8 days after the injection of HCG sensations. The effect of an injection of hCG on the follicle. Let's see in what cases this method is used. Possible complications and side reactions
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, 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 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 mainstream. 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 with either not quite complete hormonal background ladies 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 the diet, exclude 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 indicator?
- 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 occurrence... 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, a woman feels a surge of energy during ovulation, good mood, sex drive 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 which 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, stimulate ovulation. HCG injection is used in the complex therapy of infertility. It is used for 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.
Hello dear ladies.
It makes sense to do a test or take hCG 12-14 days after hCG injections, all tests or analyzes done before are NOT VALID!
If a second streak is visible after 12 days, it is most likely pregnancy.
Post date: 10.02.2015 13:52
Olga
Thank you doctor!
Post date: 10.02.2015 16:54
Post date: 13.02.2015 10:49
Helena
Hello, Doctor! Help me to understand my doubts ... 02/03/15 I gave an injection of HCG 5000 days. Today 10.02.15 the test showed a weak second line. For several days, the stomach pulls. Could this be pregnancy? thanks in advance.
Post date: 13.02.2015 20:13
Dostybegyan Gary Zelimkhanovich
Hello dear Elena.
It makes sense to do a test or take hCG 12-14 days after the injection of hCG, all tests or analyzes done earlier are NOT RELIABLE!
If a second streak is visible after 12 days, it is most likely pregnancy.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 19.02.2015 19:14
Katerina
Hello, Doctor! Please tell me, the injection of hCG 10 thousand was done on 05.02., Then 06.02 insemination, they said 2 follicles began to leak. After the procedure, until today, the lower abdomen pulls, there is pain in the chest. And on 18.02 I donated blood for hCG, result 7. Tell me, is this a residual phenomenon from the injection or is it already my result? Critical days should be 26
Post date: 20.02.2015 06:23
Dostybegyan Gary Zelimkhanovich
Hello dear Katerina.
Stomach pain is a reason to see a doctor.
HCG, what you did on February 5, already on the 12th, was completely out of the body, but 7 is not the value at which we can safely say that pregnancy has definitely come.
It is necessary to retake hCG in 2-3 days and from the dynamics everything will become clear, if it grows, it means that the pregnancy has taken place.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 21.02.2015 22:38
Catherine
Hello, doctor, today 6 days have passed since the injection of hCG 10,000 units. The simplest test shows one strip, and the road with indications of the number of weeks shows a positive result, is it worth taking HCG and what to do if at the current moment there is a disease of acute respiratory infections with a high temperature, it is somehow scary to take medications, in view of the fact that it is reliable for positive result.thanks for your reply
Post date: 22.02.2015 09:21
Dostybegyan Gary Zelimkhanovich
Hello dear Catherine.
A pregnancy test must be taken after 2 weeks, all other tests or analyzes for hCG done earlier are not informative.
ARI and high fever urgently needs to be treated. At a therapist.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 26.02.2015 19:09
Svetlana
Good afternoon! 19.02 was an injection of hCG 10,000 units. Yesterday (7dpu) I was on ultrasound. Ovulation was. On the right ovary a corpus luteum, and on the left they said a cyst of the corpus luteum. The doctor prescribed a hCG blood test in a week. But I am constantly drawn lower abdomen. Is it normal? I told the doctor about it yesterday at the reception, but she didn’t say anything about it. I’m very worried.
Post date: 26.02.2015 21:01
Maria
Good afternoon. Please tell me the last menstruation was on 01/27/2015, after that there was stimulation with Puregon. 02/14/15 there was an injection of hCG 10,000 units. The follicle burst. Today 02/26/15 the test is negative. Maybe it's too early, I'm very worried. :-( until what date should I wait? Or go to the doctor? Thank you very much in advance.
Post date: 26.02.2015 21:13
Dostybegyan Gary Zelimkhanovich
Hello dear Svetlana.
Similar symptoms occur with this condition. which you described.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Hello dear Maria.
HCG must be taken after 2 weeks, all other tests or analyzes for HCG done earlier are not informative.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 28.02.2015 10:18
Maria
Good afternoon, Gary Zelimkhanovich. Thank you for answering us in difficult times. I asked you a question about
"Please tell me the last menstruation was on 01/27/2015, after that there was stimulation with puregon. On 02/14/15 there was an injection of 10,000 hCG units. The follicle burst. Today 02/26/15 the test is negative. Maybe it's too early, I'm very worried. :-( until what date can I wait? Or go to the doctor already? Thank you very much in advance. "
But all the same, I passed hGC, and it turned out to be negative. All 2 weeks I measured rectal temperature. She was 37 all this time. But on the day when I took HCG. The temperature dropped to 36.6. And in the evening began terrible pains in the lower back, abdomen, a sharp dizziness and it does not stop, malaise. My period has gone. But for some reason it seems to me that the pregnancy was still there. I'm worried. How can I find out that it is menstruation or there was still a miscarriage. What should I do?
At the doctor, she said if the test is negative hCG, then this is menstruation, if not, then drink morning.
Thank you.
Post date: 28.02.2015 17:52
Dostybegyan Gary Zelimkhanovich
Hello dear Maria.
Your doctor told you everything right. What can be a miscarriage with negative hCG?
And basal temperature only indicates good progesterone. Only.
Please trust your doctor more, you double-check him, this is not correct, either you trust the doctor completely, or you do not.
The Internet is a great evil for patients who are ashamed, no one and nothing can replace live communication with the treating doctor.
I wish you an early pregnancy.
Respectfully yours, Dostybegyan Gary Zelimkhanovich doctor - reproductologist
Post date: 03.03.2015 09:05
Natalia
Hello! Can you please tell me how informative is BT after the transfer in the cryoprotocol? At 3 DPP was 37.1 at 5 DPP 36.8 in support of Duphaston 3 times a day, vaginally 400 a day, proginova.
And hormonal disruptions in 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 the drug chorionic gonadotropin man 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. Doctor on 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, an unviable 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, breast 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 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, since 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 sites.
There are side reactions, which 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.
