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How many units of hCG for trigger shot?

Published in Fertility Treatment Dosage 3 mins read

The most commonly prescribed dose for an hCG trigger shot is 10,000 units. This precise dosage is crucial for timing ovulation and ensuring the final maturation of eggs in various fertility treatments.

Understanding the hCG Trigger Shot Dosage

The human chorionic gonadotropin (hCG) trigger shot is a vital component in fertility protocols such as in vitro fertilization (IVF), intrauterine insemination (IUI), and timed intercourse cycles. Its primary function is to mimic the natural surge of luteinizing hormone (LH), which prompts the final maturation of eggs within the follicles and triggers their release (ovulation) at a specific time.

For administration, intramuscular hCG typically comes as a vial of powder that is reconstituted by mixing it with another vial containing bacteriostatic water. The dosage strength most frequently found in these preparations is 10,000 units of hCG.

Key Aspects of hCG Trigger Dosage:

  • Standard Concentration: A dosage of 10,000 units is widely utilized to achieve an effective LH surge, which is essential for preparing eggs for retrieval or natural conception.
  • Formulation: The medication is prepared by dissolving the hCG powder into a sterile diluent, usually bacteriostatic water, just before injection.
  • Administration Method: The trigger shot is given via intramuscular injection, typically into a large muscle like the gluteus or thigh.
  • Timing is Critical: For IVF, the trigger shot is usually administered approximately 34-36 hours before the scheduled egg retrieval procedure to ensure optimal egg maturity and successful retrieval. For other treatments, the timing is precisely calculated to coincide with the anticipated ovulation.
  • Individualized Protocols: While 10,000 units is the most common dose, fertility specialists may adjust the dosage based on an individual patient's response to ovarian stimulation, the number and size of developing follicles, and specific risk factors, such as the potential for Ovarian Hyperstimulation Syndrome (OHSS). In some cases, lower doses (e.g., 5,000 units) or alternative trigger medications like GnRH agonists might be used.

Importance of the hCG Trigger

The hCG trigger shot is indispensable in assisted reproductive technologies because it:

  • Completes Egg Maturation: It facilitates the final stages of egg development, making them ready for fertilization.
  • Ensures Timed Ovulation/Retrieval: It provides the exact timing required for egg retrieval in IVF or for planning intercourse/IUI to maximize the chances of conception.
  • Supports Luteal Phase: hCG also helps sustain the corpus luteum, which is crucial for producing progesterone to support the uterine lining in early pregnancy.

Common Dosage Overview

To summarize the essential information regarding the hCG trigger shot:

Feature Description
Most Common Dosage 10,000 units
Composition hCG powder reconstituted with bacteriostatic water.
Injection Route Intramuscular (IM)
Primary Function Induces final egg maturation and triggers ovulation.
Typical Timing 34-36 hours before egg retrieval (IVF); precisely timed for IUI/timed intercourse.
Dosage Variations Can be adjusted by a fertility specialist based on individual patient needs and to manage OHSS risk.

It is imperative to strictly adhere to the instructions provided by your fertility clinic regarding the preparation, dosage, and timing of your hCG trigger shot.