Why does my chest hurt after an injection of HCG? The effect of an injection of hCG on the follicle. Let's see in what cases this method is used. Feelings after ovulation

And hormonal disruptions in the female body. Techniques are used for in vitro fertilization, artificial insemination, hormonal or age-related changes.

The technique consists in taking hormonal drugs for development, prescribed individually, and further injection with a drug of human chorionic gonadotropin to trigger ovulation.

Stimulation of follicular development and egg release is used in cases when a couple cannot conceive a child on their own. The gynecologist decides on the treatment after the necessary examinations.

The length of the period (from 6 months to 1 year) is also taken into account during which a woman is trying to get pregnant.

Chorionic gonadotropin, which is secreted by chorion in the early stages of pregnancy during natural processes, is used for.

Follicle rupture under the influence of this hormone occurs due to its follicle-stimulating and luteinizing properties. HCG regulates the maturation of the dominant follicle, its rupture (i.e. ovulation), the formation and development of the corpus luteum. The introduction of the hormone is also the prevention of the development of follicular cysts on the ovary.

The gonadotropin will perform its functions if the injection is given 1 - 1.5 days before the expected ovulation. The fact of ovulation or its absence is confirmed by ultrasound.

Hormone injection is not a treatment. Follicle rupture is provoked at a time, only in the cycle when the drug was injected. The injection will not affect subsequent menstrual cycles. In addition, the absence of ovulation must be recorded by a specialist during several cycles in a row.

When is it prescribed?

During an ultrasound scan, the gynecologist determines the "" follicle and monitors its development. for the period when its maturation has occurred and the release of the egg is approaching.

The injection is given once before the onset of ovulation. The dosage is selected individually and is in the range of 5000 - 10000 U. Gonadotropin is injected into the gluteus muscle or thigh.

Sometimes a repeated administration of the hormone is required to support and develop the corpus luteum, which preserves pregnancy.

ATTENTION! It is unacceptable to independently make a decision about an injection with a drug. The use of the drug without a doctor's recommendation will lead to a serious hormonal disruption in the woman's reproductive system.

After the injection, the doctor selects the optimal frequency of intercourse for the onset of pregnancy or prescribes artificial insemination. Usually it is required every other day or every day, depending on the semen analysis.

At what size is it done to stimulate the gap?

Intramuscular administration is prescribed after the dominant follicle is identified. With hormonal stimulation, follicles. The doctor on an ultrasound examination determines their readiness for ovulation.

The gynecologist prescribes an injection for a successful exit when the follicle size reaches 16 - 21 mm. In each case, the doctor individually determines the readiness for ovulation.

Within 36 hours after the injection, ovulation occurs and the possibility of artificial or natural fertilization.

IMPORTANT! If the drug is administered earlier than the set time, then if ovulation occurs, a non-viable egg will be obtained and pregnancy will not occur.

In what cases should the injection not be used?

Contraindications to stimulation:

• hypersensitivity to the preparation of chorionic gonadotropin or its constituent component;
• the presence of a malignant neoplasm, the growth of which can be facilitated by a hormone (as well as a suspicion of oncology of the ovaries, uterus, mammary glands, pituitary gland);
• period of menopause;
• lactation;
• obstruction of pipes;
• thrombophlebitis;
• hypothyroidism;
• pathology of the adrenal glands.

IMPORTANT! If you give gonadotropin stimulation to a woman with obstructed tubes, the process may end in an ectopic pregnancy. It is necessary to eliminate the obstruction by laparoscopy.

A contraindication to the procedure may be the age of the patient over 37 years old, but in this case the gynecologist makes a decision individually.

If it doesn't burst?

Ovulation after the introduction of chorionic gonadotropin occurs in the vast majority of cases. But there are situations in which the break still did not occur. The reasons can be different:

• improperly performed stimulation of follicle development;
• lack of a dominant follicle;
• the presence of other health problems that were not previously accounted for.

An injection with a hormonal drug is done only if the patient's ovaries are under constant control and folliculometry is regularly performed on an ultrasound scan. Otherwise, hCG will not promote ovulation, as there will be no dominant follicle.

If the follicle does not rupture 36 hours after the injection, the doctor decides to take one of the following measures:

• the introduction of an additional hCG drug (for example, 5000 U of the hormone to the already introduced 10,000 U);
• repetition of stimulation during the next menstrual cycle;
• break and repetition of stimulation after three menstrual cycles.

IMPORTANT! A cyst may form at the site of an unruptured follicle. Monitoring the process is important both when ovulation occurs and in its absence.

Possible complications and side reactions

The alleged complications are explained by the effect of the drug on the body of a particular person. Allergic reactions are possible in the form of a rash at the injection site.

There are side reactions that are described in the annotation to the drug used:

• nausea and vomiting;
• diarrhea;
• soreness of the mammary glands;
• painful sensations in the ovarian area;
• thromboembolism;
• hydrothorax;
• temperature increase;
• gynecomastia.

Considering all possible complications, gynecologists decide to use the hormone for the onset of a long-awaited pregnancy, or refuse it.

All sensations of a woman are associated with the transformations that occur in her body throughout the entire menstrual cycle. It is enough to observe your well-being, your mood for several months in a row, and you can know when ovulation occurs. At first, you will need to keep a basal temperature chart in order to confirm your feelings with natural data.

A new cycle begins from the first days of menstruation. Then, under the influence of hormones that the ovaries produce, the eggs are born in the follicles. During the week they all develop in the same way. At the same time, the ovary slightly increases in size. A few days later, one of the follicles outstrips the rest by a few millimeters in growth. Becomes the main one. In general, the process of follicle maturation takes from 12 to 16 days from the beginning of the cycle. After this time, the follicle leaves the ovary and bursts. An ovum appears ready for fertilization. The remains of the follicle are expelled along with the vaginal discharge. The moment the egg leaves the follicle is called ovulation.

The rupture of the follicle, the ingress of the egg into the uterine cavity is accompanied by minor painful sensations, and blood particles appear in the secretions. As a rule, the unusual sensations of ovulation last only a few days and women do not pay much attention to them. But even those who do not know what ovulation is can note that in the middle of the cycle there are several days when the discharge becomes like egg white and increases in quantity. And in some cases, during ovulation, pink streaks, drops of blood are visible in them. At the same time, especially sensitive women or women with not quite a full-fledged hormonal background notice significant changes in sensations and their behavior.

How to determine ovulation

The process of release of an egg from the follicle for many women remains invisible. In principle, this should be so when everything is normal. If physiologically it was built differently, there would be no unplanned pregnancy and problems with conception. But no, you need to conduct a serious study of your body. What effort is required?

The simplest method that allows and can be used at home is basal temperature measurement. A woman should tune in to a certain mode of sleep and wakefulness, adjust her diet, and eliminate bad habits. An ordinary thermometer is used as a tool. You will need a notebook where every day, feelings, life events, and well-being will be recorded. Then you can view your ovulation period. You will have to measure every day at the same time, without getting out of bed. The sleep interval should be at least 6 hours. If a woman got up at night, the temperature will not reflect the true picture of the processes taking place in the body. Basal temperature is measured in the vagina or in the rectum. The latter option is considered more accurate.

What factors affect the temperature reading?

• Alcohol;
• strong tea, coffee;
• sexual intercourse;
• disease of internal organs;
• ARI and flu with fever;
• nervous stress, tension;
• physical overwork;
• taking pills.

The record should be kept every day, draw a schedule, according to the data received. Basal temperature in the first half of the cycle, before ovulation, is kept below 37 degrees Celsius. 2 days before ovulation, there is a decrease of 3-4 degrees. Then a sharp rise of 5-6 degrees. Up to approximately 37.5-37.8 degrees. This is ovulation. After 1-2 days, the temperature drops again by several degrees. In the presence of pregnancy, it does not fall below 37.

To determine the days of ovulation in your cycle, you should conduct research within 6 months. In women under 30, 2 cycles are permissible when there is no ovulation, which is considered normal. After 35 years of age, up to 6 cycles without ovulation occur per year.

What are the sensations during ovulation?

You can determine ovulation by discharge, feel it. First of all, changes in well-being are associated with hormones. On the eve of ovulation, estrogen rises, and immediately after it, progesterone is in the majority. What changes occur in the body during ovulation?

In addition, during ovulation, a woman feels a surge of energy, good mood, libido increases, and sex brings the highest pleasure.

All sensations during ovulation are individual. Sometimes a woman does not experience anything like this at all, and the suspicion of ovulation and all processes fall due to secretions. They become viscous, transparent, abundant, odorless.

Feelings after ovulation

Sometimes a woman learns about the release of an egg from the follicle only after ovulation has ended. The change in sensation is associated with an increase in progesterone levels. After that, the woman becomes less active in behavior, taste preferences change, anxiety and irritability appear. The first changes after ovulation concern the psycho-emotional sphere. The physical sensations after ovulation are very noticeable in chronic gastrointestinal diseases. Then there may be pain in the stomach, disruption of the intestines. Basically, nothing out of the ordinary happens. If ovulation causes pain in the ovarian area in a woman, she may feel relief after it. That suggests that the follicle has burst, the egg has entered the uterine cavity.

Feelings after an injection of hCG

If the process of maturation of the follicle in the ovary does not occur naturally, ovulation is stimulated. HCG injection is used in the complex therapy of infertility. It is used in artificial insemination of a woman, in the IVF process. However, in this case, it is problematic to feel the process of follicle rupture. As well as the sensations themselves during ovulation are deceiving. Due to the fact that hormone therapy is prescribed to a woman, everything that happens in a woman's body will be associated with their influence. The process of follicle maturation in a woman is monitored using ultrasound. Then it becomes clear when the egg is in the uterus. Discharge after an injection of hCG is also ambiguous. In this case, you should not be guided by your own feelings and natural secretions.

In the first half of the cycle, the ovary increases in size due to the maturation of the follicles, in the second - the uterus. The endometrial layer thickens. The uterus prepares for the adoption of a fertilized egg, the development of pregnancy. Based on this, before ovulation, there may be slight discomfort in the ovarian area, after ovulation - at the location of the uterus. Bloating, indigestion, changes in the emotional background can be observed on any day of the cycle. And the processes of the menstrual cycle are not always to blame for this.

- a hormone produced by the embryo after its attachment to the endometrium. It contributes to the normal progression of pregnancy and ensures a smooth course of pregnancy. 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 contact occurs between mother and child.
• General control of metabolic processes in the body of a pregnant woman and fetus.

Considering the above functions of hCG, it becomes obvious that it is one of the main regulators of normal gestation of the fetus. That is why its synthetic analogue is used in medicine to increase the chance of getting pregnant and prevent a number of pathological conditions. Chorionic gonadotropin injection can help conceive and carry a healthy baby. However, it all depends on the specific circumstances of each individual case.

The standard definition of pregnancy takes place using a classic pharmacy test. When the urine of a woman who is pregnant gets on it, the coveted 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 interaction with a hormone in the urine. An alternative can 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 occurs, then the hormone will begin to sharply increase its concentration in the blood. For the study, venous blood is used, in which hCG itself is sought. The first positive results usually appear on the 7-10th day in the blood and on the 10-14th day in the urine.

Does the hCG shot 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 we expect pregnancy after an injection of hCG?" To answer, you need to understand a little more about the features of its application.

The injection 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:

• Continuing the functioning of the corpus luteum. If it is insufficient, there may be an inferiority of the endometrium, the unwillingness of the uterus to accept the fetus. HCG changes this situation for the better.
• To speed up the formation of the placenta.
• To stimulate ovulation. This is what hCG is most often used for.
• To prepare for in vitro fertilization.

Given the goals pursued by doctors, there are a number of indications for the use of hormone injections:

• Insufficient functional activity of the corpus luteum.
• Infertility caused by anovulatory menstrual cycle.
• Habitual miscarriage.
• High risk of miscarriage.
• As part of the process using a variety of assisted reproductive technologies.

In all these situations, the use of hCG injection would 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 become pregnant.

How is HCG used?

If a woman 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 follicles in the ovaries.

Those women who could not get pregnant for a long time 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 10,000 hCG is considered standard. This dose is prescribed for a reason. Before the direct injection, an appropriate preparatory stage is carried out, which includes the use of hormones to stimulate follicular growth. Only after their development and the dominant follicle reaches a size of 20-25 mm, can an injection of hCG be used. Basically, this is the 14-20th day of the cycle. Follicle size control is carried out using ultrasound.

Such a procedure stimulates ovulation, the follicle ruptures, and the ripe egg begins its journey towards the sperm. HCG in this case "helps" the natural conception to occur. Usually ovulation occurs 12-36 hours after the injection. Therefore, in order to achieve the desired result, it is necessary to actively try to conceive a child during this period of time. In most cases, everything goes well.

Sometimes, to stimulate ovulation, it is enough to give an injection of hCG 5000. However, you need to understand that the dose should be calculated only by the attending physician. 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 (as well as Gonal F);
• Chorionic gonadotropin;
• Puregon;
• Menogon.

After successful conception, progesterone is additionally prescribed to maintain pregnancy.

What will a blood test show after an injection of hCG?

Many women are interested in when it is possible to conduct an ovulation test after an injection of hCG, and whether it is worth doing it at all. Basically, doctors recommend monitoring the process of 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. A pregnancy test after an injection of hCG is justified in 1-2 weeks. It takes approximately that long for a fertilized egg to begin 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 need to consult with your doctor for appropriate recommendations.

Selected reviews

As examples, we can cite the reviews of the visitors of one well-known clinic who were injected with hCG (the survey was conducted anonymously, the names were changed):

• Anna: “At first I was stimulated by Klostilbegit. In the 1st cycle, the follicle reached 18 mm, but did not rupture. On the second attempt, he was 19 mm, and then an injection of hCG was given. We waited for pregnancy for more than a year, and after hCG it came! We are now six months old. "
• Victoria: “We couldn't have a baby for a long time. We have already tried everything. We studied these follicle sizes, tried different methods, stimulated me as much as possible, and injected hCG, but without effect. Although the follicles were ripening, they still did not come out. In general, gonadotropin did not help us, and nothing of the previously used. I spat on the recommendations of the doctors and decided to correct the weight. And it really helped me. "
• Sofia: “We conceived from the very first injection of hCG. The tests were taken 10 days after the injection. They immediately showed 2 stripes. Sadly, we were unable to save the pregnancy. Now we want to try again. "

As you can see, an injection of hCG is not a panacea. Yes, it significantly increases the chance of conception, but much depends on the individual characteristics of each woman's body and the specific situation.

Bibliography

1. Women's consultation. Leadership, Editor: V.E. Radzinsky 2009 Publisher: Geotar-Media.
2. Emergency care in obstetrics and gynecology: a short guide. Serov V.N. 2008 Publisher: Geotar-Media.
3. Atlas of ultrasound diagnostics in obstetrics and gynecology. Dubile P., Benson K.B. 2009 Publisher: MEDpress-inform.