HCG injection - instructions. After how much after the injection hCG to make a test for ovulation?

When a woman has problems with conception, treatment raises many questions and often scares terminology. What is a hCG injection, in what cases it is used, how effective it is, what contraindications it has - let's figure it out together.

Human chorionic gonadotropin (hCG) - this term indicates a hormone that is produced in the body after fertilization of the egg and is responsible for the preservation and development of the fetus during pregnancy. It is the determination of the level of this hormone that underlies a pregnancy test.

HCG injection - instruction

• Hormonal drug HCG is synthesized from urine of pregnant women or genetically modified microbes with DNA recombinant. The pharmacological effect is based on the stimulation of the ovulatory cycle, spermatogenesis and production of sex hormones in the ovaries
• CHC -based preparations are effective in case of yellow body deficiency, ovarian dysfunction, infertility caused by the lack of ovulation, a threat of termination of pregnancy, and the risk of premature birth. These hormonal drugs can also be prescribed for auxiliary reproductive techniques (extracorporeal fertilization)
• Chorionic gonadotropin is produced in the form of a solution for intramuscular injection or lyophilisate (component for the preparation of the solution). In the case of stimulation of ovulation, injection is made in the abdomen using a syringe with a short (insulin) needle. This method is more effective and painless
• The dosage of the drug, as well as recommendations for its use are prescribed by the attending physician based on multiple studies. The exact dose of the drug should be calculated strictly individually, based on the level of hormones, the size of the follicles, the thickness of the uterine endometrium layer and the data of other tests
• Menogon, Pondsel, Khumagon, Profazi, Novyrel, Ovidl, etc. are used as injections. Their action is aimed at restoring ovulation function and stimulating hormonal activity caused by an increase in the blood level of hCG

In general cases, the following doses of the drug are used:

• when violating the ovulatory process, 5000-10000 me is prescribed once
• with the risk of non-infinition of the fetus, as well as the threat of termination of pregnancy-no later than the 8th week of gestation for the first time 10,000 me, then 2 times a week until the 14th week inclusive-5000 ME each
• In the process of artificial fertilization, after stimulating the development of follicles, 10,000 me once is prescribed

HCG injection has a number of contraindications that need to pay attention to:

• ovarian tumor formation of ovarian
• early offensive of menopause
• lactation period
• thrombophlebitis or predisposition to this disease
• established obstruction of the fallopian tubes
• chronic inflammatory adrenal diseases
• individual sensitivity to components (allergies)

In case of violation of the procedures or an overdose of the drug, side effects may occur in the form of the formation of acne, polycystic, ascites, thromboembolism due to hypermostimulation of the ovaries.

HCG injection: What are they doing and when?

The hCG injection is used as a medical means of prevention and treatment of female infertility, as well as the preservation of the fetus during pregnancy. Injections are made:

• to stimulate the egg and reduce the risk of the formation of a cyst that occurs in the case when the follicle does not break, but is compressed in size
• to preserve the life of the yellow body at an early gestation
• to maintain the functions of the formation and development of placenta
• with the risk of miscarriage - especially if such pathologies have already been repeatedly
• in the case of artificial fertilization for the effect of "supervision"

HCG injection for ovulation

Most often, the hCG injection is used in the absence of ovulation, i.e. Violation of the function of maturation of the egg capable of fertilization. This condition can be due to various reasons:

• polycystic ovary
• tumor formations
• increased physical activity and overwork
• stress states
• taking some drugs

During the diagnosis of ovulatory function, a woman needs to take tests to the level of hormones, regularly fix the basal temperature, and undergo an ultrasound examination of the pelvic organs.

• Such examinations should determine the need to stimulate ovulation by injection of hCG. In some cases, normalization of the level of thyroid hormones, testosterone and prolactin can naturally restore the ovulation cycle
• To confirm the lack of ovulation, constant ultrasound control is prescribed for the development and growth of follicles. The first study is carried out on 8-10 days from the date of the last menstruation, then repeated with an interval of 2-day before the next next

In the process of research, it can be established:

• The complete absence of ovulatory function due to improper ovarian operation - follicles do not ripen
• The main follicle matures, but does not develop to the required size
• The follicle develops normally, but the opening of the follicular bag and the output of the egg do not occur

If during observations it is revealed that the follicle does not burst, the hCG injection can be prescribed to resume ovulation. 24-36 hours after the injection, an additional ultrasound is prescribed in order to confirm successful stimulation.

After how much after the injection of hCG ovulation occurs

• With the problem established, the treatment of infertility should be carried out under constant supervision. The first injection is assigned on the 2nd day of the cycle for 10 days
• The whole process of maturation of follicles and their growth is controlled by ultrasound. With the size of follicles of 20-25 mm, their disclosure is stimulated, for this the injection of hCG is administered in the necessary dosage
• An increase in the level of the hormone occurs during the first day after the injection. Therefore, positive tests for ovulation during the first 3 days cannot reliably indicate its occurrence
• Usually, after injection of hCG, ovulation occurs from 24 to 36 hours. In some cases, ovulation may not occur or occur much later. The onset of ovulation can be established using ultrasound
• After confirmation of ovulation, injections of hormones of Utrozhetan and progesterone are usually prescribed to support the function of the ovaries

After how much after the injection hCG to make a test

• It is recommended to conduct a test for ovulation after 3 days after the procedure. The growth of the level of hormones after the onset of ovulation occurs gradually and doubles every day
• Active growth is noted in the first trimester of gestation, since the woman’s body, under the influence of the introduced drug, begins to actively produce hormones that contribute to conception - estrogen and progesterone
• Recommendations for the quantity and desirable time of sexual contact during the stimulation period are made by the attending physician, taking into account the examination and results of the male spermogram. After the main injection, you can start attempts the very next day with the necessary break up to and some time after the formation of a yellow body - the actual onset of ovulation

HCG injections during pregnancy

Hormonal injections to pregnant women are prescribed in the case of diagnosing a sharp drop in the blood of chorionic gonadotropin in the blood. Before the appointment of hormone therapy, an additional examination for the hormone level is carried out.

If the deviation from the indicators of the norm is significant and make up to 20% to the smaller injection of hCGs are prescribed without fail.

A decrease in the level of the hormone can signal the development of the following pathologies of pregnancy:

• suspicion of an ectopic pregnancy
• debred pregnancy
• violation of the functions of the vital activity of the placenta
• the threat of interruption

The presence of a high level of hCG hormone in the absence of pregnancy can be an indicator of the development of a cancer tumor. It has not yet been established whether the hormone is developing a consequence or the cause of oncological diseases, but since 2011, nonsense homeopathic and food products, the content of hCGs, which have been advertised as auxiliary drugs for the treatment of infertility have been prohibited from 2011.

Video: ovulation stimulation