey there again lol - I know I just replied to you over on TTCAL about other stuff

But yes, I am on two vials of Menopur a night right now.  These videos helped me a ton - https://www.freedommedteach.com/eng/.  Basically you want to reconstitute the new vial with the medicine in vial number 1.  Here is a link specifically to the Menopur one with using a Q cap and subcutaneous injection - https://www.freedommedteach.com/eng/videos.html?play=menopur_draw_up_qcap,menopur_sq

Of course I'm not your nurse so I'm hesitant to give guidance but I hope this helps you! Maybe some other ladies can chime in too

LizBlue

Ha - long time no see. Thank you so  much!  My nurse has not yet called back but I've determined that two vials of menopur is not a crazy thing to have been prescribed.  The phone call just went so fast and I am a "check everything 55 times and ask the same question 55 more times to be sure" kind of gal.  Those videos are super helpful. Thank you again.

HopefulSoul2

I was also on 2 vials of Menopur for both cycles.  Sounds like you are going to need to order more meds ASAP.  Good luck. 

LizBlue

Thanks @HopefulSoul2 !  

pblge

Hi! I've never used Menopur, but I wanted to welcome you to this part of TB. We are the same ages as you.

I will say checking 100X is not a bad thing, because nurses and doctors do make errors!

Lady2010

Agree with pp that it is always good to double and triple check, etc.

It is definitely normal to have more than 75iu for a dose.  On my first cycle I started at 150ius and went up to 300ius (4 vials).  I definitely had to order more Menopur as well.  I would ask your RE or nurse how much more they think you should order based on your dosage, where you are and how much you have left.  

And yes, you can also go down - this last cycle I started at 300ius but then went down to 150ius on my last day of stims.  They often adjust the dosages based on your E2, follicle sizes, etc.

Good luck!

gldnbearz

****siggy warning****

I was on 150 units (= 2 vials) of Menopur during stims. My doses were never changed during stims, but lots of ladies have had dosage adjustments during the process.  I did have to order more Menopur during stims b/c I had enough for 10 doses, but stimmed for 11 doses.

Hope this helps.

katib77

Hi Liz - Everyone has already talked to you about using two vials of Menopur and ordering more...but you also asked about the high dose of Follistim.  It really depends on your Dx.  If they want you on higher doses because you are AMA, or your response rate on meds for your past IUIs.  That's why it's so hard to compare with others.  Even if we're the same age, our reaction might be different.  I don't remember without pulling out paperwork, but I believe I was on 150 Follistim and 150 menopur most days.  But that's not to say yours is high, or mine was low.  It's just what they felt was needed based on my previous response rate for my injects IUIs.  

LizBlue

Thank you all for your input. Totally helpful. I will be calling my IVF nurse tomorrow since the on all nurse never returned my call. But I do feel comfortable using the two vials tonight.

Looks like I need to reorder more Menopur. Which means more money. Yay.

FishyMom

Welcome friend!! I am so glad to see you over here. I did 2 vial of Menopur pretty much the whole time I was stimming. I just wanted to drop in tell you good luck and that you have a PM.

CaringCat

I started on 2 vials of menopur day 5 and 6 and then went up to 3 vials day 7. I'm on 300 iu of follistim and that one hasn't changed this time nor did it last time. I will also run out of menopur soon and realized through my last cycle, that I had to be proactive about telling them/ordering more in time! Oops!
Good luck!