Infertility

Menopur confusion

I start menopur tonight and I am looking at the 27g1/2 needle, the 3ml syringe, Q cap and vials.  I read my RE's instruction and I am still a bit confused probably nervous but can anyone explain to me what I need to do.  I feel so stupid!
Married April 2010 TTC since ME 37 (DOR) DH 27 AMH 0.16 FSH fluctuation 30/6.2 SSH Clear Taking DHEA BCP 8/17/11 IVF #1 start 9/3/11 - Follistim (225),Lupron,and Lo dose HCG Converted to IUI only had 2 follies :( BFN BCP 9/28 IVF 1.2 start 10/11/11 - Follistim 450 + lo dose HCG
Converted to IUI only had 1 follie :( BFN BCP 11/3 IVF 1.3 start 11/13/11 - Follistim (300)+Menopur+Dexamethasome - Made it to ER:) but not ET:( embies stopped growing day 3 IVF#2 new RE Estrace 12/8 adding in Provera 12/23 until 1/1 menopur,follistim,dexamethasome,ganerelix ER scheduled for 1/17wewBFFN w We are pursuing donor egg. 8/20/12 Had hysteroscopy to remove polyp but found that i have a t shaped uterus. Don't be discouraged. It's often the last key in the bunch that opens the lock.

Re: Menopur confusion

  • There are a lot of good videos on YouTube that show how to mix it. :)

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    TTC February 2008 to October 2008 One year forced break due to OIF deployment #2
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    25 August Lap revealed Endo, adhesions and blocked left tube
    September 2011: Femara + IUI #4 (IUI #1 post endo removal) =BFFN
    November: IVF #1: Stims started 11/16 ER 11/25 (7R, 5F) ET 11/30 Transferred 2 beautiful expanding blastocysts +HPT 12/6/11
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  • Links to the manufacturers instructional videos are on infertilityfaq.blogspot.com under medications. I don't use those qcaps at all, mixing with a needle is easier for me. What exactly is confusing?
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  • Good idea I'm going on right now.  I must be really nervous cause I didn't even think of that lol!
    Married April 2010 TTC since ME 37 (DOR) DH 27 AMH 0.16 FSH fluctuation 30/6.2 SSH Clear Taking DHEA BCP 8/17/11 IVF #1 start 9/3/11 - Follistim (225),Lupron,and Lo dose HCG Converted to IUI only had 2 follies :( BFN BCP 9/28 IVF 1.2 start 10/11/11 - Follistim 450 + lo dose HCG
    Converted to IUI only had 1 follie :( BFN BCP 11/3 IVF 1.3 start 11/13/11 - Follistim (300)+Menopur+Dexamethasome - Made it to ER:) but not ET:( embies stopped growing day 3 IVF#2 new RE Estrace 12/8 adding in Provera 12/23 until 1/1 menopur,follistim,dexamethasome,ganerelix ER scheduled for 1/17wewBFFN w We are pursuing donor egg. 8/20/12 Had hysteroscopy to remove polyp but found that i have a t shaped uterus. Don't be discouraged. It's often the last key in the bunch that opens the lock.
  • I think it was the needles I was used to lupron and HCG, my syringe doesn't have a needle on it but I can use the 27g1/2 instead of the Qcap?  I would rather that less messing around.  Did you let it sit out of the fridge to warm up and how long? 
    Married April 2010 TTC since ME 37 (DOR) DH 27 AMH 0.16 FSH fluctuation 30/6.2 SSH Clear Taking DHEA BCP 8/17/11 IVF #1 start 9/3/11 - Follistim (225),Lupron,and Lo dose HCG Converted to IUI only had 2 follies :( BFN BCP 9/28 IVF 1.2 start 10/11/11 - Follistim 450 + lo dose HCG
    Converted to IUI only had 1 follie :( BFN BCP 11/3 IVF 1.3 start 11/13/11 - Follistim (300)+Menopur+Dexamethasome - Made it to ER:) but not ET:( embies stopped growing day 3 IVF#2 new RE Estrace 12/8 adding in Provera 12/23 until 1/1 menopur,follistim,dexamethasome,ganerelix ER scheduled for 1/17wewBFFN w We are pursuing donor egg. 8/20/12 Had hysteroscopy to remove polyp but found that i have a t shaped uterus. Don't be discouraged. It's often the last key in the bunch that opens the lock.
  • imagejennp13:
    I think it was the needles I was used to lupron and HCG, my syringe doesn't have a needle on it but I can use the 27g1/2 instead of the Qcap?  I would rather that less messing around.  Did you let it sit out of the fridge to warm up and how long? 

    I would use the Qcap if you don't have a larger needle.  I do have a larger needle but still twist it off and use the Qcap.  I guess it's a matter of preference and depends on your dosage.  Because I was using 4 vials and the sodium, it was too many opportunities for the needle tip to bend.  I wouldn't use a half inch because I think it would be too fine and the tip would bend from all the insertion but I'm not positive about this.  When you're done, change the tip of the needle to a half inch for injection.  Does this make sense?

  • imageMrkyrain:

    imagejennp13:
    I think it was the needles I was used to lupron and HCG, my syringe doesn't have a needle on it but I can use the 27g1/2 instead of the Qcap?  I would rather that less messing around.  Did you let it sit out of the fridge to warm up and how long? 

    I would use the Qcap if you don't have a larger needle.  I do have a larger needle but still twist it off and use the Qcap.  I guess it's a matter of preference and depends on your dosage.  Because I was using 4 vials and the sodium, it was too many opportunities for the needle tip to bend.  I wouldn't use a half inch because I think it would be too fine and the tip would bend from all the insertion but I'm not positive about this.  When your done, change the tip of the needle to a half inch for injection.  Does this make sense?

     

    This! I found it much easier to mix with a Q-cap. With the needle I never felt like I got it all out of the vial. I would take the larger needle (can't remember the size) twist it off and put on the Q-cap. Mix it up, draw it back up into the syringe and then take off the Q-cap and put on the 1/2 inch needle to inject. Good luck! 

    Me: 33, Hypothalamic Amenorrhea, DOR (AMH .35), DH: 38, Borderline low morph
    5/09- Off BCP, 5/09-9/09- No period, 9/09-9/10- Lots of Tests & accupuncture
    10/10 and 11/10- 2 rounds of Menopur + TI= BFNS
    12/10-IUI #1 Menopur = BFN
    1/11- IUI #2 Menopur = BFP, 2/11 missed mc at 9 weeks, D&C
    5/11- Operative Hysteroscopy to remove uterine septum
    6/11- IUI #3 Menopur = BFP, 8/11 missed mc at 11 weeks, D&C
    1/12- Lap and Operative Hysteroscopy to remove uterine septum (again) & scar tissue
    2/12- Stint Removal, 3/12 repeat SHG and HSG- showed scar tissue blocking right tube
    4/12- Operative hysteroscopy (again), RE said he can now see right tube (yay!)
    5/12- Stint removal, 6/12 repeat SHG and HSG-both tubes are open!
    8/12- IUI #4 Bravelle = BFN
    9/12-IUI #5 Bravelle = BFN
    1/13- IVF #1, micro-flare protocol, 7R, 6F, 5dt of 2 AA embryos, 1 to freeze = BFP
    Beta #1: 176, Beta #2: 422, EDD 10/8/13- it's TWINS!
    *PAIF/SAIF always welcome*
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  • To each their own, I can get every bit of liquid out with a needle. BTW I mix with a 22g 1.5 inch, you don't want to use your injecting needle to mix.
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  • Thanks everyone

     Wish me luck ; )     

    Married April 2010 TTC since ME 37 (DOR) DH 27 AMH 0.16 FSH fluctuation 30/6.2 SSH Clear Taking DHEA BCP 8/17/11 IVF #1 start 9/3/11 - Follistim (225),Lupron,and Lo dose HCG Converted to IUI only had 2 follies :( BFN BCP 9/28 IVF 1.2 start 10/11/11 - Follistim 450 + lo dose HCG
    Converted to IUI only had 1 follie :( BFN BCP 11/3 IVF 1.3 start 11/13/11 - Follistim (300)+Menopur+Dexamethasome - Made it to ER:) but not ET:( embies stopped growing day 3 IVF#2 new RE Estrace 12/8 adding in Provera 12/23 until 1/1 menopur,follistim,dexamethasome,ganerelix ER scheduled for 1/17wewBFFN w We are pursuing donor egg. 8/20/12 Had hysteroscopy to remove polyp but found that i have a t shaped uterus. Don't be discouraged. It's often the last key in the bunch that opens the lock.
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