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urofollitropin, yoor-oh-fol-li-troe-pin, is a fertility drug that is identical to the hormone, follicle-stimulating hormone, fsh, that is produced naturally by the pituitary gland, fsh is primarily responsible for stimulating growth, the ovarian follicle, which includes the developing egg, the cells surrounding the egg that produce the hormones needed to support a pregnancy, the fluid around the egg, as the ovarian follicle grows, an increasing amount, the hormone estrogen, es-troe-jen, is produced by the cells, follicle and released into the bloodstream, estrogen causes the endometrium, lining, the uterus, to thicken before ovulation occurs, the higher blood levels, estrogen will also provide a cue to the hypothalamus and pituitary gland to slow the production and release, fsh, another pituitary hormone, luteinizing hormone, lh, also helps to increase the amount, estrogen produced by the follicle cells, the main function, lh is to cause ovulation, the sharp rise, blood level, lh that triggers ovulation, the lh surge, after ovulation, the group, hormone-producing follicle cells become what is, the corpus luteum and will produce estrogen and large amounts, another hormone, progesterone, proe-jes-ter-one, progesterone causes the endometrium to mature so that it can support the egg after, fertilized, implantation, a fertilized egg does not occur, the levels, estrogen and progesterone decrease, the endometrium sloughs off, menstruation occurs, urofollitropin is usually given in combination with human chorionic gonadotropin, hcg, the actions, hcg are almost identical to those, lh, given to simulate the natural lh surge, this results in predictable ovulation, urofollitropin is often used in women who have low levels, fsh and too-high levels, lh, women with polycystic ovary syndrome usually have hormone levels, this, treated with urofollitropin to make up for the low amounts, fsh, many women being treated with urofollitropin have already tried clomiphene, serophene, not been able to conceive yet, urofollitropin may also be, cause the ovary to produce several follicles, which can then be harvested for use in gamete intrafallopian transfer, gift, in vitro fertilization, ivf, urofollitropin is, given only by, under the supervision, available, following dosage form parenteral, injection, receiving the medicine, weighed against the good it will do, for urofollitropin, allergic reaction to urofollitropin, allergic to any other substances, foods, preservatives, dyes, if you become pregnant as a result, there is an increased chance, a multiple pregnancy, an interaction might occur, change the dose, taking any other prescription, nonprescription, over-the-counter, otc, other medical problems, urofollitropin, any other medical problems, cyst on ovary, urofollitropin can cause further growth, cysts on the ovary, unusual vaginal bleeding , some irregular vaginal bleeding is a sign that the endometrium is growing too rapidly, possibly, endometrial cancer, some hormone imbalances; the increases in estrogen production caused by urofollitropin can make these problems worse, a hormonal imbalance is present, it should be treated before beginning menotropins therapy, urofollitropin will be different for different patients, follow a physician's orders, the directions on the label, the average doses, urofollitropin, dose is different, for injection, dosage form, for becoming pregnant while having a condition, polycystic ovary syndrome, 75 units injected under the skin, into a muscle once a day for seven, more days, usually, another medicine, chorionic gonadotropin, hcg, will be given the day after the last dose, a physician may then increase my dose, urofollitropin to 150 units a day for another seven, more days, higher doses, prescribed by a physician, for becoming pregnant while using other pregnancy-promoting methods, assisted reproductive technology, art, 150 units injected under the skin, into a muscle once a day, begin on day 2, day 3 after my menstrual period begins, usually, another medicine, chorionic gonadotropin, hcg, will be given the day after the last dose, precautions, know the side effects, a physician check my progress at regular visits to make sure that the medicine is working properly, for unwanted effects, a physician will likely want to monitor the development, the ovarian follicles, by measuring the amount, estrogen, in my bloodstream and by checking the size, the follicles, with ultrasound examinations, a physician has asked, record my basal body temperature, bbt, daily, make sure, do this every day, important that intercourse take place around the time, ovulation to give you the best chance, becoming pregnant, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, side effects occur, abdominal, pelvic pain, bloating, mild, redness, pain, swelling at the injection site, abdominal, stomach pain, severe, bloating, moderate to severe, decreased amount, urine, feeling, indigestion, fever and chills, nausea, vomiting, diarrhea, continuing, severe, pelvic pain, severe, shortness of breath, skin rash , hives, swelling, lower legs, weight gain, rapid, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, breast tenderness, diarrhea, mild, nausea, vomiting, after you stop using this medicine, body may need time to adjust, time this takes depends on the amount, medicine you were using and how long you used it, during this period, time check with a physician if you notice, side effects, abdominal, stomach pain, severe, bloating, moderate to severe, decreased amount, urine, feeling, indigestion, nausea, vomiting, diarrhea, continuing, severe, pelvic pain, severe, shortness of breath, swelling, lower legs, weight gain, rapid, other side effects, brand names, fertinex metrodin, fertinorm hp metrodin, other commonly used names are follicle-stimulating hormone; fsh; urofollitrophin, category gonadotropin infertility therapy adjunct