Injectable medications (Gonal-F, Follistim, Menopur) act on the ovaries to stimulate the development of egg(s) in your ovaries. Injectable medications are usually administered in the superficial layers of the skin with a small needle. These medications are much stronger than oral medications and must be closely monitored to minimize the risk of multiple gestations – often patients using this treatment are followed closely with ultrasound and blood tests. As with oral medications, gonadotropins are often combined with intrauterine insemination (IUI) to increase your chances of success.
Common side effects of injectable medications include but are not limited to ovarian enlargement, abdominal bloating, and ovarian hyperstimulation syndrome. Also, multiple gestations, including high order (triplets and higher) gestations are more common with injectable therapy. Cancellation of your injectable medication cycle to prevent multiple gestations is not uncommon. Our goal is for you to achieve a healthy singleton pregnancy so patients considering injectable therapy may also want to consider of in vitro fertilization (IVF), which allows for greater control over the risks of multiple gestations.
If you fail to achieve pregnancy with injectable medications after 3 treatment cycles, please contact our office for a consultation with Dr. Riggs.
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