The three are essentially equivalent in terms of dosing and potency.
All three of these medications use HCG extracted from the urine of pregnant women. Men have often prescribed the same types of drugs for fertility as women. Share. HCG injections are a common adjunct to testosterone replacement therapy among males. hCG (Human Chorionic Gonadotropin, Pregnyl or Novarel) also comes in a box with a 5,000; 10,000; or 20,000 unit vial of powder and a vial of diluent (liquid) which is used to mix the powder. Facebook. HCG reference dose 5000 to 10,000 IU intramuscular injection once or twice a week. However, it can sometimes be more effective when the pituitary gland is not responding to clomiphene, and is generally able to raise testosterone levels higher than can anastrazole (as long as baseline LH levels are not elevated above 20 IU/L). [Tsujimura A. TheAgingMale 2005]. A 2019 FDA ruling has also made HCG unavailable by most compounding pharmacies, which has served to further worsen the shortage of HCG in the United States. If you will be having intercourse or intrauterine insemination, ovulation will occur approximately 36 hours later, so the day of the injection and two days following it are your critical days.
The following chart gives the recommended diluent and injection amounts for each dosage.
Of note, a handful of compounding pharmacies were granted a waiver from the HCG production ban, one of which is the Empower pharmacy in Texas.HCG may be covered by your insurance company, but if you do not have insurance coverage for your medications, the pricing of HCG from some regional and fertility-specific pharmacies is reviewed in the "Fertility Medications Cost" section of this website.HCG must be given by injection, either intramuscular (IM) or subcutaneous (SQ). I recommend monitoring hematocrit levels with a goal to keep the hematocrit at 54% or less. Human chorionic gonadotropin (HCG) is a medication which has a similar structure and essentially the same hormonal action as LH. It is important to tell your doctor if you do not take the medication on time in case any adjustments need to be made. Applies to the following strengths: 5000 units; 10000 units; 20000 units; recombinant 250 mcg; recombinant 250 mcg/0.5 mLHuman Chorionic Gonadotropin (HCG): 5000 to 10,000 units IM once 1 day following the last dose of menotropinsSafety and efficacy of HCG have not been established in patients younger than 4 years.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Human Chorionic Gonadotropin (hCG) is a hormone secreted early in pregnancy by specialized cells called trophoblasts and later by the placenta. Currently, the FDA deems as fraudulent the marketing of HCG as a weight loss enhancement. It is considerably more expensive than the two oral medications and must be given by injection (usually about 3 times per week subcutaneously). If you take a pregnancy test during that time, it will turn positive as a result of the medication, not a pregnancy. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Is this enough? The shortage is attributed to the popularity of HCG as a weight-loss supplement, despite controlled studies failing to show any evidence that HCG use actually enhances weight loss. hCG is a naturally occurring hormone. Wait at least two full weeks from the date of administration to ensure that a positive pregnancy test is due to pregnancy and not residual medication in your system.Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Select one or more newsletters to continue. This medication is taken once there is a mature egg follicle in the ovary. Dosages can then be adjusted depending on the … As with clomiphene and anastrazole, I usually recommend follow-up testing two weeks after starting HCG, or two weeks after any change in dosage or medications. Hi all, I’m about to start TRT with Androgel 1.62% and was prescribed HCG 2x/week at 500 IU each dose to maintain fertility. Because hCG is similar in structure to LH, an injection of hCG when there is a mature egg follicle in the ovary can cause the egg to mature and … However, the optimum dose and frequency of HCG vary in every man. hCG in Fertility Treatments . Fortunately, there are several ways to determine if the dose/frequency of HCG while on TRT is effective: Performing a sperm count/quality test (which requires a 3 month wait period) and/or measuring an upstream hormone to testosterone called 17-hydroxyprogesterone (17OH-P) (which can be measured within 2 weeks of starting HCG).
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