Product image of Menopur (Menotrophin) supplied by GNH India

Menopur

Active Ingredient:
Menotrophin
Origin:
EU

Menopur (Menotrophin)

Menotropin, the active ingredient in Menopur, is a human menopausal gonadotropin (hMG) presented as a lyophilized powder for solution for injection for intramuscular and subcutaneous use. It treats infertility by stimulating follicular development and ovulation in women and spermatogenesis in men.

GNH India supplies Menopur as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Ferring B.V.

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Indications & Clinical Uses

  • Menopur (menotropin) is used in reproductive medicine to stimulate gonadal function.
  • Anovulation in women: induces ovulation to enable conception.
  • Assisted reproductive technology (IVF) cycles: provides controlled ovarian stimulation for egg retrieval.
  • Male hypogonadotropic hypogonadism: stimulates spermatogenesis to improve sperm production.

How It Works

  • Menotropin contains both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) activities derived from the urine of post‑menopausal women. After subcutaneous or intramuscular injection, the FSH component binds to FSH receptors on ovarian granulosa cells, promoting follicular growth, while the LH component activates LH receptors on theca cells and luteal tissue, supporting steroidogenesis and final maturation of the follicle, thereby facilitating ovulation or spermatogenesis.

Side Effects

Menopur may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Injection site reactions: pain, redness, or swelling at the injection site.
  • Abdominal discomfort: bloating or mild cramping.
  • Headache: mild to moderate intensity.
  • Nausea: occasional feeling of queasiness.

Serious or Rare Side Effects

  • Ovarian hyperstimulation syndrome (OHSS): rapid ovarian enlargement with fluid shift.
  • Multiple pregnancy: increased chance of twins or higher‑order gestations.
  • Thromboembolic events: rare blood clots.
  • Allergic reaction: rash, urticaria, or anaphylaxis.

Precautions & Warnings

  • Before using Menopur, clinicians should consider several safety measures.
  • Monitor ovarian response: use ultrasound and estradiol levels to adjust dose.
  • Assess for OHSS risk: avoid in patients with polycystic ovary syndrome or high baseline estradiol.
  • Avoid use in uncontrolled thyroid disease: correct thyroid function before treatment.
  • Review medication history: contraindicated with gonadotropin‑releasing hormone antagonists that may interfere.
  • Pregnancy testing: confirm non‑pregnant status before initiating therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Menopur can interact with other medicines that affect hormonal balance or coagulation.

Major Interactions (Avoid)

  • GnRH antagonists: may blunt the stimulatory effect of menotropin.
  • Oral contraceptives: suppress endogenous gonadotropins and reduce efficacy.
  • Corticosteroids: can alter ovarian response.

Moderate Interactions (Monitor Closely)

  • Thyroid hormone therapy: adjust dose if thyroid status changes.
  • Anticoagulants: increased risk of bleeding with ovarian enlargement.
  • Insulin or oral hypoglycemics: monitor glucose if OHSS develops.

Frequently Asked Questions

Menopur is a gonadotropin preparation containing FSH and LH activity, used to stimulate ovarian follicle development and ovulation in women with anovulation, to provide controlled ovarian stimulation in assisted reproductive technology such as IVF, and to promote spermatogenesis in men with hypogonadotropic hypogonadism.

Menotropin supplies both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) derived from post‑menopausal urine. After injection, FSH binds to receptors on ovarian granulosa cells, encouraging follicular growth, while LH activates theca cells and luteal tissue to produce steroids, together supporting follicle maturation, ovulation, or sperm production in men.

The dose of Menopur is individualized; a prescribing clinician determines the amount and schedule based on the patient’s ovarian response, body weight, and treatment protocol. Dosing may be adjusted during the stimulation cycle according to ultrasound monitoring and hormone levels.

Menopur is intended for use before conception to induce ovulation; it is not administered during an established pregnancy. Safety data for use while breastfeeding are limited, and the product is generally avoided in nursing mothers unless the benefits outweigh potential risks as assessed by the treating physician.

To order Menopur, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details—including cold‑chain handling if needed—and the necessary import documentation.

Menopur differs from recombinant FSH products by providing a combination of FSH and LH activity in a single preparation, which can simplify dosing for patients who need both hormones. Recombinant preparations offer pure FSH without LH, requiring an additional LH source if needed. Choice depends on clinical protocol, patient response, and physician preference.

Menopur should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the vials in their original packaging until use, and allow the product to reach room temperature briefly before reconstitution, following aseptic technique to maintain sterility.

Menopur is supplied as a lyophilized powder that must be reconstituted with a sterile diluent. The resulting solution is injected subcutaneously or intramuscularly, typically in the abdomen or thigh, according to the dosing schedule prescribed by the clinician. Proper injection technique and site rotation help minimize local reactions.

The most serious risks include ovarian hyperstimulation syndrome (OHSS), which can cause rapid ovarian enlargement, fluid shifts, and, in severe cases, thromboembolism or renal failure. Multiple pregnancy is another significant concern, as the drug can increase the likelihood of twins or higher‑order gestations. Prompt monitoring is essential to detect these complications early.

Menopur is contraindicated in individuals with known hypersensitivity to menotropin or any component of the formulation, in patients with active ovarian cysts, uncontrolled thyroid disease, or severe ovarian failure. It should also be avoided in women who are already pregnant, have ovarian hyperstimulation syndrome, or have a history of thromboembolic disorders unless a specialist determines the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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