Welcome to Dwaey, specifically on Chorionic Gonadotrophin page.
This medicine contains important and useful components, as it consists of
Chorionic Gonadotrophin is available in the market in concentration.
Chorionic Gonadotrophin
Before initiating treatment with Chorionic Gonadotrophin (hCG), patients must consult with their healthcare provider to ensure the medication is appropriate for their specific condition. Key precautions include:
- Pregnancy: Chorionic Gonadotrophin is contraindicated in pregnant women unless it is specifically used for fertility treatments or other prescribed indications. It should not be used as a treatment during pregnancy unless absolutely necessary.
- Ovarian Hyperstimulation Syndrome (OHSS): Caution is advised when using hCG for ovulation induction, as it can lead to ovarian hyperstimulation syndrome (OHSS), a serious complication marked by swollen ovaries, fluid retention, and abdominal discomfort.
- Multiple Pregnancies: Chorionic Gonadotrophin may increase the risk of multiple pregnancies (e.g., twins, triplets). Patients undergoing fertility treatments should be fully informed of the risks involved, as multiple pregnancies can lead to complications for both the mother and the babies.
- Previous Cancer History: Caution should be exercised in individuals with a history of reproductive cancers, such as ovarian, uterine, or breast cancer, due to the potential hormonal effects of hCG on these tissues.
- Thyroid and Adrenal Disorders: Patients with thyroid, adrenal, or pituitary disorders should inform their doctor as these conditions may affect the drug’s effectiveness or cause side effects.
- Allergic Reactions: Individuals with a known allergy to hCG or its components should avoid using this medication.
Healthcare providers should assess each patient's risk factors and medical history before starting treatment.
Chorionic Gonadotrophin is used for various fertility and reproductive treatments. It is primarily used to:
- Ovulation Induction: In women with anovulatory infertility (e.g., women who do not ovulate regularly), hCG is used to trigger ovulation after the ovaries have been stimulated with other fertility medications like FSH (follicle-stimulating hormone).
- Assisted Reproductive Technologies (ART): It is commonly used in ART procedures like in vitro fertilization (IVF) or intrauterine insemination (IUI) to induce ovulation and ensure the release of mature eggs.
- Male Hypogonadism: In men with hypogonadotropic hypogonadism (a deficiency of gonadotropins), hCG can stimulate testosterone production and support sperm production in the testes.
- Prepubertal Cryptorchidism: In boys with undescended testes (cryptorchidism), hCG can help stimulate the descent of the testes before surgical intervention.
- Testicular Function Restoration: In some cases, hCG is used to promote sperm production and restore testicular function in males with certain types of infertility.
Chorionic Gonadotrophin should not be used in certain conditions. It is contraindicated in:
- Pregnancy: The use of hCG is contraindicated during pregnancy unless specifically used for certain treatments, such as managing a pregnancy loss or aiding reproductive procedures.
- Known Allergy: Any patient with a hypersensitivity to hCG or any of its components should not receive this treatment.
- Ovarian Cysts or Cancer: Patients with ovarian cysts, ovarian cancer, or unexplained vaginal bleeding should not be treated with hCG.
- Uncontrolled Thyroid or Adrenal Disorders: Individuals with severe thyroid or adrenal disorders, including uncontrolled hypothyroidism or adrenal insufficiency, should avoid hCG unless monitored closely by a healthcare provider.
- Pituitary Disorders: Severe pituitary disorders (e.g., pituitary tumors or hyperplasia) may contraindicate the use of hCG due to its effects on hormone production in the pituitary gland.
- Multiple Pregnancies Risks: If a patient is at high risk of multiple pregnancies, particularly in women with a history of multiple pregnancies, careful consideration is needed before prescribing hCG.
Chorionic Gonadotrophin may cause a range of side effects, both mild and severe. Common side effects include:
- Injection Site Reactions: Pain, redness, or swelling at the site of injection is common. These are usually mild and transient.
- Ovarian Hyperstimulation Syndrome (OHSS): This is a serious side effect where the ovaries become swollen and painful, leading to fluid retention and abdominal discomfort. In severe cases, OHSS can cause difficulty breathing and kidney failure.
- Multiple Pregnancy: The use of hCG can increase the risk of multiple pregnancies (e.g., twins or triplets), which carries associated risks such as preterm labor and complications during childbirth.
- Headaches: Headaches are a relatively common side effect of hCG treatment due to hormonal changes in the body.
- Mood Swings or Irritability: Hormonal fluctuations caused by hCG can affect mood, leading to irritability, anxiety, or emotional changes.
- Breast Tenderness: Hormonal stimulation may lead to tenderness or enlargement of the breasts.
- Abdominal Discomfort: Mild abdominal discomfort, bloating, or nausea can occur due to ovarian stimulation.
- Nausea and Vomiting: Some patients may experience nausea or vomiting as a result of hormonal changes.
Severe side effects that require immediate medical attention include difficulty breathing, severe abdominal pain, chest pain, swelling in the legs or arms, or vision changes.
5
Chorionic Gonadotrophin works by mimicking the action of the natural hormone human chorionic gonadotropin (hCG). It stimulates the gonads (ovaries in women and testes in men) to produce hormones that are necessary for reproductive processes.
- In Women: hCG stimulates the ovaries to release a mature egg by triggering the final phase of follicular development (ovulation). It also supports the luteal phase by promoting the secretion of progesterone, a hormone that maintains the uterine lining for embryo implantation.
- In Men: hCG mimics luteinizing hormone (LH) and stimulates the testes to produce testosterone and sperm. It is used to treat male hypogonadism and some forms of male infertility.
- In Boys with Cryptorchidism: hCG is used to stimulate the testes to descend into the scrotum before surgery or in cases of delayed puberty.
Overall, hCG facilitates the regulation of reproductive hormones and is integral to fertility treatments in both men and women.
Chorionic Gonadotrophin may interact with other medications and substances, influencing its efficacy or increasing the risk of side effects. Some potential interactions include:
- Other Gonadotropins: Combining hCG with other gonadotropins (like FSH or LH) or fertility medications increases the risk of ovarian hyperstimulation syndrome (OHSS), which can lead to severe complications.
- Corticosteroids: Concurrent use of corticosteroids (such as prednisone) may increase the risk of fluid retention and high blood pressure in patients using hCG, as both drugs can cause similar side effects.
- Thyroid Medications: If a patient is taking thyroid hormone medications (e.g., levothyroxine), they should be monitored closely as thyroid levels can affect the activity of gonadotropins and influence the effectiveness of hCG.
- Insulin and Oral Hypoglycemics: Diabetic patients may experience changes in their insulin requirements when using hCG. Monitoring blood glucose levels closely is recommended as hCG can impact metabolic processes.
- Anticoagulants: Use of anticoagulant drugs, such as warfarin, alongside hCG may increase the risk of bleeding, especially in the case of OHSS, which may cause fluid shifts and clotting complications.
It is essential for patients to inform their healthcare provider of all medications, including over-the-counter drugs and supplements, to avoid adverse interactions.
The dosage of Chorionic Gonadotrophin depends on the indication:
- Ovulation Induction: The usual dose for ovulation induction is 5,000 to 10,000 units, given as a subcutaneous injection. This is typically administered when the ovaries are ready for ovulation after other fertility drugs (such as FSH) have been used.
- Male Hypogonadism: The dose for treating male hypogonadism is typically 1,000 to 2,000 units, administered 2-3 times a week for several months, depending on the patient's response.
- Testicular Development in Boys: For boys with undescended testes, the usual dose is 1,500 to 2,000 units, administered every other day for several weeks, typically for 3-6 months.
The dosage may vary based on individual needs, and a healthcare provider will determine the appropriate dose.
In children, particularly those with cryptorchidism (undescended testes), the typical dose of Chorionic Gonadotrophin is:
- Boys with Cryptorchidism: 1,000 to 2,000 units every other day for a few weeks to stimulate testicular descent. Treatment duration can vary based on the patient's response and age.
As always, it is important for parents and caregivers to consult a healthcare provider for proper dosing and to monitor the child’s progress during treatment.
Chorionic Gonadotrophin does not typically require dosage adjustments for patients with mild renal impairment. However, patients with severe renal dysfunction should be monitored for any adverse effects, particularly fluid retention or changes in hormone levels, which may require adjustments to the treatment plan.
Not available in a medicine form yet