HCG is a hormone that is released into the blood of a woman immediately after the attachment of the fetal egg in the uterus. The level of this substance in the blood is constantly growing, with its help you can find out if everything is fine with the fetus. This hormone is prescribed when planning conception, so many women are interested in the question of who helped get pregnant hCG injection.
The principle of action of the hCG injection
Usually, this injection is prescribed only once when planning a pregnancy. This hormone contributes to the rupture of the dominant follicle and stimulation of ovulation. This medicine is prescribed only after the woman takes hormones for the growth of the dominant follicle.
Every 2 days, the follicle is monitored, and when it reaches the right sizes inject hCG. After the administration of the drug, ovulation occurs in 12-36 hours. It is during this period that you need to have sex during natural conception or introduce sperm by insemination. Reviews indicate that the injection helps to get pregnant.
Indications for the appointment of an injection of hCG
There are two options for administering the hormone:
- stimulation of ovulation with "Klostilbegit";
- with polycystic ovaries, when the follicle grows, but does not burst, but develops into a cyst.
Therefore, an hCG injection is prescribed for anovulatory cycles, when the egg does not mature. Stimulation is carried out with "Klostilbegit" or "Clomid". On the 14-20th day of the cycle, enter hCG hormone. In insemination, sperm is injected only after confirmation of rupture of the follicle.
The hCG hormone helps to conceive a child and maintain a pregnancy. With artificial induction of ovulation after the introduction of chorionic gonadotropin, progesterone is prescribed. Usually it is the drug "Utrozhestan" or "Dufaston". They loosen the endometrium and promote the attachment of the fetal egg.
Indications for the appointment of HCG:
- anovulation;
- insufficiency of the corpus luteum during pregnancy;
- habitual abortion;
- risk of miscarriage.
Timing of pregnancy test after injection
It is worth considering that test strips for determining pregnancy respond specifically to this hormone. 
Therefore, before the expected date of menstruation, you will receive false positive results. Only after a few days of delay does it make sense to do a test.
If you do not have enough patience and you want to know about the onset of pregnancy as soon as possible, then donate blood for hCG. By the amount of the hormone in the laboratory, they will be able to judge the absence or onset of pregnancy.
When is there no point in injecting?
The injection must be done under specific conditions. It must be put on a certain day of the cycle at 
full maturation of the follicle. If you enter the medicine earlier, then ovulation will occur, but you will receive an underdeveloped egg, which is not capable of leading to pregnancy.
Therefore, the substance is administered only with constant folliculometry on ultrasound. If you have not been injected with drugs to stimulate the growth of the dominant follicle, then the injection is also useless, because. there will be nothing to break due to the absence of the “main” follicle.
Determining the development of pregnancy by the level of hCG
This hormone is included in the mandatory screening of pregnant women. The concentration of this substance is judged on the health of the fetus.
At 14-18 weeks, a pregnant woman donates blood for hCG. If its level is reduced, then there is a threat of miscarriage or the presence of pathologies in the fetus.
Low hCG levels during pregnancy
If during the tests it turned out that the concentration of this substance is small, injections of the hormone are prescribed to preserve the embryo. The fact is that this substance controls the release of progestins and estrogens into the blood. If these hormones are more or less, they threaten miscarriage. In addition, chorionic gonadotropin is prescribed for insufficiency of the corpus luteum, which supplies fertilized egg beneficial substances.
An increased concentration of hCG indicates:
- about multiple pregnancy;
- about diabetes mothers;
- about taking progestins;
- about Down syndrome in the fetus;
- about an incorrectly determined gestational age.
Therefore, if you are taking Duphaston or Utrozhestan with a threat of miscarriage, tell the laboratory about it. Usually, not the concentration of hCG itself is analyzed, but its relation to AFP and estriol. Based on the data obtained, a diagram of the risk of genetic defects in the fetus is built, because. an increased content of the hormone is an indication for the analysis of amniotic fluid, which is taken by puncturing the mother's abdomen. This increases the risk of infection and miscarriage.
- a hormone produced by the embryo after its attachment to the endometrium. It contributes to the normal progression of pregnancy and ensures its smooth flow. The main functions that the hormone performs are:
- Stimulation of the functioning of the corpus luteum. As a result, a sufficient amount of progesterone is provided, which remains the main substance that supports the development of pregnancy.
- Activation of the growth and formation of the placenta, due to which there is a contact between mother and child.
- General control of metabolic processes in the body of a pregnant woman and fetus.
Given the above functions of hCG, it becomes obvious that it is one of the main regulators of normal gestation. That is why its synthetic analogue is used in medicine to increase the chance of getting pregnant and prevent a number of pathological conditions. Human Chorionic Gonadotropin Injection May Help Conceive and Endure healthy child. However, it all depends on the specific circumstances of each individual case.
The standard definition of pregnancy occurs by using a classic pharmacy test. When the urine of a woman who is pregnant gets on it, the treasured 2 strips appear on the tablet, which confirm the fact of the development of a new life in the womb.
The chemical reaction is based on the interaction with the hormone in the urine. An alternative may be a blood test for the presence of a bioactive substance there. In the absence of pregnancy, it is very little or not at all in the body, however, if conception has occurred, the hormone will begin to sharply increase its concentration in the blood. For research, venous blood is used, in which hCG itself is searched. The first positive results usually appear at 7-10 days in the blood and 10-14 in the urine.
Does the hCG injection affect the chance of getting pregnant?
Given the functions of the hormone, as well as its fairly widespread use in medicine, women often ask: “Should I expect pregnancy after an hCG injection?”. To answer, you need to understand a little more about the features of its application.
A shot of the hormone really helped more than one woman get pregnant. However, there are only a limited number of situations where it is effective.
HCG injections are credited for:
- Continued functioning of the corpus luteum. With its insufficiency, endometrial inferiority can be observed, the unwillingness of the uterus to accept the fetus. HCG changes this situation for the better.
- To accelerate the process of formation of the placenta.
- To stimulate ovulation. It is for this that hCG is most often used.
- To prepare for in vitro fertilization.
Given the goals pursued by doctors, a number of indications for the use of hormone injections can be distinguished:
- Insufficient functional activity yellow body.
- Infertility due to anovulatory menstrual cycle.
- Habitual miscarriage.
- High risk of miscarriage.
- As part of the process when applying a variety of assisted reproductive technologies.
In all these situations, the use of hCG injection will be justified. This is confirmed by the many years of experience of doctors and the reviews of those who were helped by such an injection to get pregnant.
How is HCG used?
If the fair sex has anovulatory infertility, then an injection of hCG can be one of the ways to solve the problem. It will also help those who, for one reason or another, have a hormonal imbalance, which leads to insufficient maturation of the follicles in the ovaries.
Those women who long time could not get pregnant, note the positive effect of gonadotropin. Often, even with the progression of anovulatory infertility, it was possible to successfully conceive a child.
If the hormone is used during pregnancy planning, then a single injection of hCG 10,000 is considered standard. This dose is prescribed for a reason. Before direct injection, an appropriate preparatory stage, which involves the use of hormones to stimulate the growth of follicles. Only after their development and the dominant follicle reaches a size of 20-25 mm, can an hCG injection be used. Basically, this is the 14-20th day of the cycle. The size of the follicle is controlled by ultrasound.
This procedure stimulates ovulation, the follicle ruptures, and the mature egg begins its journey towards the spermatozoa. hCG in this case“helps” natural conception occur. Ovulation usually occurs 12-36 hours after the injection. Therefore, in order to achieve desired result it is during this period of time to actively try to conceive a child. In most cases, everything goes well.
Sometimes, to stimulate ovulation, it is enough to inject hCG 5000. However, you need to understand that only the attending physician should calculate the dose. He will be able to comprehensively assess the patient's condition, her hormonal balance and prescribe the appropriate amount of hCG.
The most popular drugs:
- Gonal (and also Gonal F);
- Chorionic gonadotropin;
- Puregon;
- Menogon.
After successful conception additionally prescribe progesterone to maintain pregnancy.
What will a blood test show after an hCG injection?
Many women are interested in when it is possible to conduct an ovulation test after an hCG injection, and whether it is worth doing it at all. Basically, doctors recommend monitoring the release of the egg from the follicle using ultrasound. However, if there is a desire to apply the appropriate tests, then they should be carried out virtually daily after the injection itself to control ovulation.
The dynamics of the increase in hCG in the blood after the alleged act of conception will help to establish its success. It is justified to do a pregnancy test after an hCG injection in 1-2 weeks. Approximately this is the time it takes for a fertilized egg to start synthesizing its own hCG. If you diagnose earlier, you can get a false positive result, which is due to the preliminary administration of the drug in the form of an injection. In any case, you should consult with your doctor for appropriate recommendations.
Selected Reviews
Examples include the testimonials of visitors to a well-known clinic who were injected with hCG (the survey was conducted anonymously, names have been changed):
- Anna: “At first I was stimulated with Klostilbegit. In the 1st cycle, the follicle reached 18 mm, but did not rupture. On the second attempt, it was 19 mm, and then they gave an injection of hCG. We more than a year we were expecting pregnancy, and after hCG it came! We are now six months old."
- Victoria: “We couldn’t have a baby for a long time. Already tried everything. Studied these sizes of follicles, tried different methods, stimulated me as much as possible, and hCG was pricked, but without effect. Although the follicles were ripening, they still did not come out. In general, gonadotropin did not help us, and none of the previously used ones. I spat on the recommendations of doctors and decided to adjust the weight. And that really helped me."
- Sofia: “We conceived from the first injection of hCG. Analyzes were taken 10 days after the injection. They immediately showed 2 stripes. Sadly, we did not succeed in saving the pregnancy. Now we want to try again."
As you can see, the hCG injection is not a panacea. Yes, it significantly increases the chance of conception, but a lot depends on individual features the body of each woman and the specific situation.
Bibliography
- Women's consultation. Management, Editor: Radzinsky V.E. 2009 Publisher: Geotar-Media.
- Emergency care in obstetrics and gynecology: a brief guide. Serov V.N. 2008 Publisher: Geotar-Media.
- Atlas by ultrasound diagnostics in obstetrics and gynecology. Dubile P., Benson K.B. 2009 Publisher: MEDpress-inform.
Almost every woman who plans to get pregnant knows what hCG is. This hormone is produced after the egg is fertilized. However, this does not happen with anovulation. That is, there are problems with the further occurrence, maintenance and development of pregnancy.
An hCG injection with ovulation stimulation is applied after the doctor detects a dominant follicle. The injection allows it to grow to the required size and burst.
What is a hormone?
Chorionic gonadotropin (hCG) is a specific human hormone that contains subunits such as alpha and. The second has no analogues in the body, so pregnancy tests are made on its basis. It is produced in the first weeks of embryo development. Its number is growing significantly. However, from the 11th week, the concentration of the hormone may decrease.
During this period, it is necessary to monitor the peculiarities of the course of pregnancy. horse racing hCG levels can talk about pathologies of fetal development, the threat of miscarriage. If the amount of the hormone is insufficient, then the woman has an abortion or its onset becomes impossible.
HCG promotes the production of progesterone and estrogen. The formation of the corpus luteum, the proper development and attachment of the embryo to the uterine mucosa depend on these hormones. It is he who ensures the preservation of pregnancy even before the formation of the placenta.
Indications and contraindications for the use of the drug
HCG preparations have a luteinizing gonadotropic effect. They stimulate the onset of ovulation in women. They should be used if the patient has:
- dysfunction of the gonads, provoked by improper functioning of the pituitary and hypothalamus;
- anovulatory infertility (that is, the absence of the formation of a dominant follicle and the development of an egg);
- insufficient functionality of the corpus luteum;
- habitual miscarriage;
- dysmenorrhea.
HCG injections are required for the normal formation of the placenta in a pregnant woman. Without drugs based on gonadotropins, it is impossible to stimulate ovulation and IVF.
But it is not always possible to use a medicine based on hCG. Contraindications include:
- hypersensitivity to the components of the remedy;
- early menopause;
- congenital or postoperative absence of the gonads;
- neoplasm in the pituitary gland;
- hormonally active tumors.
And you should also not give hCG injections in the presence of thrombophlebitis, hypothyroidism, insufficiency of the functionality of the adrenal glands, obstruction of the fallopian tubes, ovarian cancer and during breastfeeding. Very carefully you need to use the medicine for kidney failure, bronchial asthma, migraine, pressure surges, cardiac ischemia, as well as in adolescence.
Application rules
Before proceeding with the procedure for administering hCG, you need to make sure that it is allowed. It is important to follow these rules:
- Check the degree of patency fallopian tubes. If there is a problem, then there is no point in carrying out the procedure. Patency can be determined using laparoscopy or other diagnostic methods.
- Determine the balance of the hormonal background. Analyzes are given on the 3rd day of the menstrual cycle. Based on the results, the dosage of stimulant drugs can be adjusted.
- Get an ultrasound. This procedure will have to be carried out many times. It is necessary to determine the ovarian reserve of a woman.
- Make a spermogram for a partner, as well as test the compatibility of a couple to conceive a child.
HCG injection 5000 units. most often used if a woman for some reason does not ovulate. This dose in most cases is enough to start the process. It must be done intramuscularly. A woman can also make an injection on her own if she knows how to do it. If this is not possible, then it is better to entrust the procedure to a specialist.
If the injection of hCG is to stimulate ovulation, then it should be done in the stomach. This method is faster and more convenient. In addition, an injection in the buttock is characterized by the fact that its soreness is more pronounced.
The distance from the navel to the injection site is about 2 cm to the left and right side. Next, you need to pinch the fold of the skin and completely insert the needle into it to the base. It should be short (preferably insulin). The hCG injection site must be disinfected.
In the case of stimulation of ovulation, ultrasound control is indispensable. It is important to monitor the size of the dominant follicle. As soon as they are as acceptable as possible, an injection of hCG is immediately given. It is he who starts the process of ovulation. The regression of the follicles is prevented, so the development of a cyst is prevented.
One injection is enough to stimulate ovulation. The effectiveness of the procedure is checked by ultrasound on the second or third day. It greatly increases the chance of getting pregnant.
Before stimulation, it is necessary to check the hormonal background of a woman. Sometimes it is enough for her to restore the menstrual cycle to undergo a simple course of treatment without the use of hCG.
Features of the stimulation process
Any intervention in the natural processes of the female body does not pass without a trace. All procedures with hormones must be carried out with the permission and under the supervision of doctors. Before prescribing an hCG injection, the specialist must find out the following data:
- dynamics of follicle enlargement;
- features of endometrial growth.
And he is also obliged to predict when ovulation should occur. In addition to the injection to the patient, concomitant drugs can be prescribed: Puregon or Klostilbegit. After the injection, ovulation occurs no later than 36 hours. The following drugs are suitable for injection: Pregnil, Chorionic Gonadotropin. The dosage of the drug is prescribed by the doctor. The most commonly used injection of hCG is 10,000 units.
During this period, it is necessary to regularly have sexual intercourse with a partner in order to become pregnant. Sex should be done every other day. Further, there is an additional stimulation of the functionality of the corpus luteum, which at first ensures the success of pregnancy and embryo development.
How to choose the right dosage?
This question should be addressed to a doctor who has the patient's examination data and is familiar with the instructions for use. Do not use injections on your own. For the first time, 5000 units of hCG are usually prescribed. If such a dosage did not give a positive effect, then it can be increased to 10,000 units, but in the next cycle.
If ovulation has occurred, which was confirmed by an ultrasound study, then the patient is shown additional stimulation of the functionality of the corpus luteum. appointed on the 3rd, 6th and 9th day after the release of the egg. The dosage in this case is minimal - no more than 5000 units.
In the presence of habitual miscarriage pregnancy, the course of treatment with the use of hCG is long - up to 14 weeks. The first dose of the drug is 10,000 units. Further, the rate is reduced. A woman is given 2 injections per week of 5000 units.
Possible side effects
After stimulation has been carried out, it is important to ensure that ovulation occurs. Sometimes the patient may experience ovarian hyperstimulation syndrome. The follicle simply cannot rupture and develops into a cyst. In addition, the introduction of hCG can cause other side effects:
- disorders of the digestive tract (diarrhea, constipation, nausea);
- thromboembolism (blockage of blood vessels by a detached thrombus);
- hydrothorax (accumulation of fluid in the pleural cavity, which is non-infectious);
- gynecomastia (this symptom is typical for men and manifests itself in an increase in the mammary glands);
- increased sensitivity of the nipples.
And also the patient may experience pain, as well as a rash in the area of hCG injection. And also there is discomfort in the mammary glands, fever. However, after the cessation of stimulation, all discomfort disappears.
Overdose and special instructions for the use of hCG
An overdose of hCG can be accompanied by ovarian hyperstimulation syndrome, which negatively affects the overall health of a woman. That is, the patient has an excessive number of follicles, which eventually degenerate into cysts. Treatment of all side effects is symptomatic.
It is important to remember that long-term use of hCG-based drugs is fraught with education. The likelihood of multiple embryos (development) increases. During treatment, as well as within a week after its completion, pregnancy tests may show an erroneous result.
If there have already been several unsuccessful stimulation attempts, in which the dosage of the drugs used was gradually increased, then it is necessary to stop the process and undergo additional tests. After that, the methods of therapy are reviewed.
If Clostilbegit is used for stimulation, it is recommended to use it no more than 5-6 times in a lifetime. Otherwise, ovarian failure syndrome will occur and the woman will not be able to use her own eggs even for artificial insemination.
If stimulation did not give the expected result and pregnancy did not occur, do not give up. Perhaps the long-awaited conception will come after 2-3 months. Moreover, now there are new reproductive technologies that allow a woman to become a mother.
Let's figure out what stimulation is, why and who needs it. How should it be carried out correctly in order to avoid "unpleasant consequences" in the future.
Stimulation of ovulation is produced by hormonal drugsif a woman does not have full-fledged eggs in her ovaries. Selection of drugs and dosage for stimulation is carried out individually. The purpose of ovulation stimulation is the formation in the body of a woman of one or more eggs capable of fertilization.
First of all, it should be noted that methods ovulation recovery is determined only cause her absence. And not in all cases, stimulation of ovulation can give a positive effect, if real reason the absence of ovulation before the start of treatment has not been established. When diagnosing the absence of ovulation, it is very important to remember that the diagnosis of the absence of ovulation should categorically not be made only according to the schedules even for several observation cycles, not to mention a single cycle. This is such a wild phenomenon in medical practice that it simply does not even require unnecessary comments ... This is how unnecessary diagnoses are now made and treatment is prescribed, which is not only unnecessary, but sometimes can cause great harm to a perfectly healthy organism in the future.
So let's put all our charts aside. The maximum they can help us with is to indirectly determine whether there is ovulation. More serious conclusions can be made only after a comprehensive examination by a doctor, including - hormone tests, and continuous ultrasound monitoring of the development of follicles for several cycles in a row. We emphasize the last phrase for the reasons that a single visit to the ultrasound room on any day is not so indicative as to draw any conclusions from it, and even more so - to make diagnoses and prescribe treatment.
Examination before ovulation stimulation
Ideally, it is better, of course, to check the hormones several times. Firstly, to avoid erroneous results due to the fault of the laboratory, and secondly, to make sure that everything is in order or there really is a problem. Thirdly, the level of hormones in the body is very unstable and no one will guarantee that everything will be just as perfect in the next cycle (or vice versa - that in fact the failure in the body is not constant, but only single).
In no case should you start stimulation if hormones such as thyroid hormones, prolactin and male hormones are not normal. Such disorders can interfere with ovulation. To begin with, it is worth bringing them back to normal - perhaps no treatment is required and ovulation will recover on its own.
Before starting stimulation - no matter what drugs are stimulated, it is imperative to have on hand good enough (or at least suitable for natural conception, insemination or IVF / ICSI) fresh spermogram results husband in arms. Regardless of what results he had the year before last or how many children he had in a previous marriage, an analysis should be done immediately before planning stimulation treatment in order to exclude wasted money on drugs and harm to a woman’s health.
Even better - if you have the results of studies of the fallopian tubes for patency - HSG or laparoscopy before the start of stimulation (except when IVF / ICSI is required).
Any ovulation induction scheme should be done under the strict supervision of a doctor and with constant ultrasound monitoring for the body's response to stimulation and the development of follicles! Since only in this case, the doctor can confidently judge how the body reacts to drugs, whether follicles grow, whether ovulation occurs, etc., as well as control or adjust the prescription of various drugs and prevent possible problems (the occurrence of follicular cysts, hyperstimulation without medical supervision can be very costly) during stimulation.
Ovulation stimulation scheme: stages of ovulation stimulation
Usually, stimulation with clostilbegit begins on the 5th day (and ends on the 9th), and stimulation with gonadotropins (menogon, puregon, etc.) on the 2nd day of the cycle (and ends on average after 10 days - this should be determined by the doctor, observing behind the stimulation process). But in each individual case, the final decision on the timing of the start and duration of stimulation remains with the attending physician (and depends on the condition of the patient's uterus and ovaries).
First ultrasound usually carried out a few days after the start of stimulation. Next, an ultrasound every two or three days(depending on the condition of the uterus and ovaries during the examination, the doctor may prescribe the next examination earlier or later) until the day when the follicles grow to the required size - about 20-25mm.
After that (regardless of the ovulation stimulation scheme) hcg injection given(the required dosage is selected at the discretion of the doctor, usually it is about 5000-10000 IU). It helps to "start" the process of ovulation after stimulation and prevents the possibility of regression of follicles and the formation of follicular cysts.
Ovulation usually occurs 24-36 hours after the hCG injection, which is confirmed by ultrasound examination and only after that(!!!) prescribe additional "support" for the ovaries (yellow body) - injections of progesterone or utrozhestan (and not from 11, 15, 16 or any other day, as we usually do with many doctors).
The timing and frequency of sexual intercourse and insemination during stimulation are prescribed by the doctor individually based on the male factor. With a good spermogram, this is usually every other day (or every day), starting from the day of the hCG injection and until the formation of the corpus luteum (when ovulation has already occurred).
Clostilbegit. Stimulation of ovulation
Clostilbegit has a pronounced antiestrogenic effect. And therefore - it is better not to take the drug for women with endometrial growth problems.
After three unsuccessful courses of clostilbegit (with a gradual increase in dosage), in the absence of ovulation, or the complete absence of follicle growth, an additional examination of the body should be carried out and treatment methods should be reviewed.
Clostilbegit is not recommended to be taken more than 5-6 times in a lifetime. The consequences of drug abuse can be quite deplorable and threaten a woman with "early ovarian exhaustion" (or "early menopause"). With such a diagnosis, further infertility treatment with a woman's own eggs may be a very big question, and in some cases, simply impossible. In such cases, very often the only way out of the situation is IVF with a donor egg.
Useful links on the topic "Ovulation stimulation"
Causes and symptoms of ovarian dysfunction. Treatment and prevention of the disease.
Human (or abbreviated - hCG), begins to be produced by the female body immediately after the fertilization of the egg and plays a crucial role in the proper growth and development of the embryo. Thanks to the achievements of modern medicine, it has become possible to synthesize this hormone artificially. It is used to treat ovulatory disorders in women that prevent conception. The hormone is injected with a special injection. About what an hCG injection is, and when they resort to using this method, we will tell in our article.
Why is an injection of human chorionic gonadotropin prescribed?
If a woman who seeks medical help is diagnosed, in most cases she is recommended to stimulate this process. For this, an hCG injection is very often used, which not only “starts” the process of ovulation in the female body, but also prevents the regression of follicles, which can develop into follicular cysts. The injection dose is usually 5,000 or 10,000 units, and ovulation after the hCG injection occurs after 24-36 hours.
HCG injections during pregnancy
The production of human chorionic gonadotropin begins from the moment the embryo enters the uterine cavity and continues until the end of pregnancy. In the first few months after conception, the level of this hormone is constantly increasing, and, based on its quantitative content at certain times, one can judge whether the pregnancy is proceeding normally. The main function of hCG is to ensure the normal growth of the fetus and control production in the first trimester. If, for some reason, this hormone ceases to synthesize, then there is a violation of the production of vital substances for the fetus, which can lead to termination of pregnancy. Such problems can be solved by hCG, designed to compensate for the deficiency of this most important hormone. Such injections are prescribed in the following cases:
- in order to maintain the viability of the corpus luteum until the time when the placenta takes over the production of all hormones that contribute to the normal course of pregnancy;
- to help form the placenta.
HCG injection: readings
Thus, indications for injections of this hormone are the following conditions:
- insufficient production of the corpus luteum by the female body during pregnancy;
- lack of ovulation, which entails the impossibility of conception;
- habitual;
- threatened miscarriage;
- preparation for IVF.
Contraindications for HCG injection
Injections of this hormone also have contraindications, which include the following conditions: early menopause, the presence of lactation, thrombophlebitis, ovarian cancer, hypothyroidism, the presence of obstruction of the fallopian tubes, hypersensitivity to the components of the drug, hyperprolactinemia.
Now, when many couples have problems conceiving, the possibility of inducing pregnancy is of great importance. One such method is induction ovulation after hCG.
It is a repeating sequence of physiological processes. First, the inner lining of the uterus, which is not useful for feeding the embryo, is removed. Then one of the primary follicles begins its journey to maturation. In the uterus, the inner layer is restored, ready to receive a fertilized egg.
After reaching certain growth parameters, the egg leaves the ovary and travels down the fallopian tube. From the devastated follicle, it is formed that supports the pregnancy with hormones. If conception does not occur, the circle closes and menstrual bleeding begins. This cycle of changes is called ovulatory. But this is not always the case. Normally, 1-2 menstrual cycles of a healthy woman can pass without the release of an egg. Such periods are called anovulatory. Why is this happening? Mechanisms for the development of anovulation:
- There is a physical obstruction to the release of the egg (with polycystic ovary sclero syndrome).
- The follicle does not have time to mature to the end (if the cycle is too short).
- The egg does not develop and does not reach viability (with dysfunction of hormonal regulation)
Several methods are used to achieve ovulation:
- Normalization of the regime of work and rest of the diet.
- Operative treatment.
- one or more drugs.
After a detailed examination of the couple (the fresh result of the spermogram should be within the normal range), the doctor may decide to conduct drug stimulation of ovulation (induction). To do this, there is a wide range of drugs. One of them is HCG. Like other methods of induction, it can only be prescribed by a doctor. This also applies to the choice of dosage of the administered agent.
The expected ovulation after hCG is realized in full because its action is similar to the effect of luteinizing hormone. Under its influence, the maturation of the egg and its breakthrough from the ovary occurs. Especially important is the effect on the body, aimed at creating conditions for a favorable course of pregnancy when it occurs. It not only potentiates ovulation, but also prevents cystic degeneration of follicles capable of normal development and regression of the corpus luteum. Therefore, it can be used after the onset of fertilization.
How long does it take to ovulate after hcg injection
To choose the day of administration of this drug, it is necessary to be guided by the results of instrumental (ultrasound) and laboratory (hormonal status) methods, and not just calendar ones. Correctly chosen induction period will lead to a positive result. It is determined by the achievement of the optimal size of the follicle. Ovulation after the introduction of hCG will appear after 24-48 hours.
Considering the rate of development of the effect from the administration of the drug, the life expectancy of the spermatozoon and the egg, the sexual life of couples planning to conceive naturally, recommended according to an individual schedule prescribed by a doctor, taking into account physiological characteristics. This is where a good spermogram comes in handy.
Ovulation test after hcg injection
It does not show the very fact of its occurrence, as it may seem. It reflects fluctuating Luteinizing Hormone (LH) levels. It is its increase that can be interpreted as the release of the egg from the follicle. But this opinion is wrong.
Such a rise can also be observed in other cases of natural (dyshormonal shift), artificial (administration of drugs) and food (phytohormones) genesis.
Due to the fact that the molecular structure of hCG is close to LH, the ovulation test after its administration will be positive, but it will not reflect the onset of ovulation after hCG, but the presence of the drug in the body. A similar reaction will be observed for about 10 days. Therefore, the first pregnancy test should be carried out no earlier than 14-15 days after the date of the intended conception.
In any case, taking hCG must be remembered:
- Only a doctor can prescribe the drug (taking into account the characteristics of a particular woman's body).
- Not all forms of anovulation require this drug.
- The timing of the introduction of hCG, sexual intercourse, ultrasound monitoring must be strictly observed.
- This method of stimulation is not a panacea and its effectiveness is not 100%.
- For conception, not only an egg is needed, but also high-quality sperm.
- The control of the onset of ovulation when taking hCG should be instrumental (ultrasound), and not laboratory (test).
Ovulation after an hCG injection occurs at different times, depending on the diagnosis and the medication itself. The injection is divided into several types, namely hCG: 1500, 3000, 5000, 6000, 7000, 10000. This article tells how long it takes after an injection of hCG for ovulation to occur.
Different Types of Ovulation Stimulation Schemes
First of all, the doctor conducts an examination of the couple. After establishing the diagnosis, the physician determines the treatment regimen, which provides for the duration of the course of treatment, the complex of drugs, the dosage and the type of the drug itself.
Usually an injection of hCG (Chorionic Gonadotropin) is prescribed if a woman has such correspondences:
- age up to 35 years;
- FSH levels are within normal limits;
- good spermogram of the husband;
- lack of ineffective long-term infertility treatment under the IVF program;
- normal patency of the pipes.
As problems are identified, the doctor selects a drug with a certain level of hCG content. Among these funds may be: Horagon, Pregnil, Profazi, Ovitrel.
Numerous options are offered among the schemes:
- a single injection of Chorionic Gonadotropin 5000 or 10000. Usually, after 24-36 hours, the corpus luteum reaches the desired size;
- to stimulate the corpus luteum, a drug of 1500 or 5000 is prescribed. It is possible that the waiting time may be delayed.
There are also hCG regimens for boys before puberty and men.
How long to wait before ovulation after an injection?
Usually, the maturation of the egg occurs 36 hours after the injection. But the fact that a girl is able to get pregnant naturally after treatment is not a fact. It is possible that for fertilization she will need help, or rather, such procedures as IVF and IUI.
In addition to the above, the stimulant drug implies a number of drug additions after treatment. HCG injections change hormonal background women. To achieve stabilization at the end of the Chorionic Gonadotropin injection, the doctor prescribes medications: Utrozhestan or Duphaston, or Iprozhin.
Can there be no ovulation at all after treatment?
For some women, the injection does not really help even after long-term treatment. In such situations, the doctor determines a different course for the girl according to the examination.
As already mentioned, egg maturation occurs 36 hours after vaccination. And do not despair if the result is a little delayed. It is possible that the effect will manifest itself in a few days or weeks.
How long does it take to have sex in order for the egg to be fertilized?
If everything is in order with the husband's sperm, then daily sex is recommended for 3 days after the injection. For problems with sperm, sex is productive on the day of the injection and every other day.
As a rule, doctors advise experimenting with conception every other day.
When can you do a test?
Tests are usually carried out 3 days after vaccination. In most cases, ovulation occurs during this period.
No matter what the test or ultrasound shows, do not despair. Previously, women waited for years for a pregnancy that never happened. Today, medicine is growing every day. And, it seems, has already reached its peak. And at times she, truly, creates a diva. 1 - 2 unsuccessful attempts - this is not a reason for frustration. Pregnancy does not always happen when you most expect it. The main thing is to believe - and this faith will certainly justify itself.
Hello dear ladies.
It makes sense to do a test or take hCG 12-14 days after the hCG injection, all tests or analyzes done earlier are NOT RELIABLE!
If after 12 days a second strip is visible, most likely it is pregnancy.
Post date: 10.02.2015 13:52
Olga
Thank you doctor!
Post date: 10.02.2015 16:54
Post date: 13.02.2015 10:49
Elena
Hello, Doctor! Help me sort out my doubts... On February 3, 2015, I had an injection of hcg 5000 units. Today, 02/10/15, the test showed a weak second strip. A few days pulling the stomach. Could this be pregnancy? thanks in advance.
Post date: 13.02.2015 20:13
Dostibegyan Gary Zelimkhanovich
Hello dear Elena.
It makes sense to do a test or take hCG 12-14 days after the hCG injection, all tests or analyzes done earlier are NOT RELIABLE!
If after 12 days a second strip is visible, most likely it is pregnancy.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 19.02.2015 19:14
Katerina
Hello, Doctor! Please tell me, I did an injection of hcg 10 thousand on 02.05., then insemination on 06.02, they said 2 follicles began to leak. After the procedure, until today, the lower abdomen is pulled, there was pain in the chest. And on February 18, I donated blood for hCG, the result is 7. Tell me, is this a residual effect from the injection or is it already my result? Critical days should be on the 26th
Post date: 20.02.2015 06:23
Dostibegyan Gary Zelimkhanovich
Hello dear Katherine.
Pain in the abdomen is a reason to see a doctor.
HCG, what you did on February 5, already completely left the body on the 12th, but even 7 is not the value at which you can safely say that pregnancy has definitely come.
It is necessary to retake hCG in 2-3 days and everything will become clear from the dynamics, if it grows, it means that the pregnancy has taken place.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 21.02.2015 22:38
Catherine
Hello doctor, today 6 days have passed since the injection of hcg 10000 units. The simplest test shows one strip, and the expensive one with indications of the number of weeks, shows a positive result, is it worth taking hCG and what to do if an acute respiratory disease with a high temperature has occurred at the moment, it is somehow scary to take medication, due to the fact that there is a reliable positive result. thanks for the answer
Post date: 22.02.2015 09:21
Dostibegyan Gary Zelimkhanovich
Hello dear Ekaterina.
A pregnancy test should be taken after 2 weeks, all other tests or tests for hCG done earlier are not informative.
ORZ and high temperature needs urgent treatment. At the therapist.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 26.02.2015 19:09
Svetlana
Good afternoon! On February 19, I had an injection of hCG 10,000 units. Yesterday (7dpu) I was on an ultrasound. Ovulation was. There was a corpus luteum on the right ovary, and a yellow body cyst was said on the left. lower abdomen. Is this normal? I told the doctor yesterday at the reception about this, but she did not say anything about this. I am very worried.
Post date: 26.02.2015 21:01
Maria
Good afternoon. Please tell me the last menstruation was on 01/27/2015, after there was stimulation with Puregon. 02/14/15 was an injection of hcg 10,000 units. The follicle burst. Today 02/26/15 the test is negative. Maybe it's too early, I'm very worried. :-(How long should we wait? Or go to the doctor already? Thank you very much in advance.
Post date: 26.02.2015 21:13
Dostibegyan Gary Zelimkhanovich
Hello, dear Svetlana.
Similar symptoms occur in that condition. which you described.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Hello dear Maria.
HCG should be taken after 2 weeks, all other tests or analyzes for hCG done earlier are not informative.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 28.02.2015 10:18
Maria
Good afternoon Gary Zelimkhanovich. Thank you for answering us difficult moments. I asked you a question about
“Please tell me, the last menstruation was on 01/27/2015, after there was puregon stimulation. On 02/14/15 there was an injection of hcg 10,000 units. The follicle burst. Today, 02/26/15, the test is negative. Or go to the doctor already? Thank you very much in advance."
But still, I passed the hcg, and it turned out to be negative. All 2 weeks I measured rectal temperature. She was 37 all this time. But on the day when I passed the hcg. The temperature dropped to 36.6. And in the evening, terrible pains in the lower back, stomach, severe dizziness and it does not stop, malaise began. Menstruation has gone. But for some reason it seems to me that the pregnancy was still there. I'm worried. How can I find out that this is menstruation or that there was a miscarriage. What should I do?
At the doctor, she said if the test is negative hCG, then this is menstruation; if not, then drink utrozhestan.
Thank you.
Post date: 28.02.2015 17:52
Dostibegyan Gary Zelimkhanovich
Hello dear Maria.
Your doctor told you right. What can be a miscarriage with negative hCG?
And the basal temperature just indicates good progesterone. Only.
Please, trust your doctor more, you double-check him, this is not correct, either you completely trust the doctor or not.
The Internet is a great evil for doubting patients, no one and nothing can replace live communication with the attending doctor.
I wish you a speedy pregnancy.
Sincerely, Dostibegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 03.03.2015 09:05
Natalia
Hello! Please tell me how informative is bt after the transfer in the cryoprotocol? At 3 dpo was 37.1 at 5 dpo 36.8 in the support of duphaston 3 times a day, utrogestan vaginally 400 per day, proginova.
