Pain in the lower abdomen after hCG injection. What sensations to expect during ovulation? What factors influence the temperature indicator
Hello, dear ladies.
It makes sense to do a test or take hCG 12-14 days after the hCG injection; all tests or analyzes done earlier are NOT RELIABLE!
If after 12 days a second line is visible, 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
Elena
Hello doctor! Help me understand my doubts... On 02/03/15 I took a hCG injection of 5000 units. Today, 02/10/15, the test showed a weak second line. My stomach feels tight for several days. Could this be pregnancy? thanks in advance.
Post date: 13.02.2015 20:13
Dostibegyan Gary Zelimkhanovich
Hello, dear Elena.
It makes sense to do a test or take hCG 12-14 days after the hCG injection; all tests or analyzes done earlier are NOT RELIABLE!
If after 12 days a second line is visible, it is most likely pregnancy.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
Post date: 19.02.2015 19:14
Katerina
Hello, doctor! Please tell me, I took a 10 thousand hCG injection on 02/05, then insemination on 02/06, they said 2 follicles began to leak. After the procedure, I still have pain in my lower abdomen and chest pain to this day. And on February 18 I donated blood for hCG, the result was 7. Tell me, is this a residual effect from the injection or is it already my result? Critical days should be the 26th
Post date: 20.02.2015 06:23
Dostibegyan Gary Zelimkhanovich
Hello, dear Katerina.
Abdominal pain is a reason to see a doctor.
The hCG that you did on February 5 had already completely left the body on the 12th, but even 7 is not the value at which we can safely say that pregnancy has definitely occurred.
You need to retake the hCG test in 2-3 days and everything will become clear from the dynamics; if it grows, it means the pregnancy has taken place.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
Post date: 21.02.2015 22:38
Catherine
Hello, doctor, today 6 days have passed since the hCG injection of 10,000 units. The simplest test shows one strip, and the expensive one with readings for a number of weeks shows a positive result, is it worth taking a hCG test and what to do if you currently have an acute respiratory illness with a high temperature, taking medications is somehow scary, due to the fact that there is a reliable positive result. thanks for the answer
Post date: 22.02.2015 09:21
Dostibegyan Gary Zelimkhanovich
Hello, dear Ekaterina.
A pregnancy test must be taken after 2 weeks; all other tests or tests for hCG done earlier are not informative.
Acute respiratory infections and high fever need to be treated urgently. At the therapist.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
Post date: 26.02.2015 19:09
Svetlana
Good afternoon! On February 19, I had a hCG injection of 10,000 units. Yesterday (7th day) I had an ultrasound. There was ovulation. There was a corpus luteum on the right ovary, and on the left they said there was a corpus luteum cyst. The doctor prescribed an appointment and a hCG blood test in a week. But I’m constantly cramping lower abdomen. Is this normal? I told the doctor about this at my appointment yesterday, 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 January 27, 2015, after which there was stimulation with puregon. On 02/14/15 I received an hCG injection of 10,000 units. The follicle burst. Today, 02/26/15, the test was negative. Maybe it’s too early, I’m very worried. :-(until what date should I wait? Or should I go to the doctor already? Thank you very much in advance.
Post date: 26.02.2015 21:13
Dostibegyan Gary Zelimkhanovich
Hello, dear Svetlana.
Similar symptoms occur in that condition. which you described.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
Hello, dear Maria.
HCG must be taken after 2 weeks; all other tests or tests for hCG done earlier are not informative.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
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 which there was stimulation with puregon. On 02/14/15 there was an injection of hCG 10,000 units. The follicle burst. Today on 02/26/15 the test is negative. Maybe it’s too early, I’m very worried. :-(until when should I wait? Or should I go to the doctor already? Thank you very much in advance."
But still, I took an hCG test, and it turned out to be negative. All 2 weeks I measured my rectal temperature. She was 37 all this time. But on the day I took the hCG test. The temperature dropped to 36.6. And in the evening, terrible pain began in the lower back, stomach, severe dizziness and it did not subside, malaise. My period has started. But for some reason it seems to me that there was still a pregnancy. I'm worried. How can I find out if it’s my period or if I’ve had a miscarriage? What should I do?
She saw the doctor and said if the hCG test is negative, then it’s your period; if not, then take Utrozhestan.
Thank you.
Post date: 28.02.2015 17:52
Dostibegyan Gary Zelimkhanovich
Hello, dear Maria.
Your doctor told you everything correctly. What kind of miscarriage can happen with negative hCG?
And basal temperature only indicates good progesterone. Just.
Please trust your doctor more, you double-check him, this is not right, either you completely trust the doctor or you don’t.
The Internet is a great evil for anxious patients; no one and nothing can replace live communication with the treating doctor.
I wish you a speedy pregnancy.
Sincerely, Dostibegyan Gary Zelimkhanovich, fertility specialist
Post date: 03.03.2015 09:05
Natalia
Hello! Please tell me how informative is BT after transfer in a cryoprotocol? At 3 dpp it was 37.1, at 5 dpp it was 36.8 in the support of duphaston 3 times a day, vaginal utrozhestan 400 per day, proginova.
And hormonal disruptions in the female body. The techniques are used for in vitro fertilization, artificial insemination, hormonal or age-related changes.
The technique consists of taking hormonal drugs for development, prescribed individually, and then injecting a drug with human chorionic gonadotropin to trigger ovulation.
Stimulation of follicle development and egg release is used in cases where a couple is unable to conceive a child on their own. The gynecologist makes a decision on treatment after conducting the necessary examinations.
The length of the period (from 6 months to 1 year) during which the woman is trying to get pregnant is also taken into account.
Human chorionic gonadotropin, which is naturally secreted by the chorion in the initial stages of pregnancy, 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 administration of the hormone also prevents the development of follicular cysts on the ovary.
Gonadotropin will perform its functions if the injection is given 1 - 1.5 days before expected ovulation. The fact of ovulation or its absence is confirmed by ultrasound.
Hormone injection is not a treatment method. Follicle rupture is provoked at a time, only in the cycle when the drug was administered. The injection will not affect subsequent menstrual cycles. In addition, the absence of ovulation should be recorded by a specialist during several cycles in a row.
When is it prescribed?
During an ultrasound, the gynecologist determines the “” follicle and monitors its development. for the period when it has matured and the release of the egg is approaching.
The injection is given once before ovulation. The dosage is selected individually and ranges from 5000 to 10,000 units. Gonadotropin is injected into the gluteal muscle or thigh.
Sometimes repeated administration of the hormone is required to support and develop the corpus luteum, which maintains pregnancy.
ATTENTION! It is unacceptable to make an independent decision about a drug injection. Using the drug without a doctor’s recommendation will lead to serious hormonal disruption in a woman’s reproductive system.
After the injection, the doctor selects the optimal frequency of sexual intercourse for pregnancy or prescribes artificial insemination. Usually required every other day or daily, depending on the spermogram.
At what size is it done to stimulate a rupture?
Intramuscular administration is prescribed after identifying the dominant follicle. With hormonal stimulation, follicles. The doctor uses an ultrasound examination to determine their readiness for ovulation.
The gynecologist prescribes an injection for successful exit when the follicle size reaches 16–21 mm. In each individual case, the doctor individually determines readiness for ovulation.
Within 36 hours after the injection, ovulation occurs and the possibility of artificial or natural insemination occurs.
IMPORTANT! If you administer the drug before the prescribed 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 drug human chorionic gonadotropin or its component;
- the presence of a malignant neoplasm, the growth of which can be facilitated by the hormone (as well as suspicion of oncology of the ovaries, uterus, mammary glands, pituitary gland);
- menopause period;
- lactation;
- obstruction of pipes;
- thrombophlebitis;
- hypothyroidism;
- pathologies of the adrenal glands.
IMPORTANT! If gonadotropin stimulation is performed on a woman with tubal obstruction, the process may result in an ectopic pregnancy. It is necessary to eliminate the obstruction by laparoscopy.
A contraindication to the procedure may be the patient’s age over 37 years, but in this case the gynecologist makes the decision individually.
What if it doesn't burst?
Ovulation after administration of human chorionic gonadotropin occurs in the vast majority of cases. But there are situations in which the break still did not occur. The reasons may be different:
- improper stimulation of follicle development;
- absence of a dominant follicle;
- the presence of other health problems that were not previously taken into account.
An injection with a hormonal drug is given only if the patient’s ovaries are under constant monitoring and folliculometry is regularly performed using ultrasound. 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 carry out one of the following measures:
- administration of an additional hCG drug (for example, 5000 U of the hormone to the already administered 10,000 U);
- repetition of stimulation during the next menstrual cycle;
- break and repeat stimulation after three menstrual cycles.
IMPORTANT! A cyst may form in place of the unruptured follicle. Monitoring the process is important both when ovulation occurs and when it does not occur.
Possible complications and adverse reactions
The alleged complications are explained by the effect of the drug on the body of a particular person. Allergic reactions in the form of a rash at the injection sites are possible.
Adverse reactions occur, which are described in the annotation for the drug used:
- nausea and vomiting;
- diarrhea;
- soreness of the mammary glands;
- pain in the ovarian area;
- thromboembolism;
- hydrothorax;
- increase in temperature;
- gynecomastia.
Taking into account all possible complications, gynecologists decide whether to use the hormone to achieve a long-awaited pregnancy, or refuse it.
All a woman’s sensations are associated with the transformations that occur in her body throughout the menstrual cycle. It is enough to observe your well-being and 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 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, eggs are born in the follicles. Over the course of a week, they all develop in the same way. At the same time, the ovary increases slightly in size. After a few more days, one of the follicles is several millimeters ahead of the others 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 egg appears ready for fertilization. The remains of the follicle come out along with vaginal discharge. The moment the egg is released from the follicle is called ovulation.
The rupture of the follicle, the entry of the egg into the uterine cavity, is accompanied by minor painful sensations, and particles of blood appear in the discharge. 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 and droplets of blood are visible in them. At the same time, especially sensitive women or women with less than adequate hormonal levels notice significant changes in their sensations and behavior.
How to determine ovulation
The process of the egg leaving the follicle remains invisible to many women. In principle, this is how it should be 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 measuring basal temperature. A woman must adjust to a certain sleep and wakefulness schedule, adjust her diet, and eliminate bad habits. An ordinary thermometer is used as a tool. You will need a notebook where you will record every day, sensations, life events, and well-being. Then you can view the 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 gets up at night, the temperature will not reflect a true picture of the processes occurring in the body. Basal temperature is measured in the vagina or rectum. The latter option is considered more accurate.
What factors influence the temperature indicator?
- Alcohol;
- strong tea, coffee;
- sexual intercourse;
- disease of internal organs;
- Acute respiratory infections and flu with fever;
- nervous stress, tension;
- physical fatigue;
- taking pills.
A record should be kept every day, a graph should be drawn according to the data received. The basal temperature in the first half of the cycle, before ovulation, remains below 37 degrees Celsius. 2 days before ovulation there is a decrease of 3-4 degrees. Then a sharp increase 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. If there is pregnancy, it does not fall below 37.
To determine the days of ovulation in your cycle, you should conduct research over a period of 6 months. In women under 30 years of age, 2 cycles are allowed when there is no ovulation, which is considered normal. After 35 years, there are up to 6 cycles a year without ovulation.
What are the sensations during ovulation?
You can determine ovulation by the discharge and feel it. First of all, changes in well-being are associated with hormones. On the eve of ovulation, estrogen increases, and immediately after it, the majority is progesterone. What changes occur in the body during ovulation?
In addition, during ovulation a woman feels a surge of energy, a good mood, an increase in libido, and sex brings the greatest 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 disappear due to discharge. They become viscous, transparent, in abundant quantities, odorless.
Feelings after ovulation
Sometimes a woman learns about the release of an egg from the follicle only after ovulation has ended. Changes in sensations are associated with increased 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. Physical sensations after ovulation are very noticeable in chronic gastrointestinal diseases. Then there may be stomach pain and intestinal dysfunction. Basically, nothing unusual happens. If ovulation causes pain in a woman's ovarian area, she may feel relief afterwards. Which means that the follicle has burst and the egg has entered the uterine cavity.
Feelings after an HCG injection
If the process of follicle maturation in the ovary does not occur naturally, ovulation is stimulated. HCG injection is used in complex therapy of infertility. It is used for artificial insemination of a woman, during the IVF process. However, in this case, it is problematic to feel the process of follicle rupture. Just like the sensations themselves during ovulation are deceptive. Due to the fact that a woman is prescribed hormone therapy, everything that happens in the 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 ends up in the uterus. The discharge after an hCG injection is also ambiguous. In this case, you should not focus on 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 half, the uterus increases in size. The endometrial layer thickens. The uterus is preparing to receive a fertilized egg and develop pregnancy. Based on this, before ovulation there may be minor discomfort in the ovarian area, and after ovulation - in the area of the uterus. Bloating, indigestion, and changes in emotional background can be observed on any day of the cycle. And the processes of the menstrual cycle are not always to blame.
