Infertility

How do I add in Ganirlex to the mix?

Well I thought I knew how to add Ganirelix to my Bravelle & Menopur shot but now that the time is getting closer to actually do it, I'm afraid I'll do it wrong.  The nurse said I could go ahead and mix in the Ganirelix to the others (so it's only 1 shot not two) but what I don't know is if I still use the sodium chloride/water solution to dissolve the Bravelle & Menopur.  So will my shot essentially go from 1 mL to 1.5 mL?

Thanks ladies! Can you tell this is my first IVF....

Twin girls born Feb 2012
After another round of IVF, Baby #3 is on the way!
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Re: How do I add in Ganirlex to the mix?

  • Hmmm ... I had to do my ganirelix in the morning and my menopur and follistim at night so I'm no help!

    Our Journey to Brenden

    IVF #1: 4/11(Follistim/Menopur/Ganirelix) 10 retrieved/8 mature and all 8 fertilized / 2 embies transferred ... nothing to freeze Beta 5/10 = BFN

    IVF Take 2 Long Lupron July 2011

    ER 7/3/11 (our 6th anniversary) - 8 retrieved/7 mature/fert ....ET 7/6/11 - 2 beautiful grade A 8 cell embryos

    Beta 7/18/11 - 149!!! Beta 7/21/11 - 311 Beta 7/28/11 - 2,000 8/5/11 - Empty Sac 8/8/11 - There's a yolk sac and maybe a heartbeat 8/12/11 - Fetal pole, yolk sac, heartbeat 8/18/11 - Baby looks GREAT!
    3 babies waiting on ice


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  • Yes, mix your Bravelle as usual, then just add the Ganirelix right into the solution.

    I will mention that the first time I did that I had an allergic reaction & broke out in itchy hives. After that I just did 2 shots & never had another problem. The nurse thought that was very unusual though.

  • Hmm this is interesting. I wonder if I'll be doing the two separate or together.
    TTC #1 since April 2008 Me= endo DH= low morph October 2009 HSG - all clear IUI #1 November 2009=BFN IUI #2 December 2009=BFN IUI #3 January 2010=BFN March 2011 Laparoscopy- severe endo removed, both tubes blocked May 2011 Day 3 blood work/ sono - High FSH June 2011 Mock Embryo Transfer August 2011 IVF #1 Antagonist Protocol IVF#1 BFP EDD 6/16/2012

    January 2016 - BFP after IF... Who knew???
  • Yeah mix it in last. It'll be a big shot but it shouldn't be any worse pain wise than the others. Just looks scarier :)
    image
    Friends for 15 years. Married 8. TTC since January 2009
    2010 Diagnosis: Anovulation and Severe MFI
    2011 Treatment:
    IVF w/ICSI #1 Antagonist: 2 blasts - c/p - BFN 04.22
    FET #1: 1 blast/1 early blast - BFP 06.22 - m/c 06.30 @6w0d
    07-11 RPL: MTHFR C677T Heterozygous & Slightly elevated ACLA IgM
    FET #2: 1 morula - BFN: 9.02

    January '12: IVF #2
    Started BCP and Metformin (New!) 12-14 for stimming in January

    Dum spiro, spero.
    ?SAIF/PAIF/PgAL/PAL always welcome?
  • like pp said, just mix your bravelle as normal and add in the ganirelex. I much preferred the one shot to two and had no problems. good luck! hoping this is your one and only ivf :)
    ***SAIF & PAIF Welcome***

    TTC since November 2008; me - poor egg quality,hypothyroidism,missing beta 3 integrin;
    DH - some MFI;

    1 month clomid plus timing - BFN;
    3 months clomid + IUI - BFN BFN BFN

    IVF #1 Nov/Dec 2009 - BFP - c/p;
    IVF #2.1 Jan 2011 - Converted to IUI - BFN;
    IVF #2.2 March/April 2011 - ER 3/23/11: 12 retrieved, 8 mature, 3 fert-ET 3dt 3/26/11: 3 embies - BFN;
    IVF #3 May 2011 - ER 5/19/11: 20 retrieved, 10 mature, 9 fert-ET 5dt 5/24/11 3 embies - BFN;
    Switched RE's for IVF #4 (CCRM) Oct 2011 - Surprise BFP before starting IVF #4!
  • imageKaliChick:
    Hmmm ... I had to do my ganirelix in the morning and my menopur and follistim at night so I'm no help!

    I did the exact opposite!  I'll never understand these protocols!  I've been stimming with 300 Follistim in the AM and 150 Menopur in the PM - added Ganarelix in the PM about 5 days ago - I'm almost ready for ER!

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