OC Fertility Medication List

Over the course of your fertility treatment, you may be prescribed different medications. These may be delivered as oral medications (pills or capsules), topical medications (patches, creams or suppositories) or as an injectable.

Different medications may be more commonly known by their brand names, and some medications may have similar sounding names.

To help our patients, we have created the following list of medications that are commonly used in treating patients with fertility issues.

Please note that this list is by no means comprehensive and that these medications should only be taken under the direction of a physician.


Clomiphene Citrate – Selective Estrogen Receptor Modulation

Brand Name: Clomid

An oral medication used to induce ovulation or superovulation. It is also used to stimulate extra follicles and eggs to mature in the ovaries during the same menstrual cycle.


Letrozole – Aromatase Inhibitors

Brand Name: Femara

An oral medication used to “trick” the body into suppressing estrogen levels. This causes the brain and pituitary gland to create more Follicle Stimulating Hormone which can assist with induction of ovulation or lead to superovulation.


Gonadotropins – Follicle Stimulating Hormones

Brand Names: Follistim, Gonal-F

The primary injectable fertility medication type used to stimulate the ovaries. The injectable medications are often used for controlled ovarian stimulation during IVF cycles, but can also be used with intercourse or artificial insemination/intrauterine insemination.


hMG – Human Menopausal Gonadotropin

Brand Name: Menopur

Used to induce controlled ovarian stimulation often in conjunction with FSH injections, in women for IVF. It can also be used to treat conditions such as PCOS, endometriosis, or pituitary issues that may be affecting fertility.


hCG – Human Chorionic Gonadotropin

Brand Names: Pregnyl, Novarel, Ovidrel

Used to mimic the lutenizing hormone that signals ovulation. It is routinely used to trigger ovulation when gonadotropins are used to stimulate ovulation.


Leuprolide – Gonadotropin-releasing Hormone (GnRH) Agonist

Brand Name: Lupron

Used to prevent premature ovulation and to create a clean slate on which to create a controlled ovarian stimulation cycle for in vitro fertilization (IVF) or other procedures.


Ganirelix Acetate – Gonadotropin-releasing Hormone (GnRH) Antagonist

Brand Names: Ganirelix, Cetrotide

Used in controlled ovarian hyper-stimulation cycles for in vitro fertilization (IVF) or other procedures to prevent premature ovulation.


hGH – Human Growth Hormone

Brand Names: Omnitrope, Saizen

Used before and/or during controlled ovarian stimulation (COS) that may help improve egg/embryo quality, especially among women older than 40 years.


Progesterone

Brand Name: Progesterone intra-muscular (injection in oil or other solute); Prometrium (pill), Provera (pill), Endometrin (vaginal suppository)

Various forms are used during both IVF and non-IVF treatments, to improve endometrial receptivity, early pregnancy support, and to prevent recurrent miscarriages. Delivered using intramuscular injections in oil, vaginal suppositories, or oral pills.


Estrogen

Brand Names: Estradiol (Estrace pills), Vivelle (Skin patches), Estradiol Valerate (intra-muscular injections)

Used in both IVF and non-IVF treatments, to improve endometrial growth, early pregnancy support, and in preparation for IVF as “priming protocol.”


Testosterone

Used to help “recruit” eggs in IVF preparation cycle leading up to COS and egg retrieval.


Corticosteroids – Anti-Inflammatory

Brand Names: Prednisone (methylprednisolone), Dexamethasone

Used as an anti-inflammatory and/or inhibits androgens during COS and embryo transfer. May also be used to treat auto-immune conditions that may impact fertility.


Antibiotics

Brand Names: Zithromax (Azithromycin), doxycycline, Flagyl

Used to treat infections that may be affecting fertility or during certain fertility procedures to reduce the risk of infection.


Baby Aspirin (81mg)

Used in fertility treatments or in patients who have repeated miscarriage to improve implantation potential. Baby aspirin can increase womb thickness, reduce inflammation and improve blood flow.


Sildenafil

Brand Name: Viagra

Increases blood flow. Used for endometrial lining development and ovarian responsiveness.


Pentoxifylline

Brand Name: Trental

Increases blood flow. Used for endometrial lining development.


Blood thinners – Anticoagulants

Brand Name: Heparin, Lovenox

Used to help prevent miscarriages due to blood clotting of placental vessels.