When to start fsh injections
Gonal-f® (FSH) Medication Information and Injection Instructions - The Reproductive Medicine Group
today I want to teach you how to use
your gonal-f which is also a brand name
for follicle stimulating hormone you may
hear it referred to as FSH in the AR T
Department or seen written on your
calendar as FSH as well well you need to
know about this particular medication is
there is another brand name out there
follow stem they are interchangeable so
if for some reason your pharmacy sends
you gonna left first and you receive
follow sim later in the cycle that's
absolutely okay you just need to let
your nurse know so we can make a note in
your chart that being said your dosing
is day specific and patient specific if
your doctor has chosen a dosing know
that that can adjust during your cycle
depending on your particular response
and that from day to day your response
can change so just keep that in mind
that your doctor is well aware and is
adjusting accordingly that being said
let's get started I want you to clean
your hands obviously alcohol is great
soap and warm water is even better if
you can I want you to alcohol your skin
10 seconds rubbing vigorously being
careful not to waft or wave when you
finished just let it air dry inside your
box you're gonna see a prefilled pen
you're also going to be given some of
these needle caps that will all be
included in a kit for you these pens can
come anywhere from a 300 unit dose 600
unit dose or even a 900 pen and that's
absolutely okay you'll first take off
the cap can be a little difficult
sometimes to pull the first time then I
want you to peel back the paper from
your needle cap you'll screw that onto
the end of your pen and you're just
gonna remove this outside layer of the
protective cap first the next thing
we're going to do is set our dosing and
as I mentioned dosing can vary from 75
units daily all the way up to 450 units
daily you might even have a doctor
prescribed to you dosing twice daily
where you may take 225 doses twice daily
and that's absolutely okay when you're
dialing up your pen all you're gonna do
is twist the pen just like so and you're
gonna see in a little way
here the number and that's your dosing
number you just continue to twist until
you find the number that the nurse has
told you to select for the day today I'm
going with 300 and what you should know
about this pen if you perchance dial
past your dosing number you just dial it
right back down super easy so we're
going to go ahead and select our 300
we're good to go here 300 is selected
now we're ready our skin is dry all we
have to do is inject what I will tell
you as your prop caution this pin can be
a little tough so I want you to make
sure you got your strong thumb ready
because that's what we're going to use
to inject today okay take off that
safety cap your needle will be exposed
you do not need to prime this okay it is
ready to go I want you to go straight
into your belly pick pinch your skin and
pick a spot that's at least one inch
away from your belly button I want you
to go in like you're pushing into a pin
cap you're just going to push push push
all the way down until you see a zero in
your window when you see a zero there
you've given your daily dose and you're
done
you
