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 injectable solution for intramuscular and subcutaneous use. It treats infertility due to anovulation, supports controlled ovarian stimulation for assisted reproductive technologies, and addresses hypogonadotropic hypogonadism.

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

Manufacturer / TM Owner

Ferring Hellas Mepe

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Indications & Clinical Uses

Menopur, a gonadotropin used in reproductive endocrinology, is indicated for:

  • Infertility due to anovulation: stimulates follicular development to induce ovulation.
  • Controlled ovarian stimulation for assisted reproductive technologies (e.g., IVF): supports multiple follicle growth to improve egg retrieval.
  • Hypogonadotropic hypogonadism: provides FSH and LH activity to initiate and maintain ovarian function.

How It Works

  • Menotrophin contains both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) analogues. After subcutaneous or intramuscular injection, the FSH component binds to FSH receptors on ovarian granulosa cells, promoting follicular growth and estrogen production. The LH component activates LH receptors on theca cells and mature follicles, triggering androgen synthesis and final oocyte maturation, thereby facilitating ovulation.

Side Effects

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

Common Side Effects

  • Injection site reactions: pain, redness, or swelling at the injection site.
  • Mild ovarian hyperstimulation syndrome: abdominal discomfort, bloating, or mild weight gain.
  • Nausea or vomiting.
  • Headache.

Serious or Rare Side Effects

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

Precautions & Warnings

Before using Menopur, clinicians should consider several safety precautions.

  • Patient selection: assess ovarian reserve and baseline hormone levels.
  • Monitoring: perform regular ultrasound and estradiol measurements during stimulation.
  • Risk of OHSS: discontinue or adjust dose if signs of ovarian hyperstimulation appear.
  • Pregnancy testing: confirm negative pregnancy before initiating therapy.
  • Contraindications: avoid in patients with active ovarian cysts or uncontrolled thyroid disease.
  • 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 ovarian response or hormone metabolism.

Major Interactions (Avoid)

  • GnRH antagonists: may blunt the intended ovarian stimulation.
  • High‑dose estrogen therapy: can interfere with follicular development.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding with OHSS‑related vascular changes.
  • Thyroid hormone replacement: dose adjustments may be needed due to altered hormone levels.
  • Steroid hormones (e.g., corticosteroids): may affect response to stimulation.

Frequently Asked Questions

Menopur is a gonadotropin preparation used to treat infertility caused by anovulation, to support controlled ovarian stimulation in assisted reproductive technologies such as in‑vitro fertilisation, and to manage hypogonadotropic hypogonadism by providing both FSH and LH activity.

Menotrophin contains analogues of follicle‑stimulating hormone (FSH) and luteinizing hormone (LH). After injection, FSH binds to receptors on ovarian granulosa cells, promoting follicle growth, while LH activates receptors on theca cells and mature follicles, leading to androgen production and final oocyte maturation, together facilitating ovulation.

The dose of Menopur is individualized. The prescribing clinician determines the amount and frequency based on the patient’s ovarian reserve, response to prior stimulation, and the specific assisted‑reproduction protocol being used.

Menopur is intended for use before conception to induce ovulation or stimulate follicle development. Its safety in established pregnancy or during breastfeeding has not been established, and it should not be used once pregnancy is confirmed without medical guidance.

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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed) and any required import documentation.

Menopur provides a combination of FSH and LH activity in a single preparation, whereas some alternatives offer only FSH (e.g., follitropin alfa) and require a separate LH product if needed. This combined formulation can simplify dosing and reduce the number of injections for patients requiring both hormones.

Menopur should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Once reconstituted, it should be used within the time frame specified in the product labeling and kept under the same refrigerated conditions.

Menopur is administered by subcutaneous or intramuscular injection. The injection site should be rotated, and aseptic technique must be followed. Patients or healthcare providers are trained on proper reconstitution and injection methods to ensure accurate dosing.

The most serious risks include severe ovarian hyperstimulation syndrome (OHSS), which can cause rapid weight gain, fluid accumulation, and respiratory distress, and rare thromboembolic events such as deep‑vein thrombosis or pulmonary embolism. Prompt medical attention is required if these symptoms develop.

Menopur is contraindicated in patients with active ovarian cysts, uncontrolled thyroid disease, known hypersensitivity to menotrophin or any excipients, and in women who are already pregnant. It should also be used with caution in patients with a history of severe OHSS.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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