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 gonadotropin presented as a powder for solution for injection for intramuscular and subcutaneous use. It treats infertility due to anovulation, supports controlled ovarian stimulation for assisted reproductive technologies, and addresses hypogonadotropic hypogonadism. It is derived from purified urinary extracts of postmenopausal women and is used under specialist supervision.

GNH India supplies Menopur as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company follows stringent quality standards and provides reliable cold‑chain logistics for injectable biologics.

Manufacturer / TM Owner

Ferring Léciva A.S.

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Indications & Clinical Uses

Menopur, a gonadotropin used in reproductive hormone therapy, is indicated for:

  • Infertility due to anovulation: stimulates follicular development to enable ovulation.
  • Controlled ovarian stimulation for assisted reproductive technologies (e.g., IVF): promotes multiple follicle growth for egg retrieval.
  • Hypogonadotropic hypogonadism: provides FSH and LH activity to restore endogenous hormone production.

How It Works

  • Menotropin is a highly purified preparation containing both follicle‑stimulating hormone (FSH) and luteinizing hormone (LH) derived from the urine of postmenopausal women. The hormones bind to their respective receptors on ovarian granulosa and theca cells, activating adenylate cyclase and increasing intracellular cAMP. This signaling cascade drives follicular maturation, estrogen synthesis and ovulation, while LH activity supports luteinization and progesterone production.

Side Effects

Menopur may cause a range of adverse reactions, which are generally related to its hormonal activity and injection site.

Common Side Effects

  • Abdominal discomfort or bloating
  • Injection site pain or erythema
  • Mild headache
  • Nausea
  • Mild ovarian hyperstimulation (e.g., mild ovarian enlargement)
  • Fatigue

Serious or Rare Side Effects

  • Severe ovarian hyperstimulation syndrome (OHSS)
  • Multiple pregnancy
  • Ovarian torsion
  • Allergic reaction or anaphylaxis
  • Thromboembolic events
  • Ectopic pregnancy

Precautions & Warnings

When using Menopur, several precautions should be observed to minimize risks and ensure optimal outcomes.

  • Dose individualization: dosing should be individualized by the prescriber based on ovarian response.
  • Monitoring: regular ultrasound and estradiol monitoring is required during treatment.
  • Risk of OHSS: patients at risk should be identified and closely observed for signs of ovarian hyperstimulation.
  • Pregnancy considerations: use only under specialist supervision and discontinue if contraindicated.
  • Contraindications: avoid in active ovarian cysts, uncontrolled thyroid disease, estrogen‑dependent tumors or severe ovarian failure.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Menopur can interact with other medicines, affecting its efficacy or safety profile.

Major Interactions (Avoid)

  • GnRH agonists: concurrent use may exacerbate ovarian hyperstimulation.
  • Estrogen‑containing oral contraceptives: may blunt ovarian response.
  • Other gonadotropins: additive effect can increase risk of OHSS.
  • Anticoagulants: heightened risk of thromboembolic events when OHSS occurs.

Moderate Interactions (Monitor Closely)

  • Thyroid hormone therapy: hormonal changes may require dose adjustment.
  • Corticosteroids: may influence hormone metabolism and response.
  • Insulin or oral hypoglycemics: monitor glucose levels due to hormonal effects.

Frequently Asked Questions

Menopur is a gonadotropin preparation indicated for the treatment of infertility caused by anovulation, for controlled ovarian stimulation in assisted reproductive technologies such as in vitro fertilisation, and for managing hypogonadotropic hypogonadism by providing both FSH and LH activity to support normal ovarian function.

Menotropin contains purified follicle‑stimulating hormone (FSH) and luteinizing hormone (LH). These hormones bind to specific receptors on ovarian granulosa and theca cells, activating intracellular signalling pathways that promote follicular growth, estrogen production, and ovulation, while LH supports luteinisation and progesterone synthesis.

The dose of Menopur is individualized by the treating physician based on the patient’s age, ovarian reserve, response to prior stimulation cycles, and the specific goals of the assisted reproduction protocol. The prescriber adjusts the amount and timing according to ultrasound and hormonal monitoring.

Menopur is not intended for use during an established pregnancy, and its safety in pregnancy has not been established. Women who become pregnant while on treatment should be managed by a specialist. Limited data are available for breastfeeding, so use is generally avoided unless the benefit outweighs potential risk.

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 across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and the necessary import documentation.

Menopur provides a fixed combination of FSH and LH activity, whereas some alternatives such as recombinant FSH contain only FSH. The presence of LH in Menopur can be advantageous for patients with a documented LH deficiency, but the choice depends on individual response, protocol design and physician preference.

Menopur should be stored at 2‑8 °C (refrigerated) in its original packaging, protected from light. Do not freeze or shake the vial. Once reconstituted, the solution should be used within the time frame specified in the product label and kept refrigerated until administration.

Menopur is supplied as a powder for solution for injection. After reconstitution with the appropriate diluent, it is administered by a subcutaneous or intramuscular injection according to the dosing schedule prescribed by the fertility specialist, typically once daily during the stimulation phase.

The most serious risks include severe ovarian hyperstimulation syndrome (OHSS), which can cause abdominal pain, fluid accumulation, and thromboembolic complications, as well as multiple pregnancy, ovarian torsion, and rare allergic reactions such as anaphylaxis. Prompt medical attention is required if any of these occur.

Menopur should not be used in women with active ovarian cysts, uncontrolled thyroid disease, estrogen‑dependent tumours, severe ovarian failure, or known hypersensitivity to menotropin or any excipients. It is also contraindicated in patients who are pregnant, breastfeeding, or for whom assisted reproductive techniques are not indicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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