Product image of Menopur (Menotrophin) supplied by GNH India

Menopur

Active Ingredient:
Menotrophin
Origin:
EU

Menopur (Menotrophin)

Menotrophin, the active ingredient in Menopur, is a gonadotropin presented as an injectable solution for intramuscular and subcutaneous use. It supplies both follicle‑stimulating hormone (FSH) and luteinising hormone (LH) activity to promote ovarian follicular development and ovulation, and is indicated for infertility due to anovulation, for controlled ovarian hyperstimulation in assisted reproductive technologies, and for ovulation induction in women with hypogonadotropic hypogonadism.

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

Manufacturer / TM Owner

Ferring Gmbh

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Indications & Clinical Uses

Menotrophin is used in reproductive medicine to modulate gonadotropin pathways and support ovulation.

  • Infertility due to anovulation: stimulates follicular growth to enable ovulation.
  • Controlled ovarian hyperstimulation for IVF/ICSI: enhances multiple follicle development to increase oocyte yield.
  • Hypogonadotropic hypogonadism: provides exogenous FSH/LH to induce ovulation in women with deficient gonadotropin secretion.

How It Works

  • Menotrophin contains purified urinary‑derived follicle‑stimulating hormone (FSH) and luteinising hormone (LH). After subcutaneous or intramuscular injection, the FSH component binds to FSH receptors on ovarian granulosa cells, promoting follicular maturation, while the LH component activates LH receptors on theca cells, supporting steroidogenesis and final follicle maturation, together facilitating ovulation.

Side Effects

Menopur may cause a range of adverse reactions, which are generally classified by frequency and severity.

Common Side Effects

  • Injection site pain: mild discomfort or erythema at the injection site.
  • Abdominal bloating: transient abdominal distension.
  • Headache: mild to moderate headache.
  • Nausea: occasional nausea.

Serious or Rare Side Effects

  • Ovarian hyperstimulation syndrome (OHSS): potentially severe fluid shift and thrombosis risk.
  • Multiple pregnancy: increased chance of twins or higher‑order gestations.
  • Allergic reaction: rash, urticaria, or anaphylaxis.

Precautions & Warnings

When prescribing Menopur, clinicians should observe several precautionary measures to minimise risk.

  • Assess baseline ovarian reserve: evaluate antral follicle count and hormone levels before initiating therapy.
  • Monitor estradiol levels: frequent serum estradiol measurements to detect excessive response.
  • Ultrasound surveillance: perform serial transvaginal ultrasounds to track follicle development and identify OHSS early.
  • Adjust dose in renal impairment: consider reduced dosing in patients with severe renal dysfunction.
  • Contraindications: avoid use in active ovarian cysts, uncontrolled thyroid disease, or estrogen‑dependent tumors.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Menotrophin can interact with other agents that influence ovarian response or hormone metabolism.

Major Interactions (Avoid)

  • GnRH agonists/antagonists: concurrent use may amplify ovarian stimulation and increase OHSS risk.
  • Aromatase inhibitors: may blunt estrogen rise, reducing efficacy of Menotrophin.
  • Anticoagulants: heightened risk of thrombosis if OHSS develops.

Moderate Interactions (Monitor Closely)

  • Thyroid hormone therapy: altered thyroid status can affect ovarian response; monitor thyroid function.
  • Corticosteroids: may modify steroidogenesis pathways; observe for hormonal fluctuations.
  • Diuretics: may mask early signs of fluid shift in OHSS; monitor fluid balance.

Frequently Asked Questions

Menopur, whose active ingredient is Menotrophin, is a gonadotropin medication employed in reproductive medicine to stimulate ovarian follicular development. It is indicated for treating infertility caused by anovulation, for controlled ovarian hyperstimulation in assisted reproductive technologies such as in‑vitro fertilisation, and for inducing ovulation in women with hypogonadotropic hypogonadism.

Menotrophin contains both follicle‑stimulating hormone (FSH) and luteinising hormone (LH). After injection, the FSH component binds to receptors on granulosa cells, promoting the growth and maturation of ovarian follicles, while the LH component activates receptors on theca cells, supporting steroid hormone production and final follicle maturation, together leading to ovulation.

The dose of Menopur is individualized; a qualified prescriber determines the amount based on the patient’s ovarian reserve, response to prior stimulation, and the specific assisted‑reproduction protocol. Dosing may be adjusted during the treatment cycle according to serial ultrasound and hormone monitoring.

Menopur is intended for use before conception to facilitate ovulation; its safety in established pregnancy has not been established, and it is generally not recommended for use during pregnancy. Limited data are available for breastfeeding, and the drug is usually avoided while nursing unless the benefits outweigh potential risks.

To place an order, submit an enquiry on the Menopur 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 assistance with import documentation.

Menopur provides a combination of FSH and LH activity in a single preparation, whereas some alternatives, such as recombinant FSH products, contain only FSH and may require an additional LH source. The combined formulation can simplify dosing regimens and may be advantageous for patients with LH deficiency, but individual response and cost considerations influence the choice of therapy.

Menopur should be stored at 2‑8 °C (refrigerated) in its original packaging, protected from light. It must not be frozen or shaken, and any unused portion should be discarded after the recommended in‑use period indicated by the manufacturer to maintain sterility and potency.

Menopur is supplied as a sterile injectable solution for intramuscular or subcutaneous injection. The medication is reconstituted with the appropriate diluent, drawn into a syringe, and administered according to the prescriber’s instructions, typically once daily during the ovarian stimulation phase of an assisted‑reproduction cycle.

The most serious adverse events include ovarian hyperstimulation syndrome (OHSS), which can cause rapid fluid shifts, thrombosis, and organ dysfunction, and multiple pregnancy, which carries higher obstetric risk. Prompt monitoring of estradiol levels and follicle size by ultrasound is essential to identify and mitigate these risks early.

Menopur is contraindicated in women with active ovarian cysts, uncontrolled thyroid disease, estrogen‑dependent neoplasms, severe ovarian hyperstimulation syndrome, or known hypersensitivity to menotrophin or any excipients. It should also be used with caution in patients with significant renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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