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Human menopausal gonadotrophin (FSH+LH)

Menotrophin (HMG)

Brand names: Menopur, Merional

Adult dose

Dose: Per stimulation protocol — typically 75–225 units SC OD

Route: SC/IM

Frequency: OD

Clinical pearls

Anovulation, controlled ovarian stimulation in IVF/ART
Specialist fertility unit

Contraindications

Hormone-dependent tumour
Tumours of pituitary/hypothalamus
Pregnancy
Ovarian/uterine malformation

Side effects

OHSS
Multiple pregnancy
Local reactions
Headache
Abdominal pain

Monitoring

Ultrasound
Oestradiol

Reference: BNF; NICE CG156; https://bnf.nice.org.uk/drugs/menotrophin/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.

Pathways