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HMG is a hormonal mixture used to stimulate follicular development in women, and sperm formation and maturation in men, or as replacement therapy in hypogonadic patients. There are no reviews yet. Be the first to review ‘Merional 150IU vial-solution – Ibsa’ Cancel reply. You must be logged in to post a comment. Delivery with or without insurance: 15′ = $17 + Option 2 “Guarantee” The warranty protects you against breakage, loss or seizure of your package at customs. It only represents 10% of your order total. Delivery delay : Shipping of the package: within 24 hours (excluding weekends) after validation of your payment. Transit time: Europe 7-10 days, USA 10-14 days, Australia 8-12 days, rest of the world 9-12 days. Sending of the postal tracking code: 2 – 3 days after shipment of the package. Available countries: Shipping worldwide, including Europe (France, Italy, Spain, Belgium, Portugal’), United Kingdom, United States, Asia’ Fast and secure shipping: We pay special attention to the packaging and delivery of all your products. Each shipment is treated with the utmost care. All our products are reconditioned under vacuum to guarantee incomparable protection, sterility and above all discretion. We ship the products with their original packaging and instructions. Postal tracking number (tracking number) : We send you your tracking number immediately after sending your package and you can track your package via the carrier’s website (we will send you all the information by email with your tracking number). NAME OF THE MEDICINAL PRODUCT. MERIONAL 150 IU Powder and solvent for solution for injection. QUALITATIVE AND QUANTITATIVE COMPOSITION. Each one ml vial of Merional 150 IU contains: 150 IU Menotrophin BP (Human menopausal gonadotrophin, HMG) providing 150 IU follicle stimulating hormone (FSH) and 150 IU luteinizing hormone (LH) activity*. Menotrophin is purified from human urine. For a full list of excipients see section 6. Powder and solvent for solution for injection Appearance of the powder: white lyophilised pellet Appearance of the solvent: clear colourless solution. Merional is indicated for use in adults only. Posology and method of administration, buy test-prop 100 mg injectable steroids testosterone propionate. Treatment with Merional should be initiated under the supervision of a physician experienced in the treatment of fertility issues. Male infertility: Spermatogenesis is stimulated with hCG (1,000 to 2,000 IU hCG 2-3 times per week) then Merional (75 IU or 150 IU) is administered 2-3 times per week.
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OHSS is a medical event distinct from uncomplicated ovarian enlargement. It is a syndrome that can manifest itself with increasing degrees of severity. It comprises marked ovarian enlargement, high serum sex steroids, and an increase in vascular permeability, pleural and rarely in pericardial cavities. The following symptoms may be observed in severe cases of OHSS: abdominal pain, abdominal distensions, severe ovarian enlargement, weight gain, dyspnoea, oliguria and gastrointestinal symptoms including nausea, vomiting and diarrhoea. Clinical examination may reveal hypovolaemia, haemoconcentation, electrolyte imbalances, ascites, haemoperitoneum, pleural effusions, hydrothorax, acute pulmonary distress and thromboembolic events. Excessive ovarian response to gonadotrophin treatment seldom gives rise to OHSS unless hCG is administered to trigger ovulation. Therefore in cases of OHSS it is prudent to withhold hCG and to advise the patient to refrain from coitus or to use barrier methods for at least four days. OHSS may progress rapidly (within 24 hours to several days) to become a serious medical event, therefore patients should be followed for at least two weeks after hCG administration. To minimize the risk of OHSS or of multiple pregnancy, ultrasound scans as well as oestradiol measurements are recommended. In anovulation the risk of OHSS and multiple pregnancy is increased by a serum oestradiol >900 pg/ml (3300pmol/L) and more than 3 follicles of 14 mm or more in diameter. In ART there is an increased risk of OHSS with a serum oestradiol > 3000 pg/ml (11000 pmol/L) and 20 or more follicles of 12 mm or more in diameter. When the oestradiol level is > 5500 pg/ml (20200 pmol/L) and where there are 40 or more follicles in total, it may be necessary to withhold hCG administration. Adherence to recommended Merional dosage, regimen of administration and careful monitoring of therapy will minimise the incidence of ovarian hyperstimulation and multiple pregnancy (see sections 4. In ART, aspiration of all follicles prior to ovulation may reduce the occurrence of hyperstimulation. OHSS may be more severe and more protracted if pregnancy occurs. Most often OHSS occurs after hormonal treatment has been discontinued and reaches its maximum at about 7-10 days following treatment. Usually, OHSS resolves spontaneously with the onset of menses. If severe OHSS occurs, gonadotrophin treatment should be stopped if still ongoing, the patient hospitalised and specific therapy for OHSS started. This syndrome occurs with higher incidence in patients with polycystic ovarian disease. Multiple pregnancy, especially high order, carries an increased risk of adverse maternal and perinatal outcomes. 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