Pregnyl (HCG)

Pregnyl® (HCG) is an FDA-approved injectable prescription medication containing human chorionic gonadotropin — a hormone that mimics the LH surge to trigger ovulation in women and support testosterone and sperm production in men with hypogonadism.

Overview

Pregnyl® contains human chorionic gonadotropin (HCG) — a glycoprotein hormone naturally produced during early pregnancy. HCG shares structural and functional similarity with luteinizing hormone (LH), the pituitary hormone that drives ovulation in women and stimulates testosterone production in men. When administered exogenously, HCG mimics the LH surge that the body would otherwise generate naturally, making it a versatile hormonal tool in both male and female reproductive medicine. Pregnyl® is supplied as a lyophilized (freeze-dried) powder that is reconstituted with the provided bacteriostatic water before injection.

Women seeking

Ovulation triggering for timed intercourse or assisted reproductive procedures, or treatment of female infertility

Men seeking

Improved sperm count, testosterone support, and treatment of hypogonadotropic hypogonadism without suppressing fertility

Diagnosed with

Anovulation, LH deficiency, hypogonadism, or infertility conditions where the LH-like action of HCG provides therapeutic benefit

Looking for

An FDA-approved, well-established hormonal therapy with decades of clinical use in reproductive medicine

Mechanism & Formulation

LH Mimicry

Gonadotropin Receptor Agonism

HCG shares the same receptor as luteinizing hormone (LH), binding to LH/CG receptors on target cells in both the ovaries and testes. This structural similarity allows HCG to replicate the LH surge — the critical hormonal signal that triggers follicular rupture in women and activates Leydig cell testosterone synthesis in men — with high potency and reliability.

Lyophilized Formulation

Freeze-Dried Powder for Reconstitution

Pregnyl® is supplied as a lyophilized (freeze-dried) powder, which maximizes shelf stability and preserves biological activity over time. Before injection, the powder is reconstituted with bacteriostatic water to create the injectable solution. This formulation approach is standard for protein hormones, ensuring potency is maintained from manufacture through administration.

Subcutaneous / IM Delivery

Injection — Provider-Directed Dosing

Pregnyl® is administered by subcutaneous or intramuscular injection, depending on the clinical protocol prescribed. Dosing schedules vary significantly between indications — ovulation triggering typically involves a single precisely timed dose, while male hypogonadism treatment may involve regular injections over weeks or months. Your provider will determine the appropriate schedule.

All eligibility is reviewed by a licensed medical professional.

Simple. Medical. Personalized.

Medical intake

Answer a few online questions about your health history, lifestyle, and goals — no clinic visits required.

Provider evaluation

A licensed medical professional reviews your intake and determines the safest, most effective option for you.

Personalized plan

Custom treatment plan built around your unique health needs, goals, medical history, and biology.

Ongoing support

Stay connected with your care team for follow-ups, adjustments, and expert answers — all online.

FAQs

Dosage & Administration

Dosing for Pregnyl® varies by indication and is determined entirely by your prescribing provider. For ovulation induction in women, a single precisely timed dose is typically administered to trigger the LH surge. For men with hypogonadism, injections are usually given on a regular schedule — often two to three times per week — over a course of weeks or months. Reconstitute the lyophilized powder with bacteriostatic water as directed and administer by subcutaneous or intramuscular injection. Rotate injection sites and use a new needle for each injection.

Precautions & Side Effects

Pregnyl® is an FDA-approved prescription medication. It is contraindicated in patients with precocious puberty, hormone-sensitive cancers, uncontrolled thyroid or adrenal dysfunction, and in patients with hypersensitivity to HCG. In women, there is a risk of ovarian hyperstimulation syndrome (OHSS), particularly when used in conjunction with ovarian stimulation medications. Multiple gestation (twins or more) is also a known risk. In men, HCG can cause fluid retention and, in rare cases, gynecomastia. Consult your provider for the complete prescribing information and a full discussion of risks and benefits.

Storage

Store unreconstituted Pregnyl® powder at controlled room temperature, protected from light. Once reconstituted with bacteriostatic water, store the solution in the refrigerator at 36°F–46°F (2°C–8°C) and use within 30 days, or as directed on your prescription label. Do not freeze the reconstituted solution. Keep out of reach of children. Discard any unused solution after the recommended period. For complete prescribing information, refer to the official FDA-approved label.

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