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HCG

Human Chorionic Gonadotropin Pregnyl Novarel

HCG is a glycoprotein hormone that mimics LH (luteinizing hormone) at the pituitary-testicular axis level. It directly stimulates Leydig cells in the testes to produce testosterone, maintaining testicular size and intratesticular testosterone during anabolic steroid cycles when endogenous LH is suppressed.

It is used in two distinct contexts: on-cycle maintenance (small doses 2–3 × weekly to prevent testicular atrophy and maintain fertility potential) and as part of PCT (higher doses to jumpstart Leydig cell function before SERM therapy). It is also used in fertility protocols and in TRT optimization for men who want to maintain testicular function while on exogenous testosterone.

Protocol Why Use It Comparison Safety
Warning
Very high continuous doses can desensitize Leydig cells and worsen recovery · Increases estrogen via aromatization in the testes, so an aromatase inhibitor may be needed at higher doses · Should not substitute for proper PCT when cycle ends
Why people use it

Men on AAS who care about preserving testicular function, fertility, and the quality of their eventual natural recovery use HCG. It is standard in evidence-based AAS protocols. It is also standard for TRT users who want to maintain testicular size, intratesticular testosterone (which conventional TRT suppresses entirely), and any residual fertility potential.

Protocol & usage

On-cycle maintenance: 250–500 IU subcutaneously 2–3 × per week throughout the cycle. This dose keeps testicular function partially active without over-stimulating the testes.

PCT use: 500–1000 IU every other day for 10–14 days before beginning a SERM. This primes Leydig cells for the subsequent natural testosterone recovery phase.

TRT co-administration: 250–500 IU 2–3 × weekly alongside TRT dose. Maintains intratesticular testosterone, testicular volume, and preserves fertility potential for men who want those outcomes.

Reconstitution: Supplied as lyophilized powder with accompanying bacteriostatic water. Swirl gently; do not shake. Store refrigerated after mixing.

Important: Avoid very high continuous doses because over-stimulation can cause Leydig cell desensitization and paradoxically worsen recovery.

Timeline & expectations

Testicular size responses to on-cycle HCG are visible within a few weeks. Recovery of Leydig function during PCT priming is the goal, not immediate testosterone normalization. That comes later through the SERM phase after the HCG bridge.

Notes

Use context

HCG is one of the most practically important ancillary compounds in the AAS world, yet it is also one of the most misunderstood. The core function is simple: when exogenous androgens suppress the HPG axis, LH drops, and the testes stop being stimulated. HCG replaces that LH signal.

The nuance is in how and when it is used. On-cycle HCG at low doses (250–500 IU 2–3x weekly) maintains testicular volume, intratesticular testosterone (which matters for fertility and for the smoothness of recovery), and keeps the Leydig cells receptive. This is not the same as PCT and it does not mean SERM use can be skipped at the end of the cycle.

In PCT, HCG is used as a bridge: it primes the Leydig cells before the SERM phase, improving the speed and quality of natural testosterone recovery. The sequence is HCG first, then SERM, not both simultaneously in the early phase.

Common mistakes

Using HCG only at the end of a long cycle after extended testicular atrophy rather than maintaining throughout. Running it at very high doses continuously and desensitizing the Leydig cells. Running it during the SERM phase simultaneously rather than sequentially. Not accounting for the estrogen elevation it causes in AAS protocols where AI dose is already calibrated.

Comparison notes

Compared with HMG, HCG replaces only LH activity. HMG provides both FSH and LH analog activity, making it superior for fertility restoration when FSH is the limiting factor. Compared with Kisspeptin or Clomiphene PCT, HCG addresses the testicular side of the HPG axis directly rather than working upstream through the pituitary.

Safety & monitoring
Side effects
  • Estrogen elevation from testicular aromatization can require AI adjustment

  • Acne flares, water retention, and mood fluctuation if estrogen is not managed

Monitoring
  • LH and FSH (to confirm suppression and recovery)

  • Total and free testosterone

  • estradiol (E2), since HCG stimulates testicular aromatization

Avoid if
  • Using it as a replacement for, not a bridge to, natural testosterone recovery

  • Continuous high-dose use without monitoring estrogen

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