Research profile · Hormone
HCG
Also known as Human chorionic gonadotropin, Chorionic gonadotrophin
Overview
A placental glycoprotein hormone acting at the LH/CG receptor. A prescription-only medicine in the UK.
- Category
- Hormone
- Highest evidence level identified
- Established clinical evidence
- Last scientifically reviewed
- 22 August 2026
- Last regulatory review
- 22 August 2026
Mechanism under investigation
Human chorionic gonadotropin is a heterodimeric glycoprotein of an alpha subunit shared with LH, FSH and TSH and a hormone-specific beta subunit. It acts at the same receptor as luteinising hormone — the LH/CG receptor, a G-protein-coupled receptor expressed in ovarian theca and granulosa cells and testicular Leydig cells — but binds it with higher affinity and a much longer circulating half-life than LH itself. Receptor activation drives cAMP-mediated steroidogenesis: in women, final follicular maturation and corpus luteum support; in men, testicular testosterone production. The licensed UK product is a recombinant form, choriogonadotropin alfa.
Research areas
- Reproductive endocrinology
These are fields in which the compound has been investigated. Listing a field is not a statement that anything was demonstrated within it.
Current evidence
In-vitro evidence
Cells, tissues or biochemical systems outside a living organism.
Deeply characterised over decades: receptor cloning, binding kinetics, the structural basis of the LH/hCG functional difference at a shared receptor, and the signalling differences between the two hormones.
Animal evidence
Studies in living non-human animals.
Extensive classical endocrinology across species; hCG-driven Leydig-cell steroidogenesis and ovulation induction are textbook animal pharmacology.
Human observational evidence
Studies observing people without assigning an intervention.
Very large clinical literature across assisted reproduction, including registry data on ovulation triggering and luteal support.
Clinical-trial evidence
Studies assigning an intervention to human participants.
Extensive within reproductive medicine: randomised trials and systematic reviews of hCG as an ovulation trigger and in luteal-phase support underpin the licensed indication. Outside licensed reproductive uses the trial record is thin or negative — most prominently, controlled evidence does not support the hCG diet, a use regulators have acted against.
Study limitations
- The high-quality evidence is confined to reproductive endocrinology under specialist supervision; popular uses outside it lack controlled support.
- Ovarian hyperstimulation syndrome is a recognised, occasionally serious complication of triggering ovulation, which is why the licensed product sits behind specialist prescribing.
- Comparative questions — recombinant versus urinary product, trigger timing, dose — remain active research areas within the specialty.
- Immunoassay cross-reactivity and preparation heterogeneity complicate older literature, where urinary products of varying purity were the norm.
UK regulatory context
Prescription-only medicine (UK)
A medicine that may lawfully be supplied in the UK only against a prescription from an appropriate practitioner.
Source: Ovitrelle 250 micrograms solution for injection in pre-filled pen — Summary of Product Characteristics (opens medicines.org.uk in a new tab) (electronic Medicines Compendium)
Regulatory classification is jurisdiction-specific. A compound authorised elsewhere is not thereby authorised in the UK, and a supplier’s description of a substance does not determine how it is classified in law. See safety and regulation for the framework and the authoritative sources.
Safety and interpretation
HCG is a UK prescription-only medicine licensed for triggering final follicular maturation and ovulation within monitored fertility treatment. Its principal recognised risk in that setting, ovarian hyperstimulation syndrome, can be serious and is the reason treatment is supervised with ultrasound and endocrine monitoring. In men, hCG stimulates endogenous testosterone and is used within specialist endocrinology; unsupervised use to manipulate the gonadal axis carries endocrine consequences that the licensed framework exists to manage. The safety record belongs to pharmaceutical product under that supervision and does not transfer to research-grade material.
References
- Regulator or official body
electronic Medicines Compendium, 2023 · accessed 22 August 2026
PLGB 11648/0273, Merck Serono Ltd. Legal category: prescription-only medicine. Active substance choriogonadotropin alfa (recombinant hCG).
- Review or secondary source
Ascoli M, Fanelli F, Segaloff DL. Endocrine Reviews, 2002
- Review or secondary source
Casarini L, et al.. Endocrine Reviews, 2018