Hormonal Regulation FDA Approved

HCG

Also known as: Human Chorionic Gonadotropin, Gonadotrofina Coriônica Humana

Molecular Identifiers

Molecular Formula

C1105H1770N318O336S26

CAS Number

9002-61-3

UNII

20ED16GHEB

Molecular Weight

~36.7 kDa (heterodímero); 25719.77 g/mol (cadeias polipeptídicas, sem glicosilação)

Overview

Human chorionic gonadotropin that mimics LH. Maintains testicular function during TRT. Research in fertility preservation.

FDA-approved as Pregnyl (intramuscular injection) and Ovidrel (recombinant choriogonadotropin alfa) for female infertility treatment, ovulation induction and spermatogenesis stimulation in men.

The main clinical interest around HCG is its mimicry of endogenous LH: by stimulating Leydig cells, it preserves intratesticular testosterone production and spermatogenesis. For this reason it is widely prescribed as an adjuvant to testosterone replacement therapy (TRT) to prevent testicular atrophy and maintain fertility, as well as in ovulation induction protocols in reproductive medicine.

HCG is a prescription medication dispensed at standard pharmacies as Pregnyl (Organon/Merck) and approved by the FDA also as Ovidrel (recombinant choriogonadotropin alfa). Its use in male endocrinology as a "bridge" during TRT is established off-label practice. WADA lists it as a substance prohibited for male athletes.

Within the HPG axis, hCG is the outlier of the group: it does not act on the pituitary like gonadorelin, triptorelin, and cetrorelix, nor on the hypothalamus like kisspeptin-10 — it acts directly on testicular Leydig cells, mimicking LH and bypassing pituitary levels. This is why it preserves steroidogenesis even when the axis is suppressed (e.g., TRT), whereas GnRH agonists/antagonists depend on a responsive pituitary. It is also a large glycoprotein, in contrast with the others, which are short peptides.

Large glycoprotein (237 amino acids, ~36.7 kDa) — hormone composed of alpha and beta subunits

Half-life

~24-36 hours

Administration Route

Subcutaneous or intramuscular

Category

Hormonal Regulation

Mechanism of Action

  • LH (luteinizing hormone) mimicry
  • Leydig cell stimulation
  • Maintenance of intratesticular testosterone production
  • Spermatogenesis support

Dosage Protocol

Data compiled from the literature. This does not constitute medical advice.

Parameter Value
Dose 250-500 IU per injection
Frequency 2-3 times per week
Timing Any time of day
Duration As per protocol

Reported Side Effects

Adverse effects described in the literature. Severity and frequency vary between individuals.

  • Gynecomastia
  • Fluid retention
  • Headache
  • Irritability
  • Injection site pain

Product Properties

Purity >97%
Appearance White lyophilized powder
Solubility Soluble in water and bacteriostatic water
Source Recombinant DNA technology or extraction from pregnant women urine
Storage Lyophilized: -20°C for up to 2 years, 2-8°C for up to 6 months. Reconstituted: 2-8°C for up to 30 days. Protect from light and moisture. Avoid repeated freeze-thaw cycles.

Presentations & Preparation

Vials of HCG found in the research market:

5000 UI10000 UI

Reconstitution

  • Diluent: Bacteriostatic water
  • Volume: According to vial concentration
  • Slowly inject the diluent against the vial wall
  • Gently swirl until fully dissolved
  • Never shake

Storage

  • Lyophilized: Refrigerated 2-8°C
  • Reconstituted: Refrigerated 2-8°C (up to 30 days)
  • Protect from direct light
  • Do not freeze after reconstitution
Reconstitution Calculator

Scientific Studies

Published studies on HCG.

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