Let’s focus on the stimulating phase of your fertility cycle. Typically, the stimulating phase involves daily hormone injections (for an average of 8 – 14 days but this can vary). We’ll look at the most common fertility medications used and ways to manage side effects during the stimulating phase of your fertility treatment.

Your fertility center will likely have you come into the office frequently during the stimulation to monitor your response, track your progress, and adjust your medication dosages as necessary.

The stimulating medications are given by subcutaneous injection, meaning just under the skin. Common FSH medications include:

  • Follistim®
  • Gonal-F®

These medications directly stimulate follicle (egg) growth in the ovaries.

Another stimulating medication may also be prescribed as part of your fertility cycle.

  • Menopur®

This medication is given to stimulate the ovaries to produce multiple eggs during your cycle and contains equal amounts of FSH and LH.

What kind of side effects can you expect when taking these fertility medications?

Bloating

Mood Swings (Hormonal)

Breast Tenderness

Soreness at the Injection Site

To help manage the side effects, here are a few tried and true helpful tips:

Stay well hydrated. This cannot be stressed enough because it’s tempting to decrease water intake when feeling bloated but you actually want to do the opposite. Increase your water intake to help flush your system and draw off fluid.

Get plenty of rest.

Focus on nutrition. Eat a well-balanced diet of fruits, vegetables, whole grains, lean meats.

Avoid foods that are laden with chemicals or artificial ingredients.

Do not smoke.

Make sure you’re taking a prenatal vitamin.

Exercise within the parameters given to you by your fertility doctor. Especially during the stimulating phase, you may be instructed to avoid high-impact exercise to minimize the risk of more serious but rare side effects such as ovarian torsion. 

Discuss with your fertility doctor what types of activities are recommended such as low impact exercise as an acceptable alternative.

Develop a self-care routine to take an active role in improving your health and focusing on whole body wellness.

We hope you find some of these tips helpful during your fertility journey. If you would like any further information, or medication pricing for your fertility medications, give us a call at 212.794.7200. As a full-service fertility pharmacy, our Metro fertility specialists can help navigate through insurance coverage or self-paying options as well as financing. Our goal is to support you through all aspects of your fertility treatment and overall wellness.


Linda Scruggs BSN, RN has specialized for 15 years in fertility, reproductive medicine, and women’s health. As a nurse, patient educator, and solo mother of two children, she shares personal experience with high-risk pregnancies. Connect with Linda on Instagram at @metrointegrative and @unboxedmom where she serves as a resource to empower and educate women seeking wellness for themselves and their families.


This information is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions about your medical condition. The information in this article is for educational purposes only.