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	Current Fertility Drugs (Priced in U.S. Dollars) I.  CLOMIPHENE CITRATE:  Clomid and Serophene II.  HUMAN MENOPAUSAL GONADOTROPINS:  Repronex and Pergonal III. UROFOLLOSTIM (FSH):  Gonal-F IV. HUMAN CORIONIC GONADOTROPIN (hCG):  Profasi V. GnRH AGONIST:  Lupron Depot VI. PROGESTERONE: Crinone and Prometrium VII.  BROMOCRYPTINE MESYLATE:  Parlodel   Return to Main Page

I.  CLOMIPHENE CITRATE:
Clomiphene Citrate (CC) used for inducing ovulation, occupies an important position in the therapeutic repotoire of infertility treatment. GnRH has been used to induce the LH surge in conjunction with CC. 
CC is also used in combination with menotropins (Human Menopausal Gonalotropins/hCG).

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II.  Human Menopausal Gonadotropin (hMG)
hMG is a medication that is composed of FSH, with or without LH, and is used for stimulation of egg development in women who do not ovulate spontaneously, who ovulate extremely irregularly, or, in IVF, to increase the number of eggs developed in a single cycle

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III.  Urofollotropin (FSH)
Gonal-F is a genetically engineered (recombinant) form of FSH (Follicle Stimulating Hormone) which is used to stimulate the recruitment and development of multiple eggs in women during an ovulation induction cycle. FSH products may be used alone or in combination with hMG. 

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IV.  Human Chorionic Gonadotropin (hCG)
Patients who do not ovulate with CC alone may do so if human chorionic gonadotropin (hCG; 10,000 IU) is given one week after the cessation of CC treatment. 

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V.  GnRH Agonist
Lupron suppresses the brain's secretion of LH and FSH; therefore, it is used in preparation for cycles of treatment with ovulation induction drugs (exogenous hMG-LH/FSH and or FSH). It improves the recruitment of follicles by preventing the recruitment of a dominant follicle for the next menstrual cycle. Lupron enables the ovaries to respond with the recruitment of multiple follicles since in most cases we are able to override the selection of a single dominant follicle. It will also prevent premature ovulation (release of eggs) by preventing LH release.

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VI.  Progesterone
In luteal phase supplementation, patients begin progesterone after ovulation in order to augment the progesterone produced by the corpus luteum. In some cases, supplementation is simply used as insurance. In other cases, a patient’s corpus luteum may not function properly, and lack of supplementation can cause the luteal phase to end prematurely and prevent a successful pregnancy. Finally, in most medicated frozen embryo transfer protocols, patients often produce no progesterone, and complete supplementation is needed in both the luteal phase and in early pregnancy.

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VII.  Bromocryptine Mesylate
Combined therapy with CC (50 mg, 3xdaily) and bromocriptine (2.5 mg, 2xdaily) for 10 days, has been reported to evoke ovulation in 61% of cases. E₂ has been used in combination with CC to improve cervical mucus quality and to induce LH surge. E₂ benzoate (1 mg) when given 7 days after the last dose of CC will elicit an LH surge 72 hours later. 

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Note: This information is strictly for informational purposes and should not substitute for the opinion of a doctor.
Norphar offers Fertility Drugs from Canada priced in American dollars for people whose insurance covers prescription medication from Canada i.e. United Healthcare or people in the U.S. that are uninsured or on Medicare that are underinsured for prescription medication. The prices and terms set forth on this page are subject to change without notice. Please consult a Norphar representative for specific prices and terms for each medication.