Brands of hcg. HCG Brands: Understanding Chorionic Gonadotropin for Fertility Treatment
What are the different brands of HCG available for fertility treatment. How does choriogonadotropin alfa work to induce ovulation. What are the key pharmacological properties of HCG medications.
Overview of Chorionic Gonadotropin in Fertility Treatment
Chorionic gonadotropin, commonly known as HCG, plays a crucial role in fertility treatments. This hormone, whether derived from natural sources or produced through recombinant technology, is used to stimulate ovulation in women struggling with infertility. One of the most widely used forms is choriogonadotropin alfa, a recombinant version of human chorionic gonadotropin.
Choriogonadotropin alfa consists of two subunits: an alpha chain with 92 amino acid residues and a beta chain with 145 residues. These chains are adorned with both N-linked and O-linked carbohydrate moieties, which contribute to the hormone’s biological activity. The alpha chain’s structure is identical to that found in other glycoprotein hormones like follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
Brands and Generic Names of HCG Medications
Several brands of HCG are available on the market for fertility treatment:
- Ovidrel
- Ovitrelle
- Pregnyl
- Profasi
The generic name for these medications is choriogonadotropin alfa. It’s important to note that while these brands contain the same active ingredient, there may be slight differences in formulation or delivery methods.
Available Forms and Strengths
HCG medications come in various forms and strengths to suit different treatment protocols:
- Injectable solutions (e.g., 250 μg/0.5mL for subcutaneous injection)
- Powder for reconstitution (e.g., 10,000 USP units per vial)
The choice of formulation often depends on the specific treatment plan and the patient’s individual needs.
Mechanism of Action: How HCG Induces Ovulation
Choriogonadotropin alfa works by mimicking the action of luteinizing hormone (LH) in the body. How does it stimulate ovulation? The process involves several key steps:
- Binding to receptors: HCG binds to the LH/HCG receptors on granulosa and theca cells in the ovary.
- Follicular maturation: This binding stimulates the final stages of follicular maturation.
- Oocyte meiosis: HCG triggers the resumption of meiosis in the oocyte (egg cell).
- Follicle rupture: It initiates the rupture of the pre-ovulatory follicle, releasing the mature egg.
By acting as an analogue of LH, choriogonadotropin alfa can induce these changes even in the absence of a natural LH surge, making it invaluable in treating certain forms of infertility.
Pharmacological Properties of HCG Medications
Understanding the pharmacological properties of HCG medications is crucial for their effective use in fertility treatments. Let’s explore some key aspects:
Absorption and Bioavailability
When administered subcutaneously, choriogonadotropin alfa shows a mean absolute bioavailability of about 40%. This means that a significant portion of the drug reaches systemic circulation and becomes available to exert its effects.
Distribution in the Body
The volume of distribution for choriogonadotropin alfa is approximately 5.9 ± 1.0 L. This relatively small volume suggests that the drug primarily remains in the blood and extracellular fluid, allowing it to reach its target tissues effectively.
Elimination and Half-life
Choriogonadotropin alfa has a biphasic elimination profile:
- Initial half-life: 4.5 ± 0.5 hours
- Terminal half-life: 29 ± 6 hours
This extended terminal half-life ensures that the drug remains active in the body long enough to stimulate ovulation. Approximately one-tenth of the administered dose is excreted in the urine.
Clearance Rate
In healthy females with down-regulated endogenous hormone production, the clearance rate of choriogonadotropin alfa is 0.29 ± 0.04 L/h. This relatively slow clearance contributes to the drug’s prolonged action in the body.
Indications and Associated Conditions
Choriogonadotropin alfa is primarily indicated for the treatment of female infertility. However, its use extends to various related conditions and therapeutic approaches:
- Ovulation induction in anovulatory or oligo-ovulatory women
- Triggering final follicular maturation in assisted reproductive technology (ART) cycles
- Luteal phase support in some IVF protocols
- Treatment of hypogonadotropic hypogonadism in both males and females
In men, HCG may be used to stimulate testosterone production in cases of secondary hypogonadotropic hypogonadism, although this is an off-label use for most HCG products.
Safety Considerations and Potential Side Effects
While HCG medications are generally well-tolerated, it’s important to be aware of potential side effects and safety considerations:
Common Side Effects
- Injection site reactions (pain, redness, swelling)
- Headache
- Nausea
- Abdominal pain or bloating
- Breast tenderness
Serious Risks and Warnings
Healthcare providers should be vigilant for more serious complications, including:
- Ovarian hyperstimulation syndrome (OHSS)
- Multiple pregnancies
- Ectopic pregnancy
- Thromboembolic events
Patients with a history of certain conditions, such as hormone-dependent tumors or uncontrolled thyroid or adrenal dysfunction, may not be suitable candidates for HCG therapy.
Optimizing HCG Treatment in Fertility Protocols
To maximize the effectiveness of HCG treatment while minimizing risks, several factors should be considered:
Individualized Dosing
The optimal dose of HCG can vary depending on the patient’s body weight, hormonal status, and specific fertility protocol. Typical doses range from 5,000 to 10,000 IU for urinary HCG products, or 250 μg for recombinant choriogonadotropin alfa.
Timing of Administration
Precise timing of HCG administration is crucial for successful ovulation induction. In most protocols, HCG is given when follicles reach a certain size (usually 18-20 mm) as determined by ultrasound monitoring.
Monitoring and Follow-up
Close monitoring of follicular development and hormone levels is essential to adjust treatment and prevent complications. After HCG administration, patients should be followed for signs of successful ovulation and potential early pregnancy.
Future Directions in HCG Research and Development
The field of reproductive medicine continues to evolve, and research into HCG and its applications is ongoing. Some areas of current interest include:
- Development of long-acting HCG formulations to reduce injection frequency
- Exploration of novel delivery methods, such as transdermal patches or nasal sprays
- Investigation of HCG’s potential roles in other medical conditions, such as weight management or certain cancers
- Refinement of protocols to further minimize the risk of OHSS and multiple pregnancies
As our understanding of reproductive endocrinology deepens, we can expect to see continued improvements in the use of HCG and related hormones for fertility treatment.
Comparing HCG with Other Ovulation-Inducing Agents
While HCG is a cornerstone of many fertility treatments, it’s not the only option available. How does it compare to other ovulation-inducing agents? Let’s examine some alternatives:
GnRH Agonists
Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide acetate, can be used to trigger ovulation in certain IVF protocols. They work by stimulating the release of endogenous LH and FSH.
Advantages of GnRH agonists over HCG:
- Lower risk of OHSS
- May be preferred in patients at high risk for hyperstimulation
Disadvantages:
- May require additional luteal phase support
- Not suitable for all patients or protocols
Recombinant LH
Recombinant luteinizing hormone (rLH) is another option for triggering ovulation. It mimics the natural LH surge more closely than HCG.
Advantages of rLH:
- More physiological action
- Potentially lower risk of OHSS
Disadvantages:
- Higher cost
- May require multiple injections
Despite these alternatives, HCG remains widely used due to its efficacy, long history of clinical use, and cost-effectiveness in many situations.
Patient Education and Counseling for HCG Treatment
Effective patient education is crucial for the success of HCG treatment in fertility protocols. Healthcare providers should cover several key areas when counseling patients:
Injection Technique
Many HCG preparations require subcutaneous injection. Patients should be thoroughly instructed on proper injection technique, including:
- Correct preparation of the medication
- Choosing and rotating injection sites
- Proper disposal of needles and syringes
Timing and Compliance
The importance of adhering to the prescribed timing of HCG injections cannot be overstated. Patients should understand:
- The critical nature of timing in relation to ovulation
- The need for precise adherence to the treatment schedule
- What to do if a dose is missed or delayed
Monitoring and Follow-up
Patients should be informed about the monitoring process, including:
- Frequency of ultrasound scans and blood tests
- Signs and symptoms to watch for (e.g., OHSS)
- When and how to contact their healthcare provider with concerns
Emotional Support
Undergoing fertility treatment can be emotionally challenging. Providers should:
- Acknowledge the psychological impact of treatment
- Provide resources for emotional support
- Encourage open communication about fears and expectations
By providing comprehensive education and support, healthcare providers can help ensure that patients are well-prepared for their HCG treatment journey.
Choriogonadotropin alfa: Uses, Interactions, Mechanism of Action
- Summary
Choriogonadotropin alfa is a recombinant form of human chorionic gonadotropin used to treat female infertility by inducing ovulation.
- Brand Names
Ovidrel, Ovitrelle, Pregnyl
- Generic Name
- Choriogonadotropin alfa
- DrugBank Accession Number
- DB00097
- Background
Recombinant human chorionic gonadotropin with 2 subunits, alpha = 92 residues, beta = 145 residues, each with N-and O-linked carbohydrate moieties linked to ASN-52 and ASN-78 (on alpha subunit) and ASN-13, ASN-30, SER-121, SER-127, SER-132 and SER-138 (on beta subunit). The primary structure of the alpha-chain of r-hCG is identical to that of the alpha-chain of hCG, FSH and LH.
- Type
- Biotech
- Groups
- Approved
- Biologic Classification
- Protein Based Therapies
Hormones - Protein Structure
- Protein Chemical Formula
- C1105H1770N318O336S26
- Protein Average Weight
- 25719. 7 Da
- Sequences
>Alpha chain APDVQDCPECTLQENPFFSQPGAPILQCMGCCFSRAYPTPLRSKKTMLVQKNVTSESTCC VAKSYNRVTVMGGFKVENHTACHCSTCYYHKS
>Beta chain SKEPLRPRCRPINATLAVEKEGCPVCITVNTTICAGYCPTMTRVLQGVLPALPQVVCNYR DVRFESIRLPGCPRGVNPVVSYAVALSCQCALCRRSTTDCGGPKDHPLTCDDPRFQDSSS SKAPPPSLPSPSRLPGPSDTPILPQ
Download FASTA Format
- Synonyms
- Choriogonadotropin alfa
- Choriogonadotropin alpha
- Chorionic gonadotropin (recombinant)
- Indication
For the treatment of female infertility
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- Associated Conditions
- Secondary Hypogonadotrophic hypogonadism
- Associated Therapies
- Assisted Reproductive Technology therapy
- Ovulation induction therapy
- Contraindications & Blackbox Warnings
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- Pharmacodynamics
Choriogonadotropin alfa is used to treat female infertility, Choriogonadotropin alfa stimulates late follicular maturation and resumption of oocyte meiosis, and initiates rupture of the pre-ovulatory ovarian follicle. Ovidrel is an analogue of Luteinizing Hormone (LH) and binds to the LH/hCG receptor of the granulosa and theca cells of the ovary to effect these changes in the absence of an endogenous LH surge.
- Mechanism of action
Choriogonadotropin alfa binds to the Follicle stimulating hormone receptor which results in ovulation in the absence of sufficient endogenous Luteinizing hormone.
Target Actions Organism ALutropin-choriogonadotropic hormone receptor Not Available Humans AFollicle-stimulating hormone receptor binder
Humans - Absorption
The mean absolute bioavailability following a single subcutaneous injection to healthy female volunteers is about 40%.
- Volume of distribution
- 5.9 ± 1.0 L
- Protein binding
Not Available
- Metabolism
- Not Available
- Route of elimination
One-tenth of the dose is excreted in the urine.
- Half-life
The mean terminal half-life is about 29 ± 6 hours (initial half-life is 4.5 ± 0.5 hours).
- Clearance
- 0.29 +/- 0.04 L/h [healthy down-regulated females]
- Adverse Effects
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- Toxicity
Not Available
- Pathways
- Not Available
- Pharmacogenomic Effects/ADRs
- Not Available
- Drug Interactions
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Not Available
- Food Interactions
- No interactions found.
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- International/Other Brands
- Profasi (Serono S.A.)
- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Chorionic Gonadotropin Kit 10000 [USP’U]/10mL Intramuscular APP Pharmaceuticals, LLC 2011-04-21 2011-04-20 US Chorionic Gonadotropin Kit 10000 [USP’U]/10mL Intramuscular Physicians Total Care, Inc. 2007-07-13 2008-06-30 US Chorionic Gonadotropin Kit 10000 [USP’U]/10mL Intramuscular Fresenius Kabi USA, LLC 2011-04-21 Not applicable US Ovidrel Injection, solution 250 ug/0.5mL Subcutaneous EMD Serono, Inc. 2003-10-06 Not applicable US Ovidrel Solution 250 mcg / 0.5 mL Subcutaneous Emd Serono, A Division Of Emd Inc., Canada 2013-05-28 Not applicable Canada Ovidrel Solution 250 mcg / 0.5 mL Subcutaneous Emd Serono, A Division Of Emd Inc., Canada 2004-12-20 Not applicable Canada Ovitrelle Injection, solution 250 micrograms/0.5ml Subcutaneous Merck Europe B.V. 2016-09-08 Not applicable EU Ovitrelle Injection, solution 250 micrograms Subcutaneous Merck Europe B. V. 2016-09-08 Not applicable EU Pregnyl Injection, powder, lyophilized, for solution; Kit 10000 [USP’U]/10mL Intramuscular A-S Medication Solutions 1976-10-20 Not applicable US Pregnyl Injection, powder, lyophilized, for solution; Kit 10000 [USP’U]/10mL Intramuscular Merck Sharp & Dohme Llc 1976-10-20 Not applicable US
- ATC Codes
- G03GA08 — Choriogonadotropin alfa
- G03GA — Gonadotropins
- G03G — GONADOTROPINS AND OTHER OVULATION STIMULANTS
- G03 — SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
- G — GENITO URINARY SYSTEM AND SEX HORMONES
- Drug Categories
- Genito Urinary System and Sex Hormones
- Gonadotropins
- Gonadotropins and Antigonadotropins
- Sex Hormones and Modulators of the Genital System
- Chemical TaxonomyProvided by Classyfire
- Description
- Not Available
- Kingdom
- Organic Compounds
- Super Class
- Organic Acids
- Class
- Carboxylic Acids and Derivatives
- Sub Class
- Amino Acids, Peptides, and Analogues
- Direct Parent
- Peptides
- Alternative Parents
- Not Available
- Substituents
- Not Available
- Molecular Framework
- Not Available
- External Descriptors
- Not Available
- Affected organisms
- Humans and other mammals
- UNII
- 6413W06WR3
- CAS number
- 177073-44-8
- General References
- Kayisli UA, Selam B, Guzeloglu-Kayisli O, Demir R, Arici A: Human chorionic gonadotropin contributes to maternal immunotolerance and endometrial apoptosis by regulating Fas-Fas ligand system. J Immunol. 2003 Sep 1;171(5):2305-13. [Article]
- Askling J, Erlandsson G, Kaijser M, Akre O, Ekbom A: Sickness in pregnancy and sex of child. Lancet. 1999 Dec 11;354(9195):2053. [Article]
- External Links
- UniProt
- P01233
- Genbank
- J00117
- PubChem Substance
- 46506863
- RxNav
- 283550
- ChEMBL
- CHEMBL1201464
- Therapeutic Targets Database
- DAP001030
- PharmGKB
- PA164783947
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- Wikipedia
- Human_chorionic_gonadotropin
- FDA label
Download (97.1 KB)
- Clinical Trials
Phase Status Purpose Conditions Count 4 Completed Prevention BRCA 1 Gene Mutation / BRCA 2 Gene Mutation / HCG 1 4 Completed Treatment Female Infertility / In Vitro Fertilization (IVF) / Ovarian Reserve 1 4 Completed Treatment Infertile Women Undergoing Assisted Reproductive Technology (ART) 1 4 Completed Treatment Infertility 2 4 Completed Treatment Infertility / Progesterone Levels 1 4 Recruiting Treatment IVF / LOW OVARIAN RESPONSE 1 4 Terminated Treatment In Vitro Fertilization (IVF) 1 4 Unknown Status Treatment Embryo Transfer / Luteal Support 1 4 Unknown Status Treatment Infertility 1 3 Completed Diagnostic Polycystic Ovarian Syndrome (PCOS) 2
- Manufacturers
- Emd serono inc
- Ferring pharmaceuticals inc
- App pharmaceuticals llc
- Bel mar laboratories inc
- Bristol myers squibb
- Organon usa inc
- Packagers
- EMD Canada Inc.
- Ferring Pharmaceuticals Inc.
- Merck KGaA
- Organon Pharmaceuticals
- Dosage Forms
Form Route Strength Injection, solution Subcutaneous 250 ug/0.5mL Solution Subcutaneous 250 mcg / 0.5 mL Injection, solution Subcutaneous Injection, solution Subcutaneous 250 mcg Injection, powder, for solution Subcutaneous 250 MCG Injection, solution Subcutaneous 250 micrograms/0.5ml Injection, solution Subcutaneous 250 MCG/0.5ML Injection, solution Subcutaneous 250 micrograms Injection, powder, lyophilized, for solution; kit Intramuscular 10000 [USP’U]/10mL Kit Intramuscular 10000 [USP’U]/10mL - Prices
Unit description Cost Unit Novarel 10000 unit/10ml Solution 1 Vial = 10ml 118. 55USD vial Novarel 10000 unit vial 113.99USD vial Ovidrel 250 mcg/0.5ml Injectable 0.5ml Syringe 93.22USD syringe Pregnyl 10000 unit Solution 60.7USD vial Pregnyl 10000 unit vial 57.23USD vial DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US5767251 No 1998-06-16 2015-06-16 US US6706681 No 2004-03-16 2021-03-16 US
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 55 °C Forastieri, H. , Ingham, K.C. J. Biol. Chem. 257:7976-7981 (1982) hydrophobicity -0.258 Not Available isoelectric point 8.61 Not Available
Targets
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- Kind
- Protein
- Organism
- Humans
- Pharmacological action
Yes
- General Function
- Luteinizing hormone receptor activity
- Specific Function
- Receptor for lutropin-choriogonadotropic hormone. The activity of this receptor is mediated by G proteins which activate adenylate cyclase.
- Gene Name
- LHCGR
- Uniprot ID
- P22888
- Uniprot Name
- Lutropin-choriogonadotropic hormone receptor
- Molecular Weight
- 78642. 01 Da
References
- Bodek G, Vierre S, Rivero-Muller A, Huhtaniemi I, Ziecik AJ, Rahman NA: A novel targeted therapy of Leydig and granulosa cell tumors through the luteinizing hormone receptor using a hecate-chorionic gonadotropin beta conjugate in transgenic mice. Neoplasia. 2005 May;7(5):497-508. [Article]
- Gromoll J, Wistuba J, Terwort N, Godmann M, Muller T, Simoni M: A new subclass of the luteinizing hormone/chorionic gonadotropin receptor lacking exon 10 messenger RNA in the New World monkey (Platyrrhini) lineage. Biol Reprod. 2003 Jul;69(1):75-80. Epub 2003 Feb 19. [Article]
- Lin W, Bernard MP, Cao D, Myers RV, Kerrigan JE, Moyle WR: Follitropin receptors contain cryptic ligand binding sites. Mol Cell Endocrinol. 2007 Jan 2;260-262:83-92. Epub 2006 Oct 23. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
Yes
- Actions
Binder
- General Function
- G-protein coupled peptide receptor activity
- Specific Function
- Receptor for follicle-stimulating hormone. The activity of this receptor is mediated by G proteins which activate adenylate cyclase. Induces cAMP production through the activation of PI3K-AKT and S…
- Gene Name
- FSHR
- Uniprot ID
- P23945
- Uniprot Name
- Follicle-stimulating hormone receptor
- Molecular Weight
- 78264.07 Da
References
- Jameson JL: Inherited disorders of the gonadotropin hormones. Mol Cell Endocrinol. 1996 Dec 20;125(1-2):143-9. [Article]
- Lin W, Bernard MP, Cao D, Myers RV, Kerrigan JE, Moyle WR: Follitropin receptors contain cryptic ligand binding sites. Mol Cell Endocrinol. 2007 Jan 2;260-262:83-92. Epub 2006 Oct 23. [Article]
- Tao YX, Segaloff DL: Follicle stimulating hormone receptor mutations and reproductive disorders. Prog Mol Biol Transl Sci. 2009;89:115-31. doi: 10.1016/S1877-1173(09)89005-4. Epub 2009 Oct 7. [Article]
- Chen X, Ji ZL, Chen YZ: TTD: Therapeutic Target Database. Nucleic Acids Res. 2002 Jan 1;30(1):412-5. [Article]
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Drug created at June 13, 2005 13:24 / Updated at June 24, 2023 20:45
Chorionic Gonadotropin (Human): Uses, Interactions, Mechanism of Action
- Summary
Chorionic Gonadotropin (Human) is a naturally-occurring hormone produced during human placenta used for the treatment of prepubertal cryptorchidism and hypogonadotropic hypogonadism in selected males, and induction of pregnancy in selected infertile women.
- Brand Names
Novarel, Pregnyl
- Generic Name
- Chorionic Gonadotropin (Human)
- DrugBank Accession Number
- DB09126
- Background
Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta. Endogenously produced HCG interacts with the LHCG receptor of the ovary and promotes the maintenance of the corpus luteum during the beginning of pregnancy. This allows the corpus luteum to continuously secrete the hormone progesterone during the first trimester, which is required for maintenance of the uterus and prevents menstruation. In males, HCG also stimulates the production of gonadal steroid hormones by stimulating the interstitial cells (Leydig cells) of the testis to produce androgens.
HCG is composed of an alpha and a beta sub-unit. The alpha sub-unit is essentially identical to the alpha sub units of the human pituitary gonadotropins, luteinizing hormone (LH) and follicle-stimulating hormone (FSH), as well as to the alpha sub-unit of human thyroid-stimulating hormone (TSH), while the beta sub units of these hormones differ in amino acid sequence. As a drug product, chorionic gonadotropin is a highly purified pyrogen-free preparation obtained from the urine of pregnant females.
- Type
- Biotech
- Groups
- Approved, Vet approved
- Biologic Classification
- Protein Based Therapies
Hormones - Protein Structure
- Protein Chemical Formula
- Not Available
- Protein Average Weight
- Not Available
- Sequences
>Alpha Chain APDVQDCPECTLQENPFFSQPGAPILQCMGCCFSRAYPTPLRSKKTMLVQKNVTSESTCC VAKSYNRVTVMGGFKVENHTACHCSTCYYHKS
>Beta Chain SKEPLRPRCRPINATLAVEKEGCPVCITVNTTICAGYCPTMTRVLQGVLPALPQVVCNYR DVRFESIRLPGCPRGVNPVVSYAVALSCQCALCRRSTTDCGGPKDHPLTCDDPRFQDSSS SKAPPPSLPSPSRLPGPSDTPILPQ
Download FASTA Format
- Synonyms
- Chorionic gonadotrophin
- Chorionic gonadotropin
- Gonadotropin, Chorionic
- Gonadotropin,chorionic
- h-HCG
- hCG
- Human chorionic gonadotropin
- Human menopausal gonadotropin
- Human menopausal gonadotropin (urine derived)
- Human-chorionic gonadotropin
- Urinary hCG
- Indication
For the treatment of prepubertal cryptorchidism (not due to anatomical obstruction), for the treatment of selected cases of hypogonadotropic hypogonadism (hypogonadism secondary to a pituitary deficiency) in males and for the induction of ovulation and pregnancy in the anovulatory, infertile woman in whom the cause of anovulation is secondary and not due to primary ovarian failure, and who has been appropriately pretreated with human menotropins.
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- Associated Conditions
- Idiopathic Hypogonadotropic Hypogonadism
- Undescended Testis
- Secondary Hypogonadotrophic hypogonadism
- Associated Therapies
- Ovulation induction therapy
- Stimulation of spermatogenesis therapy
- Contraindications & Blackbox Warnings
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- Pharmacodynamics
The action of HCG is virtually identical to that of pituitary LH, although HCG appears to have a small degree of FSH activity as well. It stimulates production of gonadal steroid hormones by stimulating the interstitial cells (Leydig cells) of the testis to produce androgens and the corpus luteum of the ovary to produce progesterone.
- Mechanism of action
Target Actions Organism ALutropin-choriogonadotropic hormone receptor ligand
Humans - Absorption
Not Available
- Volume of distribution
Not Available
- Protein binding
Not Available
- Metabolism
- Not Available
- Route of elimination
Not Available
- Half-life
Not Available
- Clearance
Not Available
- Adverse Effects
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- Toxicity
Not Available
- Pathways
- Not Available
- Pharmacogenomic Effects/ADRs
- Not Available
- Drug Interactions
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Not Available
- Food Interactions
- No interactions found.
Drug product information from 10+ global regions
Our datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.
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- Brand Name Prescription Products
json?group=approved” data-total=”6″>
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Apl Inj 1000 Iu/ml Liquid 1000 unit / mL Intramuscular Ayerst Laboratories 1951-12-31 2000-08-02 Canada Chorionic Gonadotropin for Injection, USP Powder, for solution 10000 unit / vial Intramuscular; Subcutaneous Fresenius Kabi 2004-09-13 Not applicable Canada Novarel Injection, powder, lyophilized, for solution; Kit 10000 [USP’U]/1 Intramuscular Ferring Pharmaceuticals Inc. 1974-01-15 Not applicable US Novarel Injection, powder, lyophilized, for solution; Kit 5000 [USP’U]/1 Intramuscular Ferring Pharmaceuticals Inc. 2017-08-30 Not applicable US Pregnyl Kit; Powder, for solution 10000 unit / vial Intramuscular Organon Canada Inc. 1997-08-13 Not applicable Canada Profasi Hp Inj 10000unit/vial USP Powder, for solution 10000 unit / vial Intramuscular Pharmascience Inc 1984-12-31 2009-04-29 Canada - Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image A.P.L. – Pws-liq Chorionic Gonadotropin (Human) (10000 unit / kit) + Water (10 mL / kit) Liquid; Powder, for solution Intramuscular Wyeth Ayerst Canada Inc. 1998-11-11 2001-06-01 Canada Profasi Hp 10000 Chorionic Gonadotropin (Human) (10000 unit / vial) + Water (10 mL / vial) Kit; Liquid; Powder, for solution Intramuscular; Subcutaneous Emd Serono, A Division Of Emd Inc. , Canada 1991-12-31 2007-05-07 Canada
- ATC Codes
- G03GA01 — Chorionic gonadotrophin
- G03GA — Gonadotropins
- G03G — GONADOTROPINS AND OTHER OVULATION STIMULANTS
- G03 — SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM
- G — GENITO URINARY SYSTEM AND SEX HORMONES
- Drug Categories
- Amino Acids, Peptides, and Proteins
- Biological Products
- Chorionic Gonadotropin
- Complex Mixtures
- Fertility Agents
- Fertility Agents, Female
- Genito Urinary System and Sex Hormones
- Gonadotropins
- Gonadotropins and Antigonadotropins
- Gonadotropins, Pituitary
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Peptide Hormones
- Peptides
- Pituitary Hormones
- Pituitary Hormones, Anterior
- Placental Hormones
- Pregnancy Proteins
- Proteins
- Reproductive Control Agents
- Sex Hormones and Modulators of the Genital System
- Chemical TaxonomyProvided by Classyfire
- Description
- Not Available
- Kingdom
- Organic Compounds
- Super Class
- Organic Acids
- Class
- Carboxylic Acids and Derivatives
- Sub Class
- Amino Acids, Peptides, and Analogues
- Direct Parent
- Peptides
- Alternative Parents
- Not Available
- Substituents
- Not Available
- Molecular Framework
- Not Available
- External Descriptors
- Not Available
- Affected organisms
- Not Available
- UNII
- 20ED16GHEB
- CAS number
- 9002-61-3
- General References
- Not Available
- External Links
- KEGG Drug
- D06457
- PubChem Substance
- 347910414
- RxNav
- 340705
- ChEBI
- 81570
- ChEMBL
- CHEMBL1201509
- RxList
- RxList Drug Page
- Drugs. com
- Drugs.com Drug Page
- Wikipedia
- Human_chorionic_gonadotropin
- FDA label
Download (26.7 KB)
- Clinical Trials
Phase Status Purpose Conditions Count 4 Completed Basic Science Controlled Ovarian Stimulation / Infertility 1 4 Completed Basic Science Infertility / Subfertility 1 4 Completed Health Services Research Female Infertility 1 4 Completed Treatment Assisted Reproduction 1 4 Completed Treatment Fertility / Optimal Stimulation Protocol / Reproductive Endocrinology 1 4 Completed Treatment FET / Frozen-thawed Embryo Transfe / HCG / Human Chorionic Gonadotrophin 1 4 Completed Treatment Idiopathic Hypogonadotropic Hypogonadism 1 4 Completed Treatment Idiopathic Hypogonadotropic Hypogonadism / Olfacto genital dysplasia 1 4 Completed Treatment Infertile Women Undergoing Assisted Reproductive Technology (ART) 1 4 Completed Treatment Infertility 12
- Manufacturers
Not Available
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Not Available
- Dosage Forms
Form Route Strength Liquid; powder, for solution Intramuscular Liquid Intramuscular 1000 unit / mL Powder Parenteral 1500 IU/1 Powder Parenteral 5000 IU/1 Injection, powder, for solution Parenteral 5000 IU Injection, solution Intramuscular 5000 iu Injection Parenteral 2000 iu Powder, for solution Intramuscular; Subcutaneous 10000 unit / vial Injection, powder, for solution Injection, powder, lyophilized, for solution Parenteral 5000 IU Powder Not applicable 1 g/1g Injection, powder, lyophilized, for solution Intramuscular; Subcutaneous 75 IU Injection, powder, lyophilized, for solution; kit Intramuscular 10000 [USP’U]/1 Injection, powder, lyophilized, for solution; kit Intramuscular 5000 [USP’U]/1 Injection Parenteral Injection, powder, for solution Intramuscular Kit; powder, for solution Intramuscular 10000 unit / vial Injection, powder, lyophilized, for solution Intramuscular; Subcutaneous 1500 iu Injection, powder, for solution Intramuscular 5000 IU Injection, powder, for solution Intramuscular; Subcutaneous 5000 iu Powder Parenteral 5000 IE Injection, powder, for solution 5000 IU Injection, powder, lyophilized, for solution Intramuscular; Subcutaneous 5000 IU Injection, powder, for solution Subcutaneous Kit; liquid; powder, for solution Intramuscular; Subcutaneous Powder, for solution Intramuscular 10000 unit / vial Injection, powder, lyophilized, for solution Intramuscular; Subcutaneous 1000 IU Injection Parenteral 10000 IU Injection Parenteral 5000 IU Powder Parenteral 5000 iu/1ampoule Powder Parenteral 10000 iu/1vial Powder Parenteral 2000 iu/1vial Powder Parenteral 5000 iu/1vial - Prices
- Not Available
- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US6706681 No 2004-03-16 2021-03-16 US
- State
- Solid
- Experimental Properties
- Not Available
Targets
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- Kind
- Protein
- Organism
- Humans
- Pharmacological action
Yes
- Actions
Ligand
- General Function
- Luteinizing hormone receptor activity
- Specific Function
- Receptor for lutropin-choriogonadotropic hormone. The activity of this receptor is mediated by G proteins which activate adenylate cyclase.
- Gene Name
- LHCGR
- Uniprot ID
- P22888
- Uniprot Name
- Lutropin-choriogonadotropic hormone receptor
- Molecular Weight
- 78642.01 Da
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Drug created at September 23, 2015 16:50 / Updated at June 24, 2023 20:45
what it means in early pregnancy, interpretation of the results
Viktoria Zorina
found out about pregnancy before the delay
Author profile
Human chorionic gonadotropin analysis is an effective way to find out if there is a pregnancy and how it develops.
But it will come in handy in some other cases.
What is hCG
Human chorionic gonadotropin is a hormone produced by placental cells during pregnancy. A small amount of hCG is also produced in the pituitary gland.
Most commonly, hCG levels are measured using one of two blood tests.
Free beta-hCG is taken during prenatal screenings of the first and second trimesters: at 11-14 and 15-20 weeks of pregnancy. This is one of the ways to diagnose chromosomal pathologies, which we will return to later.
Another test for free beta-hCG is prescribed for the diagnosis of malignant neoplasms:
- in women – choriocarcinoma, hydatidiform mole;
- in men – testicular cancer.
Generic beta hCG. To diagnose pregnancy, it is the total beta-hCG, which is often called simply hCG or hCG analysis, that is used. Any laboratory will understand what you mean if you say that you need an hCG analysis for pregnant women.
Total beta-hCG begins to be produced 6-8 days after ovulation. It promotes the production of progesterone, supports the growth of the placenta, promotes the growth of the fetus.
/pregnancy/
How much does it cost to carry a baby
There are two more types of hCG hormones, but they are not of great importance for diagnosis:
- Hyperglycosylated hCG, which is synthesized in the second or third week of pregnancy.
- Pituitary hCG that mimics the action of luteinizing hormone during the menstrual cycle.
Men also have hCG hormones, albeit in a minimal amount, so calling hCG a pregnancy hormone, although beautiful, is not quite right. In the male body, hCG performs an important function – it causes the testicles to produce testosterone.
Further in the article we will mainly talk about the analysis for total hCG in the body of a woman, because it is taken most often.
How hCG levels are determined
HCG levels are determined using tests that show the concentration of the hormone in urine or blood. If it is below 5 mIU / ml, the analysis is negative, within 5-25 mIU / ml it is doubtful, and a concentration above 25 mIU / ml indicates pregnancy.
Human Chorionic Gonadotropin – Medscape
HCG levels can be measured using test strips, digital urine tests sold in supermarkets, and a blood test for hCG from a vein that is done in a laboratory.
Strips and digital tests are convenient for home use: no special knowledge or reagents are needed to perform the test and evaluate the result. It is important to remember that pregnancy test strips often do not show it until a missed period. The reason is that in the urine the level of the hormone increases later than in the blood.
Test strips usually do a qualitative analysis for hCG: they answer “yes” if the hormone detection threshold is exceeded, and “no” if the hormone level in the blood has not reached the threshold level. Their sensitivity starts from 20-50 mIU / ml, and this is written in the instructions. But some digital tests can show the approximate duration of pregnancy in weeks: one, two or three, or three or more weeks. There is little benefit from this: anyway, only a blood test gives accurate data.
A blood or urine test in the laboratory is always quantitative and allows you to find out the exact concentration of hCG. For such an analysis, you will need venous blood or the first portion of morning urine.
What to do? 12.12.19
In the clinic they force you to buy a container for tests
The sensitivity threshold of the Clearblue Plus test is 25 mIU / ml The sensitivity of the Evitest tests is 20 mIU / ml
How to donate blood for an hCG test
When to take an hCG test. It makes sense to take an analysis for hCG no earlier than the first day of missed menstruation. In some cases, it is possible even 2-3 days earlier: if, according to the terms from intercourse, pregnancy is already possible.
Where to get tested for hCG. In Russia, a blood test for total hCG to check for pregnancy is accepted by most commercial laboratories. It can also be taken in private clinics that do tests on their own equipment or send them to a specialized laboratory.
Before testing for hCG, no examination or referral from a doctor is needed: it can be taken at any laboratory for a fee.
How to prepare. Before taking hCG, different laboratories give different recommendations: from “preferably in the morning and on an empty stomach” to “strictly on an empty stomach, do not drink or smoke an hour before the analysis.” In Europe and the USA, there are no restrictions before surrender at all. At the same time, if you plan to take the analysis several times, it makes sense to do it at the same time of day – this way the result will be more objective.
HCG blood test – Walk-In Lab, USA
Cost of analysis
Prices valid in Moscow at the time of publication and include blood sampling from a vein.
In the laboratory:
- “Invitro” – 810 R;
- “Hemotest” – 760 R, called b-hCG;
- CMD – 685 R.
In a private clinic:
- Chaika – 1400 R;
- “Family” – 1100 R;
- “TsIR” – 770 R.
A blood test for hCG to check for pregnancy can be taken according to compulsory health insurance. To do this, you need to get a referral from a gynecologist at a clinic or antenatal clinic. But there is no point in this saving.
/analiz/
You are entitled to free tests under CHI
The queue for tests can stretch for two weeks, waiting for results – for a week or more. Outdated by three weeks – yes, at least for three days, because the level of hCG during pregnancy is constantly growing – the analysis for hCG for pregnant women is useful only to a medical institution for reporting.
Obtaining and interpretation of a blood test for hCG
Analysis accuracy. During pregnancy, the level of hCG in the blood increases by 2 times every 1.4-2.1 days until at least 10 weeks of pregnancy. Therefore, tests taken at different times on the same day will show different numbers.
Physiology of Pregnancy – MSD Handbook
HCG levels between 5 and 25 mIU/mL are considered questionable and should be retested.
Test results are reported with an accuracy of 1 milliunit per milliliter or nanogram per milliliter. Error in the results is possible, but it is usually associated with incorrect analysis or expired reagents.
In the analyzes of different laboratories, there may be different units of measurement of hCG. The most common are mIU/ml = mU/ml = mIU/ml = mU/ml. All of them are equal to each other:
- mIU / ml is the milliinternational unit per milliliter;
- mU/ml – milliunit per milliliter;
- miU/ml — Million International Unit per milliliter in English spelling;
- mU/ml is a milliunit per milliliter in English spelling.
If IU/l, U/l, IU/ml are found in the analysis, they mean the same thing, but not in milliunits per milliliter, but in units per liter. To convert one unit to another, a calculator is useful.
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Are you ready to have a baby?
HCG norms by week. The reference values themselves in laboratories may also differ slightly. This may be due to test manufacturers and analysis standards. The main indicator is an increase in the level of hCG up to 11 weeks of pregnancy.
When evaluating the results, it is important to remember that hCG is calculated by weeks of pregnancy from conception – the embryonic period. It is 2-3 weeks less than the obstetric period, counted from the first day of the last menstruation.
HCG norms by week in different laboratories
Pregnancy from conception | Hemotest, Helix, mIU/ml | Invitro, honey/ml |
---|---|---|
Not pregnant | Less than 5 | Less than 5 |
2 weeks | 9. 5-750 | 25-300 |
3 weeks | 217-7138 | 1500-5000 |
4 weeks | 1580-31 795 | 10,000-30,000 |
5 weeks | 3697—163 563 | 20,000-100,000 |
6 weeks | 32065-149571 | 20,000 – 225,000 up to 11 weeks |
7 weeks | 63 803—151 410 | – |
8 weeks | 46509-186977 | – |
9 weeks | 27,832—210,612 | – |
10 weeks | 13,950—62,530 | – |
11-12 weeks | 12,039—70,971 | 19,000-135,000 (12 weeks) |
13-14 weeks | 9040—56,451 | 18,000-100,000 (13 weeks) 14,000-80,000 (14 weeks) |
15 weeks | 8175—55 868 | 12000-68000 |
16 weeks | 8099—58,176 | 10,000-58,000 |
17-18 weeks | – | 8000-57,000 |
Male | Less than 5 | Less than 5 |
Non-pregnant
Hemotest, Helix, mIU/ml
Less than 5
Invitro, mU/ml
IU her 5
Pregnancy period from conception – 2 weeks
Hemotest, Helix, mIU/ml
9. 5-750
Invitro, mU/ml
25-300
3 weeks 9 0020
Hemotest, Helix , mIU/ml
217-7138
“Invitro”, honey/ml
1500-5000
4 weeks “Helix”, mIU / ml
1580-31 795
Invitro, IU/ml
10,000—30,000
5 weeks
Hemotest, Helix, mIU/ml
3697—163,563
Invitro, honey/ml
20,000—100,000
6 weeks Helix, mIU/ml
32065-149571
Invitro, IU/ml
20,000-225,000 up to 11 weeks
7 weeks
Hemotest, Helix, mIU/ml
63 80 3—151 410
“Invitro”, honey /ml
—
8 weeks
Hemotest, Helix, mIU/ml
46509—186 977
Invitro, mU/ml
—
9 weeks
Hemotest, Helix, mIU/ml
27 832 —210 612
“Invitro”, honey/ml
—
10 weeks
Hemotest, Helix, mIU/ml
–
11-12 weeks
Hemotest, Helix, mIU/ml
12,039—70,971
Invitro, mU/ml
19000-135000 (12 weeks)
13-14 weeks
Hemotest, Helix, mIU/ml
9040-56451
90 002 “Invitro”, honey/ml
18,000 —100,000 (13 weeks)
14,000–80,000 (13 weeks)
15 weeks
Hemotest, Helix, mIU/ml
8175—55 868
Invitro, honey/ ml
12000-68000
16 weeks
Hemotest, Helix, mIU/ml
8099-58176
Invitro, mU/ml
10,000–58,000
17–18 weeks
Hemotest, Helix, mIU/ml
9000 2 –
“Invitro”, honey / ml
8000-57,000
Male
Hemotest, Helix, mIU/ml
Less than 5
Invitro, mU/ml
90 002 Less than 5
Multiple pregnancy rates increase with several times compared to pregnancy with one child. For example, when carrying twins in the early stages, the level of hCG can be three times higher than in the case of a singleton pregnancy. If one of the fetuses dies, the hCG level drops.
Indicators after IVF do not differ from hCG values during normal pregnancy. But the hormone level is checked daily from the fifth to the twenty-first day after the transfer of the embryo into the uterus. This is necessary in order to track the success of in vitro fertilization. If the hCG values are below the norm by more than 20%, the woman is given hCG injections. If the level of the hormone does not increase at all, then the embryo did not take root.
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How much does IVF cost
An example of an analysis for hCG by week. I will share my personal experience gained in 2009.
Possible discrepancies
The analysis is positive, the pregnancy test is negative. This happens if you first use the strip, and then donate blood in the laboratory. In this case, it is worth trusting a blood test for hCG to diagnose pregnancy. In urine, the concentration of hCG increases with a lag behind blood, in addition, the test may be of poor quality or have a too high sensitivity threshold. The probability of error in a laboratory test for hCG is minimal.
How much we spent on pregnancy management in a private clinic
Pregnancy test positive, analysis negative. Most likely, the defective test strip is to blame and there is actually no pregnancy. It may be that the pregnancy came and ended almost immediately. In most cases, women are not even aware of it, taking a few days of delay for a small cycle failure.
Causes of an increase in hCG
Pregnancy is the main reason for an increase in hCG. At the same time, if ovulation, and then pregnancy, occurred earlier than the middle of the cycle, the hCG level will be higher than the reference values. An ultrasound can be done to clarify the date.
Taking hormonal preparations containing human chorionic gonadotropin as an active ingredient. Their full list is in the Register of Medicines of Russia. Common trade names: Horagon, Pregnil, Profazi.
Trophoblastic tumors are the result of genetic disorders of pregnancy, the general name for tumors derived from elements of the placenta. They can appear both during pregnancy and after it ends with an abortion or miscarriage. If the level of hCG is elevated, and the woman is no longer pregnant, she needs to be examined by an oncogynecologist.
Trophoblastic tumors. Clinical Guidelines – Medi-ru
Gestational Trophoblastic Disease – MSD Handbook
Causes of low hCG during pregnancy
Ectopic or ectopic pregnancy. If the embryo develops outside the uterus, the hCG level will rise slowly and lag behind normal reference values. To diagnose an ectopic pregnancy, it is also necessary to do an ultrasound scan.
Ectopic Pregnancy – MSD Manual
Anembryonic. In the absence of an embryo in the uterine cavity, hCG levels continue to rise until spontaneous or medical abortion. Lagging behind the norms of concentration in the first trimester of pregnancy – up to 8 times, but the hormone level does not stop growing. Anembryony is dangerous for a woman, but the diagnosis must be confirmed by several ultrasounds and only after that an abortion should be performed.
Illegal pregnancy. In this case, the hCG level will rise normally while the embryo is developing. If the pregnancy has stopped, the growth of hCG will slow down, and after a miscarriage or abortion it will gradually decrease.
Child developmental delay. An analysis for hCG in this situation is not a basis for making a diagnosis: it is necessary to do an ultrasound scan to determine the cause of the fetal lag in development from the gestational age.
Threat of miscarriage. The growth of hCG begins to slow down 5-6 days before a possible miscarriage.
Placental dysfunctions. In this case, hCG is growing more slowly than usual. To detect placental insufficiency, together with hCG, PAPP-A, a plasma pregnancy-associated protein-A, is taken at the first screening.
Incorrect determination of the gestational age. If ovulation and then pregnancy occurred later than the middle of the cycle, the hCG level will be below the reference values. An ultrasound can be done to clarify the date.
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Causes of an increase in free beta-hCG
This test for another type of hormone is taken during screening of the first and second trimesters of pregnancy. It indicates possible chromosomal pathologies of the child.
Violation of the number of chromosomes:
- Down syndrome is a pathology of the 21st pair of chromosomes. Such children have features of physical and mental development;
- Edwards syndrome is a pathology of the 18th pair of chromosomes. They weigh less than normal newborns and have multiple malformations. Only 5-10% of children with Edwards syndrome survive to a year. They all have serious problems with learning and with general development;
- Patau syndrome is a pathology of the 13th pair of chromosomes. Such children are also born with lower weight, multiple malformations and rarely live to be a year old.
Change in the number of sex chromosomes:
- polysomy — extra X or Y chromosomes. People with polysomy sometimes have intellectual disabilities and health problems;
- Shereshevsky-Turner syndrome is the absence or defect of the X chromosome in girls. They differ from their peers in shorter stature, external features, such as low-set ears, often have problems with the heart, kidneys, and delayed sexual development;
- polyploidy – two or three sets of chromosomes instead of one. According to some reports, polyploidy is the cause of every tenth miscarriage.
Remember
- HCG is an important pregnancy hormone that allows you to determine it in the early stages, as well as to make sure that it is proceeding normally.
- The level of hCG in urine rises later than the level of hCG in the blood, so home test strips will show that pregnancy has occurred later than a blood test.
- The level of hCG in the body of a pregnant woman doubles every 1.4-2.1 days until 10-11 weeks of pregnancy.
- Lagging hCG levels from reference values may indicate problems with pregnancy, or may be a sign of an incorrect calculation of the gestational age.
- An increase in the level of hCG at times may be a sign of multiple pregnancy, chromosomal abnormalities, or an incorrect calculation of the gestational age.
- In some cases, the hCG blood test is used to diagnose serious illnesses in women outside of pregnancy and in men.
Be sure ImmunoChrome-hCG-Express Pregnancy Test 1 pc with free home delivery from VkusVill ic analysis to detect pregnancy at an early stage. The test can be used both in obstetric and gynecological practice and at home for self-control. Sensitivity – 25 Mme/ml. Principle of operation: the test is based on the principle of immunochromatographic analysis using two highly sensitive specific monoclonal antibodies that detect minimal amounts of the beta subunit of human chorionic gonadotropin (hCG) and binding to two different epitopes on the hCG molecule. The test sample is sucked into the absorbent section of the test strip; in the presence of hCG in the sample, the latter reacts with monoclonal antibodies to hCG associated with particles of colloidal gold, forming a colored antigen-antibody complex. This complex moves along the membrane with a liquid front and reacts with other anti-hCG monoclonal antibodies immobilized on the membrane, forming a colored line at the bottom of the test area (test).
The remaining reagents continue to move along the membrane and form a colored line in the upper part of the test zone (control) regardless of the presence of hCG in the sample. The results of the reaction are evaluated visually within 5 minutes.
Be sure Pregnancy Test ImmunoChrome-hCG-Express 1 pc / Pharmacy.00 29.00
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Description
The hCG Express ICA test is designed for a one-step, rapid, qualitative in vitro determination of human chorionic gonadotropin in urine by immunochromatographic assay to detect early pregnancy. The test can be used both in obstetric and gynecological practice and at home for self-control. Sensitivity – 25 Mme/ml.
Principle of operation: the test is based on the principle of immunochromatographic analysis using two highly sensitive specific monoclonal antibodies that detect minimal amounts of the beta subunit of human chorionic gonadotropin (hCG) and binding to two different epitopes on the hCG molecule. The test sample is sucked into the absorbent section of the test strip; in the presence of hCG in the sample, the latter reacts with monoclonal antibodies to hCG associated with particles of colloidal gold, forming a colored antigen-antibody complex. This complex moves along the membrane with a liquid front and reacts with other anti-hCG monoclonal antibodies immobilized on the membrane, forming a colored line at the bottom of the test area (test). The remaining reagents continue to move along the membrane and form a colored line in the upper part of the test zone (control) regardless of the presence of hCG in the sample. The results of the reaction are evaluated visually within 5 minutes.
Brand
No brand
Product type
for pregnancy detection
Expiration date
2 years
Manufacturer
Med-Express-Diagnostics
Quantity per package
1
Partner
Health Planet
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