Infertility

Menopur or Menopure (?) solution to the burning sting and pain!

I didn't have any pain with the 10 unit or 5 unit lupron (just itching), nor with the super easy to use follistim pen 75 unit injection. The menopur injection burned like one of the worst pains of my life. I heard it was going to sting but was in no way ready for what I felt. The 75 units of menopur + 1cc of saline dissolved together immediately and was at room temperature. We waited about 5 minutes prior to injecting. We didn't wait for the alcohol to dry 100% but it wasn't sopping wet either. Normally it was a non-issue with the daily lupron injections. I have heard the menopur pain varies for people. Mine was injected at a 45 degree angle into some belly fat. The pain was a burning, shooting sting that is similar to a general anesthesia injection but 10x worse (for me).

Since the pain was so intolerable, I called both my doctor as well as the on-call nurse from the specialty pharmacy for any tips. The nurse at my doctor's office said she wasn't sure reducing the 1cc to half would do anything because she wasn't sure if the sting occurs from. The nurse from the specialty pharmacy said that she has heard women have had success in reducing pain by using 1/2 a cc with the 75 units of menopur. She also suggested ice and confirmed that a 90 degree injection angle is ideal. She said belly fat would be less painful than the outer thigh injection and icing the area 10 minutes before could possibly help.

Night and day difference on the second night since I did the following:

Let the menopur mixture sit for 15 minutes before injecting
ice the area 10 minutes before injecting
allow alcohol to completely dry before puncturing the skin with the needle
inject only 1/2cc instead of 1 cc
ensure the injection is done much slower
massaging the area after injection

With all of the above taken into account, my pain was not that far off from a flu shot injection. I suppose this solution doesn't work for everyone but I wanted to share because I feel so much better with the info I got. I'm not a doctor and its important to double check with a medical pro before changing up anything even if its just the liquid solution for mixing.

Good luck ladies!

Re: Menopur or Menopure (?) solution to the burning sting and pain!

  • I'm sorry it stung so badly.  Glad you found a solution that worked for you. In my experience, it stung much less by the end of my cycle.  Of 3 different injections at once, the menopur did suck the most in the beginning and caused the BIGGEST bruises, but like I said, wasn't bad by the end.
    I did make the mistake of not drying the alcohol-swabbed area before my very first lupron injection; BIG mistake.
    Siggy Warning BFP/Loss Mentioned
    Me: 30, DH 30 Started TTC 7/2009
    9/2010 SA=Normal 9/10 HSG Dx Both tubes dilated; Rx bilateral salpingectomy & IVF; 9/2010-12/2012 Financial break
    1/2013 Bilateral Salpingectomy 5/2013 Recent SA shows borderline morphology
    5/2013 IVF w/ ICSI #1 6/25/13 ER=11R 9M 9F  6/28/13 3dt of 2 embies (8B & 6A-); no frosties: BFN
    10/2013 IVF w/ ICSI #2 11/12/13 ER= 9R 6M 6F  11/15/13 3dt of 2 embies (8A & 8A) 3 frosties (2 day-5, 1 day-6)
    11/22/13 (7dp3dt) +hpt  11/26/13 (11dp3dt) BFP Beta=141 11/28/13 Beta 2= 372 EDD 8/5/2014
    3/20/14 Fetal Demise 20 wks F/L 17 wks D&E attempted 3/21/14 & 3/22/14 Born Still 3/23/14  I love you B.T.
    "Sometimes you try your hardestbut things don't work out the way you want them to." –Nani (Lilo & Stitch)
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    8/2014 FET 8/7/14 Transferred 1 5-day blast (4AA): BFN
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  • pblgepblge member
    I'm using Menopur for the first time starting in about a week. Thanks for these tips!
    **********************siggy/ticker warning**********************

    ***Losses mentioned.*** TTC #1 since May 2012. Me: 37, OH: 41. Ectopic August 2012 => tubal damage. :'(  Stage 1 endo removed June 2013. IVF #1 Oct/Nov 2013: Long Lupron with Gonal-F. 7R, 7M, 7F. 2 txfer@3d. Nothing frozen.  => M/C @ 8 wks. :'( Selected RPL panel all normal. Very hyper and brittle response to stims. IVF #2 (antagonist protocol) Feb 2014 => Converted to IUI (Perfect conditions). BFN. IVF #2.1 w/ new RE June 2014: Antagonist protocol. 33R, 31M, 30F, 19 blasts to test!!! I made it through without crashing!! :) Hats off to Dr. Fancypants!! ET of one 5AB blast. BFN. 13 10 CCS'ed snowflakes! FET #1 PUPO as of 7/29 Betas: 8/7@24, 8/9@97, 8/11@334 (etc.) Two sacs on 8/15, one seen on 8/18 after a bleed. U/s 8/25 (6+3) "perfect": 5.9 mm + HB@120bpm! U/s 9/4 (7+6): 15.9 mm + HB@172 bpm! Please, PLEASE stick this time!!!!
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  • tptbabetptbabe member
    I found that letting Luveris (similar to Menopur) sit for awhile definitely helped with the burning! The first day was the worst, but it's been getting better! Glad you're finding the same :)
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    ***EVERYONE WELCOME***
    TTC #2 with assistance since 03/11
    Me: 33, Autoimmune (Hashimotos and FMS/CFS)
    Treated with Synthroid, acupuncture, TCM and supplements
    DH: 33, MFI (very low on all counts, high antibodies, hemochromatosis)
    Many treatments tried, none successful

    IVF/ICSI #1 05/14 - EPP/Antagonist, Gonal-F and Luveris, 18R, 14M, 13F - SET of 1BC, all arrested on day 5 - C/P
    Genetic testing = normal, DNA Frag = excellent
    IVF #2 03/15 - Long protocol with Suprefact, Gonal-F, and possibly Luveris, adding in PICSI
     
  • The trick is to inject very very slowly!!! That was the trick that worked for me! And I iced the area beforehand which I did with all my shots!

    Married my best friend on 9.6.11 
    Me 31 DH 29 
    TTC since 12/2011 
    Me - all normal test results 
    DH - SA #1, #2 and #3 - 0% morphology 
    Straight to IVF w/ ICSI 
    April 3 - start date for BC 
    April 18 - tentative start date for injections 
    Tentative IVF dates: ER - 4/27 and ET - 5/3!! DELAYED.
    IVF #1 - May 6 - Estrace
    May 17 - started injections!
    ER and ET end of May!! BFFN :(
    FET #1 - June 28th - BFP!!!! :)
    Beta #1 - 164, Beta #2 - 381
    1st u/s 7/16/13 - 2 sacs with yolks! 1 smaller than the other - Possible Twins?! 
    2nd u/s 7/26/13 - 1 healthy baby with heartbeat of 123bpm! Second sac empty. Next u/s 8/5/13.
    8/5/13 (7w2d) - no heartbeat. Lost our precious LO :-/
    D&C on 8/12/13 - finally neg hcg 2 months later on 10/3/13.
    Saline Songram on 10/10/13 - found polyp :-( post-poned again.
    Hysteroscopy on 10/29/13.
    FET #2 - BFP!!!! :-) 
    Beta #1 - 265, Beta #2 - 692
    12/24-12/28 (6w) - lost our LO (2nd miscarriage in a row)
    RPL panel and Karyotyping; results all normal!
    Started bcp's 1/24/14; saline sonogram 1/30/14 - All clear!!
    IVF #2 02/15/14; ER 02/26/14 - freeze all due to mild OHSS. 
    7 blasts; PGD on all 7 - all 7 normal!!!
    FET #3 4/8/14; BFP!! :-)
    Beta #1 - 235, Beta #2 - 539
    1st u/s - It's TWINS!!!!
    2nd u/s- both babies measuring on track! Heartbeats of 118 and 122!!
    EDD: Christmas Day!!!

    ** ALL ARE WELCOMED **

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  • dp21dp21 member
    Slow is the way to go!
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    Me:
    30, DH: 32
    My hx:  uterus/hormones normal Dx: low AMH 0.5 = poor ovarian reserve
    hubby hx: low sperm count, poor motility, started on clomid, retest in May showed no improvement, will be on clomid another 3 months, another retest scheduled for August

    Started IVF #1:  ~BFP Mentioned~
    • ER (Thursday April 17th, 3 precious eggs).
    • April 18th: Received news 2 out of 3 eggs fertilized!
    •  Planned 3dt: Easter day, transferred two 8B embryos and received pictures :)
    • BFP starting 8dp3dt 5/1 Beta #1: 87, 5/3 Beta #2 206 
    • 5/19 Heartbeat 123bpm
    • EDD 1/8/15


  • Sha259Sha259 member
    I've been taking 225iu Bravelle and 75iu Menopur, all reconstituted in 1cc NaCl. I have not had too much trouble with the burning, though it does sting a bit, I also found that injecting at 90 degrees and SLOWLY works best for me. I take a deep breath, stick, and slowly exhale as I inject. Been working great so far!

    I hope it gets better for you.
  • Similar to pp - inject at 90 degrees, in the belly, and go slow.  I think it burned a little but it was nothing compared to the Cetrotide burn / itch.  Also I did have bruising with the Menopur.  

    Good luck!
    ***signature/ticker warning***
    Me:37 DH:39
    TTC#1 since 3/2012

    Diagnosis : Unexplained Infertility

    3 BFN rounds Clomid + IUI
    IVF 1 - BFN, 1 Frozen
    IVF 2 - BFN, 5 Frozen
    FET 1 - BFP!!! EDD 1/24/15 Beta 1: 700, Beta 2: 2,156; 1st U/S 6w3d: HB 118bpm, 2nd U/S 9w3d: HB 171bpm

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  • taralatarala member
    Slow is the way to go! I was on 175cc of menopur and it burned every single time going in. Centrotide made my skin all red and itchy. It's just all so much fun.

    Ella Rose

    1/17/15 born via IVF w/ ICSI

    Spontaneous Twins!

    Due January 2016

    Follow our Journey


  • Great tips. I remember it used to burn pretty bad. I am doing IM shots because I can't handle the bruising.
    ***WARNING***

    TTC Since 12/2008;  DH: 32, Azoospermia     me: 33, DX during IVF #4: Low AMH (Normal FSH) / SER due 
    to IVF Meds (causing failure to fertilize) Recent DX: Hashimoto's, Lupus Anticoagulant, White Blood Cell Disorder 
    High ANA, ATA, & APA, PAI-1 Heterozygous= blood clotting disorder; connective tissue disorder 
    IVF w/ ICSI #1 2/2011     IVF w/ ICSI #2 5/2011    IVF w/ ICSI #3 12/2012   *New RE* IVF w/ ICSI #4  5/2013
    IVF w/ ICSI #5 8/2013 (Natural Cycle- No drugs)- One follicle->one blast. CCS normal. FET 9/10- 6BB blast. m/c @ 5w
    IUI #1 12/23- BFN  IUI #2 Cancelled (ovulated during AF)  Prep:CoQ10 (300 mg); DHEA (25 mg); Melatonin (3 mg), Folgard 2.2, Metformin 500 2x, Levothyroxine 50mcg, Aspirin 81mg w/ calcium, B12,  Vit. D 4000 & Prenate Elite Daily; Cabergoline 1/2 pill 2x week-  Cycling: Estrace Priming; Prednisone 10mg, Lovenox 40mg 2x,  Femera & Menopur   
    IUI #2.1 6/30 & 7/1. 1st Beta: 90 (7/15); 2nd Beta: 226 (7/17); 3rd Beta: 766   EDD: 3/23/2015

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