Sexual Health

HCG

Human Chorionic Gonadotropin

Overview

Human Chorionic Gonadotropin (HCG) is a glycoprotein hormone produced during pregnancy that mimics luteinizing hormone (LH) and stimulates testosterone production in the testes. It is FDA-approved for hypogonadism, cryptorchidism, and infertility. In the peptide research community HCG is widely used alongside testosterone replacement therapy to maintain testicular function and size, preserve fertility, and support endogenous testosterone production. It is also used in post-cycle therapy (PCT) protocols following anabolic steroid use to restore the hypothalamic-pituitary-gonadal axis.

Where does HCG sit?

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Mechanism of Action

HCG binds to LH/hCG receptors on Leydig cells in the testes, mimicking the action of luteinizing hormone and directly stimulating testosterone synthesis and secretion. Because it acts directly on the testes rather than through the HPG axis, HCG can restore testicular testosterone production even when the pituitary is suppressed by exogenous androgens. HCG also maintains testicular volume and spermatogenesis by stimulating Sertoli cells and supporting intratesticular testosterone levels required for sperm production. In women, HCG triggers ovulation by mimicking the LH surge and is used extensively in assisted reproduction. Its ability to bypass pituitary suppression makes it uniquely valuable in the context of exogenous hormone use.

Dosage Information

Typical Dose

250-500 IU, 2-3 times weekly (fertility/TRT adjunct)

Frequency

2-3 times weekly

Administration

Subcutaneous or intramuscular injection

Notes

Used alongside TRT to maintain testicular size and fertility. PCT protocols typically use 1000-2500 IU every other day for 2-3 weeks post-cycle. Requires medical supervision.

Potential Side Effects

Gynecomastia — due to increased estrogen conversion (uncommon)Acne (uncommon)Water retention (uncommon)Headache (rare)Injection site pain (common)

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Quick Facts

Administration
Subcutaneous or intramuscular injection
Typical Dose
250-500 IU, 2-3 times weekly (fertility/TRT adjunct)
Frequency
2-3 times weekly
References
0 curated + 0 from PubMed