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 a sterile injectable solution for subcutaneous use. It provides combined follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) activity to treat infertility caused by anovulation and to support ovarian stimulation in assisted reproductive technology cycles.

GNH India supplies Menopur as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, fertility clinics and pharmacies worldwide. The company adheres to stringent quality standards and provides reliable cold‑chain logistics for this biologic product globally.

Manufacturer / TM Owner

Ferring Gmbh

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Indications & Clinical Uses

  • Menopur, a gonadotropin, acts on the hypothalamic‑pituitary‑ovarian axis to promote follicular development.
  • Infertility due to anovulation: stimulates follicle growth to induce ovulation.
  • Controlled ovarian stimulation for assisted reproductive technology (ART): supports development of multiple mature follicles for IVF cycles.
  • Ovarian stimulation for intrauterine insemination (IUI): enhances egg maturation to improve pregnancy chances.

How It Works

  • Menotrophin contains both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) molecules that bind to their respective receptors on ovarian granulosa and theca cells. Activation of these receptors triggers intracellular signaling cascades that promote follicular recruitment, growth, and estrogen synthesis, while LH activity supports the final maturation of the dominant follicle and ovulation. The combined hormonal effect mimics the natural gonadotropin surge required for successful oocyte development.

Side Effects

Menopur may be associated with a range of adverse reactions following subcutaneous administration.

Common Side Effects

  • Injection site reactions: redness, swelling, or pain at the injection site.
  • Abdominal discomfort: mild cramping or bloating.
  • Mild ovarian hyperstimulation syndrome (OHSS): abdominal distension, nausea.

Serious or Rare Side Effects

  • Severe ovarian hyperstimulation syndrome: rapid weight gain, shortness of breath, or fluid accumulation requiring hospitalization.
  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Allergic reactions: urticaria, angioedema, or anaphylaxis.

Precautions & Warnings

Before initiating Menopur therapy, clinicians should consider several safety measures to minimize risks.

  • Monitor ovarian response: use serial ultrasound and estradiol measurements to adjust dose.
  • Avoid use in pregnancy: the drug is contraindicated during established pregnancy.
  • Screen for hormone‑sensitive cancers: assess patient history before treatment.
  • Adjust dose in polycystic ovary syndrome: start with lower dose to reduce OHSS risk.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • GnRH antagonists: may diminish Menopur’s efficacy.
  • Oral contraceptives: suppress endogenous gonadotropins, reducing response.
  • High‑dose estrogen therapy: interferes with ovarian stimulation outcomes.

Moderate Interactions (Monitor Closely)

  • Thyroid hormone replacement: monitor thyroid function tests during treatment.
  • Anticoagulants: increased risk of thrombosis if severe OHSS develops.

Frequently Asked Questions

Menopur is prescribed to treat infertility caused by anovulation and to provide controlled ovarian stimulation during assisted reproductive technology procedures such as in‑vitro fertilisation (IVF) or intrauterine insemination (IUI). It helps develop multiple mature follicles, increasing the chance of successful egg retrieval and pregnancy.

Menotrophin contains both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH). These hormones bind to specific receptors on ovarian cells, triggering signalling pathways that promote follicle recruitment, growth, estrogen production, and final maturation of the dominant follicle, thereby mimicking the natural hormonal surge required for ovulation.

The dose of Menopur is individualized. A qualified prescriber determines the amount and frequency based on the patient’s ovarian response, treatment protocol, and underlying condition. Dosing is adjusted using ultrasound monitoring and hormone measurements throughout the stimulation cycle.

Menopur is contraindicated once pregnancy is confirmed because it can affect the hormonal environment of an established pregnancy. Limited data are available for breastfeeding; therefore, use during lactation is generally not recommended unless the benefit outweighs potential risk and is approved by a healthcare professional.

To order Menopur, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials. The sales team then replies with pricing, availability, shipping details (including cold‑chain handling) and any required import documentation.

Menopur provides a fixed combination of FSH and LH activity, whereas some alternatives contain only FSH (e.g., follitropin alfa) or separate LH preparations. The combined formulation can be advantageous for patients who benefit from both hormones, potentially reducing the need for additional LH supplementation during stimulation.

Menopur must be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. If the product must be transported, maintain the cold‑chain to preserve potency.

Menopur is given by subcutaneous injection, typically into the abdomen or thigh. The injection is performed by a trained healthcare professional or the patient after proper instruction. The injection site should be rotated to minimise local irritation.

The most serious risks include severe ovarian hyperstimulation syndrome (OHSS), which can cause rapid weight gain, fluid accumulation, and respiratory distress, as well as thromboembolic events and severe allergic reactions such as anaphylaxis. Prompt medical attention is required if any of these symptoms develop.

Menopur should not be used by women who are already pregnant, have uncontrolled thyroid disease, active hormone‑sensitive cancers, or severe ovarian cysts. It is also contraindicated in patients with known hypersensitivity to menotrophin or any excipients in the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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