Suggest Dosage For HCG Shot

Posted on Fri, 4 Dec 2015

Question: I had my 2nd trigger shot yesterday and my follicle still hasn't ruptured.can I take another trigger shot?
Can I go for a 3rd trigger shot?

Answered by Dr. Mahesh Koregol (34 minutes later)

Brief Answer:
Go ahead

Detailed Answer:
Hi,

It is rare to have unruptured follicle after second shot.

Go for third shot. But remember following points:

1) Take different brand of hCG trigger. Don't use the same brand you took twice as there could be manufacturing defect.

2) Preferably take different brand in a different facility.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

do you do ivf?
where are you located?

Answered by Dr. Mahesh Koregol (7 minutes later)

Brief Answer:
Yes. I am a specialist

Detailed Answer:
Hi,

I am specialist in Reproductive Medicine and do IVF regularly.

I am located in XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (45 minutes later)

I did ivf in September with 3 embryo transfer and now in Nov iui.
after my 2nd trigger shot yesterday experience very very bad cramps and pulls on my chest area.
till now I am having pain.
will acupuncture help to rupture the follicle

Answered by Dr. Mahesh Koregol (17 minutes later)

Brief Answer:
Follicle would have ruptured

Detailed Answer:
Hi,

Cramps suggest you have probably ovulated. Repeat ultrasound scan before next shot as ovulation is likely.

Acupuncture does not help you. Since you have ovulated in the past and had 3 embryos transferred you are likely to ovulate again.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (3 minutes later)

if my iui fails when can I do my next ivf?
also if I were to do it at XXXXXXX what's the charges like?

Answered by Dr. Mahesh Koregol (34 minutes later)

Brief Answer:
After one month break

Detailed Answer:
Hi,

You can try IVF after one month break.

It costs about 1.5 lakh rupees in XXXXXXX

In future you can directly get in touch with me by pasting following link in your browser:

http://bit.ly/askdrmaheshkoregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

thank you very much
anyway just take note of the following

14.11.2015 8pm (Singapore time) 1st trigger shot
16.11.2015 8am sperm collection & 11am was iui procedure but 4 big follicles all above 20mm hvnt rupture yet.
16.11.2015 12.30pm 2nd trigger shot
17.11.2015 scan @ 12.30pm showed the same 4 follicles not ruptured.

Answered by Dr. Mahesh Koregol (25 minutes later)

Brief Answer:
Ovulation possible 36 hours after second trigger

Detailed Answer:
Hi,

As per second trigger short ovulation would occur after 36 hours which will be at 12:30 AM on 18th.

Cramps you have now suggest probable ovulation. Try having sexual intercourse now for better results of conception.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (10 hours later)

good afternoon

18.11.2015 @ 12.30pm I did my scan and doctor saw 3 follicles became smaller and he said that means it has ruptured.

I was told that follicle becomes smaller then dissolves not rupture means burst like a balloon.

there is still 1 big follicle hasn't rupture yet.

they planning for an iui at 4.30pm today.

he also said 1 of the follicle the fluid showed bleeding which is called some term...I forgot...too tough for me to remember the term

please advise

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
This was expected as I discussed previously

Detailed Answer:
Hi XXXXXXX

This is what I had predicted. I told that you would have ovulated.

You can go ahead with IUI at 4:30. Bleeding is called hemorrhagic cyst and its ok.

I suggest you go for IUI as per plan.

Let me know the developments after IUI.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (12 minutes later)

what's hemorrhagic cyst?
does tat mean that particlar follicle doesn't release an egg?

also if I have 4 follicles does that mean I have 4 eggs?

also after iui today when should I have intercoms and for how many days to increase chances.

Answered by Dr. Mahesh Koregol (5 minutes later)

Brief Answer:
Egg is released. Good Pregnancy Chances

Detailed Answer:
Hi,

After the egg release, the follicle is filled with some fluid and some blood. Nothing to worry about it.

4 follicles mean 4 eggs and your chances of pregnancy is good.

Have intercourse everyday for 3 days after IUI.

Let me know if you have anymore doubts.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (2 minutes later)

Thank you very much.
I am having a terrible headache thou.

hope to conceive.

also how long does hcg last in the body???

Answered by Dr. Mahesh Koregol (11 minutes later)

Brief Answer:
All the Best for Pregnancy

Detailed Answer:
Hi,

This hCG effect will stay for 2 days. You need to have good sleep to do away with headache.

In future you can directly get in touch with me by pasting following link in your browser:

http://bit.ly/yyyyyyyyyyyyyyyyyyyy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar