Fertility Injections

• Nausea, vomiting
• Stomach pain or swelling, bloating
  
• Pelvic pain and discomfort
  
• Breast tenderness
• Headache
• You may take Paracetamol to manage headaches.
• Injection site reactions (such as bruising, pain, redness, swelling and itching)
• You should change injection sites daily to reduce possible injection site reactions.
  

Inform your doctor if these side effects become severe and bothersome.

Ovarian Hyperstimulation Syndrome (OHSS) happens when too many ovarian follicles have developed in response to the usual dosage of medication. OHSS is usually mild and only causes a slight lower abdominal discomfort in most cases. Although it is not common, it may still need medical attention as it can be potentially life threatening, if left untreated in severe cases. 

You may be developing OHSS if you experience some or all of the following symptoms:

• Pain and lower abdominal discomfort that do not go away
• Feeling sick and vomiting
• Bloatedness and pain in the stomach area
• Shortness of breath
• Dehydration
• Reduction of urine volume
• Abdominal pain

If any of the symptoms above worsen of do not go away, you should see your healthcare professional immediately.

The symptoms of a drug allergy include one or more of the following:

• Swollen face/eyes/lips/tongue
• Difficulty in breathing
• Itchy skin rashes over your whole body

If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.

​Inform your healthcare professional if:

• You are allergic to this medication or any of the other ingredients of this medication.
  
• You are pregnant or breastfeeding.
  
• You are taking any other medications, including supplements, traditional medications and herbal remedies.
  
• You have a known or suspected cancer or tumour of the ovary, breast, uterus.
  
• You have ever had twisting of an ovary (ovarian torsion).
  
  

• Do not stop using your medications without checking with your healthcare professional.
  
• You are advised to inject the medication according to your treatment schedule and doctor's instructions. Do not change the doses of your injection by yourself.
  
• Fertility injections are usually given just under the skin (subcutaneously). You will be taught how to inject the medication by your doctor or nurse.
  
• It is advisable to rotate the injection sites to reduce skin irritation. Do not inject into any areas in which you feel lumps, firm knots, depressions (where a portion of the skin seems to sink in), pain, or see any discolourations.

​If you forget to inject a dose, contact your nurse or doctor immediately for advice. Do not inject two doses to make up for the missed dose.

​Refer to the individual package inserts or medication labels for the storage conditions.

​If used at home, you may throw this injection away along with the used needles, into a metal tin, or glass jar or thick plastic container (e.g. detergent bottles) to prevent any needle stick injury.