Question for those using Puregon or really any FSH injection! :)

SweetieShellieH

My prescription has been sent in to the pharmacy. The script is for Puregon 300IU, and there's 9 ordered. I think it's probably 3 cartridges per IUI, since they also sent a prescription for 3 syringes of Ovidrel (I guess so they don't have to send it to the pharmacy again if I have to do more then 1 on the new treatment plan)

Do they decide based on my blood work / scan what the dosage will start at? I don't know if I should buy all 3. My nurse called the other day but since I was caught off guard and didn't expect the call I forgot to ask and the dosages were left blank in all the paperwork she emailed me.

StacyLH24

I think they do base it partially on blood work and your scan and what they *think* your body might do in response. It's hard to say what you will actually need. Each time I did an IUI cycle with Gonal-F I needed more to get an optimal response. Truthfully, I think it's a "let's see what happens" kind of thing. For each IUI cycle I got 10 pens, but I was also saving up for
IVF if we got to that point, which we did. My insurance covered the Gonal-F when we did IUIs though.

I'm going to guess you won't need three Ovidrels for one cycle, but you might want to call and ask just in case.

Pintobean39

My nurse always ordered a few more than I needed per cycle with the Gonal but not the novarel. I used freedom pharmacy and got 1 day shipping so I just order 1-2 pens at a time, just to get me through my next monitoring appt. I'm OOP so that way I only spent exactly what I needed. I would check with the pharmacy and see what their shipping policy is to make sure you can get 1 day shipping and when they give you your protocol you will have a better idea on what to order. Good luck!

SweetieShellieH

Thanks ladies. I think they send the prescription in for 3 cycles worth since that's what they did with my other cycles with Femara, Ovidrel and Prometrium. I just picked up one cycle at a time. 

Luckily the pharmacy is only about 15-20 minutes away. I just realized looking through my papers that I won't start the injects until CD 5 (Femara starting on CD 2). I'll still be able to pick up any extra Puregon after my CD 2 appointment, and will have one at home beforehand (just in case the day I'd have to pick it up is a Sunday when they are closed!!)