HCG injection to increase the chance of getting pregnant. What is an HCG injection? When does ovulation occur after this? Where to buy? Cost of the drug

anonymously

Hello! I am 26 years old. In 2009 suffered an ectopic pregnancy. Both pipes were preserved. In April 2013 there were laparoscopy and hysteroscopy. Diagnosed with PCOS. After this, the pregnancy failed. In the last cycle, I was stimulated with clostilbegit, the follicles overgrew, the doctor advised me to let go of this cycle and give an injection of hCG 5 thousand units on that day and repeat after 4 days. After the second hCG injection, I had signs of pregnancy, they lasted for a week, then everything went away. Namely, the temperature was 37-37.2, there was a tightness in the lower abdomen, rapid heartbeat, weakness, and I wanted to eat. I regarded this as the consequences of the injection. On November 19-20, my period was supposed to come, but I observed the following picture: 19 - in the morning a drop of blood and that’s it, 20 - in the morning a drop of brownish blood and that’s all, and on 21 by lunchtime my period started, but it wasn’t as usual, it was they are 4 days (usually I have 5). On November 23, I took a pregnancy test in the morning; it showed a very weak, but visible second line. I didn’t take it into account and decided to just repeat the test in a few days. I repeated it on November 26 in the morning, the second stripe became more pronounced, but not bright. November 29 - the strip did not change, it remained the same as it was the second time. In recent days, these “signs of pregnancy” have been recurring again for me (temperature in the evenings is 37.2, I eat a lot, my lower abdomen is tight, it feels like it’s swollen, my chest feels heavy and hurts, I want to sleep, I get tired very quickly at work , in the evening I feel weak and have a rapid heartbeat). On November 29, I went to donate blood for hCG, the result was 564 mIU/ml. At 10 d.c. In the morning I found a little blood on my swimming trunks, it scared me very much. Today is 12 d.c. but these discharges continue. At the appointment with the gynecologist and the ultrasound, the pregnancy was not confirmed; they did not see anything. Please tell me whether I can have a normal intrauterine pregnancy or does the appearance of blood discharge indicate an ectopic pregnancy?

Good afternoon. Repeat b-hCG, if normal, the result doubles every 2 days. At this time, an ultrasound may not detect a fertilized egg in the uterine cavity, so the ultrasound should also be repeated after a week. This is important because the possibility cannot be excluded. At the same time, if the ovum is located in the uterus, you need to start treatment as early as possible.

anonymously

Anna Grigorievna, thank you very much for your answer. On your advice, I took the hCG test again on December 3, the result dropped to 434 mIU/ml. What could this mean? That the pregnancy did not last and I had a miscarriage? The discharge continues, but no longer a spotting, but like during menstruation, not profusely, without any clots. From 14 d.c. Every month I insert 200 mg of utrozhestan into the vagina for 10 days. Yesterday I put it in overnight, and in the morning I discovered that all the daily fluid was in my blood, before this I had never had this happen overnight. The lower abdomen is tense, as happens during menstruation. I do not know what to do. Should I continue taking Utrozhestan? And what can you advise me? Should my discharge be considered menstruation?

One of the effective methods of stimulating ovulation, used during natural or artificial insemination (IVF), is the administration of human chorionic gonadotropin (hCG) in the middle of the menstrual cycle. The medicine is used in complex hormonal therapy, which is carried out under the constant supervision of a doctor. It is necessary to know exactly when to give an hCG injection, how long after ovulation occurs, and how the luteal body is maintained.

When preparing for conception, about 20 different complex treatment regimens are used to ensure ovulatory release, so you must consistently and accurately follow the doctor’s recommendations.

After an hCG injection, ovulation occurs in the vast majority of cases: it is important to detect a ready egg in time and create conditions for maintaining pregnancy, both during natural conception and after an IVF program.

Stimulation of natural ovulation

At the stage of prenatal preparation, the doctor conducts a full examination of the spouses to eliminate possible problems and unpleasant complications. Stimulation of ovulation for normal conception is carried out under the following conditions:

good patency of the fallopian tubes;
there are no abnormalities in the husband’s spermogram;
the FSH level on days 2-3 of the menstrual cycle does not exceed 12.5 mIU/ml;
age under 35 years;
no history of long-term infertility with ineffective IVF programs.

In difficult cases and according to indications, hCG injections to stimulate ovulation are used only in artificial insemination programs, when conception occurs in vitro.

Main purposes of drug administration

A timely injection of the drug provides the following important effects:

maturation of the dominant follicle;
precise programming of the moment of ovulation;
release of an egg ready for fertilization;
maintaining the hormonal function of the luteal body.

Essentially, the hCG injection is a trigger factor or trigger for ovulation. Therefore, injections of this drug are used for any infertility treatment options when it is necessary to ensure the ovulatory release of an egg.

Drugs used

There are several options for hCG drugs, the name of which does not change the dose and essence of the drug. Your doctor may prescribe an injection of one of the following medications:

Decayed;
Ovitrel;
Profasi;
Horagon.

The dose of the medicine is always selected individually. You cannot decide on your own how much of the drug is needed and when to give the injection.

Before injecting the drug

Important conditions for a timely hCG injection include the following factors:

daily ultrasound monitoring to monitor the appearance and growth of follicles during the administration of FSH drugs;
determining the presence of a dominant follicle;
measuring endometrial thickness.

Only when the leading follicle has completely formed, reaching a size of 18 mm, and the endometrial thickness has been ensured at least 8 mm, can an hCG injection be given.

Egg release time

Ovulation after an hCG injection occurs within 36 hours. This is why the drug injection is good - the doctor knows exactly when ovulation will occur. Usually, after stimulation, it is necessary to ensure the meeting of the egg and sperm, for which the following is used:

normal sexual intercourse for natural conception;
intrauterine insemination (IUI);
in vitro fertilization (IVF).

The doctor will explain how long it will take for the possibility of pregnancy to occur optimally. It is important to follow the instructions exactly so that the dream of conceiving the desired baby comes true.

Luteal Body Support

The hCG injection performs the important task of forming a full-fledged corpus luteum. However, after the injection it is necessary to carry out treatment to prevent progesterone deficiency. To do this, the doctor will prescribe one of the medications:

Duphaston;
Utrozhestan;
Iprozhin.

Any of these drugs can provide the female body with a sufficient amount of phase 2 hormone, which is necessary to maintain the luteal body and maintain pregnancy. After the injection, you must strictly follow the specialist’s recommendations regarding the dosage of the medicine used.

Determining conception and maintaining pregnancy

Successful conception can be determined using a pregnancy test or blood test. It is advisable to conduct all studies after a missed period. When results are obtained indicating that after all the procedures the miracle of the birth of a new life has occurred, everything possible must be done to ensure the normal functioning of the corpus luteum and preserve the life of the embryo. The doctor will prescribe therapy to progress the pregnancy.

HCG is human chorionic gonadotropin. Without it it is impossible to bear a child. It is this indicator that indicates the presence of pregnancy. By the way, when a woman takes a pregnancy test, what does the second strip show? To an increased level of hCG, which is required during pregnancy. But, unfortunately, the treasured second stripe may never appear for some. Therefore, the girl decides to stimulate ovulation, which will lead to the release of the egg and its speedy fertilization. One of the methods of stimulating pregnancy is an injection of hCG. The article will discuss this injection and its effect on the female body.

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Why is an HCG injection given?

According to the latest statistics, only 50% of women can become pregnant in the first three months after starting planning. About 75% percent become pregnant within six months and as many as 90% of women receive the coveted stripes within a year. As you can see, if a woman really wants to get pregnant in the near future, then she needs to stimulate the ovulation process.

So, for pregnancy to occur, three things must happen in the body:

Ovulation;
Fertilization;
Securing the fertilized egg.

As soon as the third stage occurs, the body immediately begins to produce hCG, the pregnancy hormone. If pregnancy does not occur, the doctor prescribes an hCG injection to the woman. In what cases does the doctor approve of stimulating ovulation with this injection?

The woman rarely ovulates;
Within 12 months. a couple cannot get pregnant on their own;
Over the age of 35, if pregnancy has not occurred within six months.

In order to accelerate the growth of follicles and the release of eggs from them, an injection of hCG is prescribed.

When should an HCG injection be given?

This injection is prescribed if ovulation has not occurred. From the first phase of the cycle, the doctor monitors the growth of follicles and at the same time prescribes estrogens to the woman for additional stimulation. Afterwards, when the follicle has reached a size of 25 mm in diameter, the doctor prescribes the administration of a drug containing hCG. After administration of the drug, ovulation will occur in 2-3 days. The best time to conceive is 2-3 days after the injection.

This injection should be given at the following points in the body:

Lack of luteinizing hormones, which are controlled by the hypothalamus and pituitary gland.
With polycystic ovary syndrome, anovulation occurs.
Hyperandrogenism is a phenomenon in which a large number of male hormones develop in the female body, and, as a result, there are not enough female hormones.
Early ovarian failure syndrome, in which follicle maturation is not observed.
Another reason to get an HCG injection is to prepare for IVF.

Whether a woman should stimulate the ovulation process will be determined exclusively by a female doctor after a series of specific studies.

Is preliminary preparation necessary before the injection?

It is important to understand that after the injection the woman will most likely become pregnant. Therefore, it would be wise to start preparing several months in advance. Pay attention to your diet. It should be balanced and rich in vitamins. In addition, a woman should get enough sleep and take enough folic acid.

Immediately before the hCG injection itself, you need to undergo some examinations.

Check whether there is an individual intolerance to this drug;
obtain a statement from a therapist stating that the woman is able to bear a child;
do blood tests for the presence of sex hormones;
undergo a course of estrogen stimulation in advance;
get tested for sexually transmitted diseases;
vaginal smear to check for cleanliness and the presence of STDs;
diagnose the fallopian tubes and make sure that they are passable;
undergo a hysteroscope examination;
undergo an ultrasound examination of the female organs and mammary glands;
make sure there is no cancer;
take a sexual partner compatibility test;
and what is most important is that the partner submits sperm for quality. After all, if a man is infertile, then it’s not worth spending time on stimulating ovulation.

After all these tests, analyzes and checks, the doctor prescribes a drug that is suitable specifically for your case. The hCG injection has different dosages.

If a woman does become pregnant, then in some cases she is also given an injection of hCG. For what? To maintain an existing pregnancy. After all, this hormone has a positive effect to eliminate the risk of miscarriage.

Where to buy? Cost of the drug?

This solution can be purchased at a regular pharmacy. Usually it is released strictly according to the prescription with the specified dosage. After all, if you inject it without the correct dosage, and without any prescription at all, the consequences can be very serious. A woman can get an ectopic pregnancy, or her hormonal levels will become so disrupted that she will no longer be able to have children.

The price depends on the pharmacy, brand and manufacturer of the drug. The average price in Russia is 1000-1500 rubles per dose of hCG.

So, injection of hCG is an excellent way to stimulate ovulation and get a quick pregnancy. However, it is important to remember that without prior testing and consultation with a gynecologist, this drug can cause irreparable harm.

Women planning to have a baby are faced with many unfamiliar medical terms. Their meaning remains a mystery until you experience them in person. These include the hCG hormone, which is produced by the female body after fertilization and is responsible for the proper development of the fetus. But sometimes a failure occurs and its artificial introduction is required. This is possible with the help of special injections that contain a substance - human chorionic gonadotropin. It is given during pregnancy planning to women who do not ovulate.

Under what circumstances is an HCG injection needed?

The ability to become pregnant occurs only when the egg is released from the ovary. This happens somewhere in the middle of the menstrual cycle. Sometimes the fertilized egg does not attach to the wall of the uterus. The couple tries for a long time, but nothing works, since the long-awaited ovulation does not occur. It can be caused by stimulation, but to do this it is necessary to find out the causes of the failure and eliminate them.

An injection of hCG can restore ovulation, but the choice of drug and its dosage is prescribed only by a doctor based on the characteristics of each woman individually. After the administration of the chosen remedy, the favorable period should occur in a day or a day and a half, but this is an approximate time, because sometimes ovulation occurs much later.

to stimulate the egg and prevent the formation of a cyst, which can occur when the follicle does not burst, but begins to decrease in size;
in cases where the placenta is not developing well. An HCG injection is administered to help her. He contributes to its formation;
to preserve the functionality of the corpus luteum. In the initial stage of pregnancy, the body really needs its support, then the placenta can take over this function;
at risk of miscarriage. Especially if they have already been present in previous cases of pregnancy;
in case of artificial insemination.

Important! During stimulation, the success of follicle development must be monitored by ultrasound. In case of male infertility, injections with hCG are useless.

If after all the examinations it turns out that such a procedure cannot be done without, then it is necessary to provide the doctor not only with the results of the woman’s tests, but also with her partner. He is required to take a spermogram to accurately verify a man’s ability to conceive. This can be understood by the quality of his seminal fluid. Many representatives of the stronger half believe that if they have not had problems before and their older children are proof of this, then they are deeply mistaken. The situation may change within a year and it does not matter how many children there were before.

In what cases should you not do hCG?

Before stimulation, you need to take tests to check your hormones. This is necessary to clarify their exact indicators; it is better to do this several times. After identifying the problem, the doctor will probably prescribe a course of normalizing hormone levels, and if this therapy does not help, then you will need to resort to an hCG injection.

But there are hormones in violation of which stimulation cannot be carried out, these are:

prolactin;
thyroid gland;
and almost all male.

They can interfere with the process, and it will be inconclusive.

It is strictly forbidden to give injections with hCG if the following diseases are observed:

tumors of the ovaries and pituitary gland;
hypothyroidism – lack of thyroid hormones;
existing blood clots in the vessels or a predisposition to their appearance;
early menopause;
sensitivity to the ingredients of the injection.

Important! If tubal obstruction is detected, then stimulation of ovulation can lead to ectopic conception. Therefore, before the procedure it is necessary to undergo laparoscopy and metrosalpingography.

Indications for ultrasound monitoring for hCG

On average, a woman's monthly cycle lasts 28 days, so the first ultrasound can be done 10 days after the last menstruation. The procedure should be carried out every three days until the ovulation period is established or the next “women’s days” begin.

The results of observations can be:

lack of ovulation because the ovaries do not work and the follicles do not mature;
the main follicle matures, but does not grow to the required size and ovulation does not occur;
the follicular sac develops normally, but then does not rupture.

Stimulation is not required only if ovulation occurs and the corpus luteum forms in the follicle. And if it does not open in time, you can help it do so with a timely injection of hCG, after which a corpus luteum will appear in place of the follicle.

Stimulation procedure

The doctor usually prescribes an injection with human chorionic gonadotropin on the second day of the cycle. It must be done daily, and after ten days the stimulation stops. The whole process takes place under the supervision of a doctor, who also prescribes how many days the injections should be given and what should be the dose of the administered medication.

Important! There is no need to rely on averages or performing stimulation on friends. For each patient, everything goes individually, this is due to the structural features of the ovaries and uterus of an individual woman.

Treatment is accompanied by constant monitoring by ultrasound every three days. The first is carried out after stimulation on the fifth day. And when the follicles grow to the required size (approximately 20-25 mm), then a final examination is carried out, checking their opening. For its successful completion, an injection of hCG is administered; during this period, it provokes the start of ovulation.

If all circumstances are favorable, the injection will take effect within 36 hours and ovulation will begin. After this is confirmed by ultrasound, hormonal injections with utrogestan and progesterone, which are needed to support the activity of the ovaries, will be prescribed.

How much and when sexual intercourse should be performed during stimulation is prescribed by the doctor; this is influenced by the male factor. After completing the injection, you can try again the next day. They must be repeated until the corpus luteum appears, that is, until the period when ovulation occurs.

An increase in hCG begins to be observed already on the third day, and every 3 days it doubles. Under the influence of the administered injection, the body begins to produce progesterone and estrogen at double speed, and they promote conception.

The hCG injection is often used in gynecology to stimulate ovulation; it effectively helps with infertility and promotes the speedy conception of a long-awaited baby. After its administration, you do not have to wait long for results, and in most cases they are positive.

In the proposed video, a specialist will clearly explain the significance and effect of the hCG injection.

Injections at home - review of prices and quality from professionals

Anna Mironova

Reading time: 10 minutes

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The level of the pregnancy hormone produced by the placenta (hCG - human chorionic gonadotropin) increases in the female body every day from the moment of fertilization. Thanks to modern medicine, this hormone is created artificially to help treat anovulation in women (a disorder of the menstrual cycle, as a result of which the long-awaited conception does not occur). What is a hCG injection, and in what cases is this method of treatment used? When to do tests after an hCG injection? How many days does it take for the hCG 10,000 injection to be completely eliminated from the body?

Why is an injection of hCG 10,000 prescribed?

With regular absence of ovulation A woman who seeks medical help is often advised to do so. A few days after stimulation, the first procedure is prescribed Ultrasound , after which this examination is repeated every few days to monitor follicle growth to the required dimensions (twenty to twenty-five mm). Once the required follicle size is reached, an hCG injection is prescribed.

The hormone “triggers” ovulation.
Prevents follicle regression that can develop into follicular cysts.

Injection dose taken - from 5000 to 10000 units . Ovulation usually happens one day after the injection .

HCG and its effect on pregnancy

The production of the hCG hormone begins from the moment the embryo is implanted in the uterus and continues for all nine months. Based on the presence of the hormone in the female body, we can say about pregnancy . Further, based on its quantitative content, possible disorders of the ongoing pregnancy are judged. Thanks to hCG test , you can confirm the fact of pregnancy as early as possible (already on the sixth day after fertilization). This is the most reliable and early method of determining pregnancy, in comparison with traditional test strips. The main function of hCG is to maintain pregnancy and control (in the first trimester) over the production of estrogen and progesterone. Stopping the synthesis of hCG leads to disruption of the production of substances necessary for the fetus. In these cases, the hCG deficiency is replenished artificially, through intramuscular injection. These hCG injections are prescribed in the following cases:

For nutrition and maintaining the viability of the corpus luteum until the placenta begins to independently produce the hormones necessary for a successful pregnancy.
To form the placenta itself .
To stimulate ovulation and supporting the viability of the corpus luteum during pregnancy planning.
To prepare for .

Indications for hCG injection

Contraindications for hCG injection

When is an HCG injection given?

When to do ovulation tests after an hCG injection?

The onset of ovulation after an hCG injection occurs within a day (maximum thirty-six hours), after which additional support for the ovaries is prescribed with the help progesterone or utrogestan . Based on the male factor, the timing and frequency of sexual intercourse are assigned individually. If the spermogram is normal - one day (every day) after the hCG injection and until the formation of the corpus luteum. When to do tests?

The day of testing depends on the cycle. As you know, the first day of the cycle is the first day of menstruation, and its length is the number of days from the first day of menstruation until the first (inclusive) day of the next one. With a regular cycle, tests begin seventeen days before the start of the next menstruation (after ovulation, the corpus luteum phase lasts about two weeks). For example, with a cycle length of twenty-eight days, testing is carried out starting from the eleventh day.
For different cycle durations, select the shortest cycle in six months. Its duration is used to determine the testing day.
If there are delays of more than a month, and the cycles are not at all constant, then it is irrational to use tests (given their high cost) without control over follicles and ovulation.
Preferably start applying tests daily immediately after diagnosis by ultrasound, achieving the desired follicle size (twenty mm).

It should be remembered that ovulation tests are not informative immediately after hCG injections due to the possible influence of TSH, FSH hormones and dietary habits on the results. Therefore, you should not rely only on tests. It is preferable to use more reliable diagnostic methods (for example, ultrasound ).

When to take pregnancy tests after an hCG injection?

How many days does it take for the hCG 10,000 injection to be completely eliminated from the body? This question worries many. Within ten to twelve days after ovulation, those used after an hCG injection may produce false positive results. Accordingly, it is necessary wait one or two weeks . Second option - take a blood test for the hCG hormone in dynamics . The doctor who prescribes treatment and performs stimulation must determine the exact time at which the use of tests can be started.