Source
r/IVF•
kaitywait

Help! Menopur/Gonal combo shot with mixing needle

Advice Needed!

Hi all! I’m using Menopur mixed with Gonal for the first time. At my medteach they went over the 18 gauge (giant lol) mixing needle to use with the Menopur. I figured, no problem.

But when I reinsert the mixing needle into the vial after adding the Gonal, there’s always random leaking out of the top of the vial when I withdraw the syringe! A few drops but it freaks me out. I’m holding pressure on the syringe so it doesn’t push back out. So confused. It’s like the diameter of the needle is so big the self healing top isn’t self healing?? I’ve left a message but they haven’t gotten back to me yet. Plus that giant syringe is so finicky, I feel like there’s always liquid hiding no matter how careful I am.

Is this normal?! Is it user error? I’ve never had this issue with Gonal, Cetrotide, anything else before! But this is my first gigantic mixing needle.

Posted Jan 20, 2023, 12:51 AM UTC · edited

112
simbidi999Custom•

I used the q-cap for mixing and maybe that's why never ran into this issue. Can you get hold of q caps from your pharmacy?

5
feral_schnoodles•

I second this. Most clinics have a surplus too since most many people double up doses and have lots to spare. If you belong to a local IVF FB page you could see if anyone has any to spare too!

2
kaitywaitOP•

My clinic told me not to use the q cap! Maybe because I add Gonal to the vial? But maybe it would be better to have two injections since the mixing needle leaks so much

1
simbidi999Custom•

That is strange. I was instructed to add the gonal into the first menopur using the needle that comes with the gonal pen. It was overall a very easy process once I got the hang of it

3
bexbereal•

I also mixed the menopur first (with the q cap), then injected the gonal into the menopur vial using the needle from the Gonal pen.

I find the q caps wayyy easier to use than mixing needles!

3
kaitywaitOP•

Will definitely be trying this tonight!!

2
FearlessNinja00735F | IVF | 4 ER•

I just did 2 injections.

4
IntrepidKazoo•

Huh, interesting. Trying to visualize the issue you're having... do you have the vial upside-down when you withdraw the needle?

Maybe try drawing to excess, just take it all in including some air, so that you're more confident you've gotten everything. Or just do two injections--combining them doesn't seem worth it if it's stressing you out.

2
kaitywaitOP•

Doesn’t matter if it’s upside down or right side up. Honestly think it’s just me somehow but I can’t tell why. Will switch to q caps tonight and see if that’s easier for me!

1
SeaOnions•

Interesting, I’ve never heard of mixing them! I injected them separately and it was easy. The Gonal pen especially was painless every time.

2
kaitywaitOP•

I think it’s to minimize the amount of sticks, since I’m also taking Omnitrope. Last round I had so many pokes every night because of high doses of Gonal, I was relieved to hear this was an option! But I’d rather have a bunch of injections and get it right, haha.

2
SeaOnions•

Oh yeah I was doing those 3 too. I found the Gonal F was so easy and painless it didn’t feel like an extra jab really. Some nights I used the overfill in the pen and did 5 jabs

1