Novarel Trigger Shot Ovulation

I am now on progesterone supp. I've also been using the Clearblue Fertility Monitor and got my first 'high' fertility reading on CD10, and it's been high ever since. Assuming your trigger shot was an HCG shot (pregnancy hormone) then it is usually 1000units, and it takes 9-10 days to get out of your system since you took the trigger shot itself. Whether you’re just exploring fertility treatment options or are currently a patient at RMA of Philadelphia, you’re in the right place. I had the 5000iu trigger for ovulation, then 1500iu shots every I think 3 days during the tww, and then once I got my BFP I had a 5000iu shot every Tuesday and Friday until 12 weeks. You may have heard this injection referred to as the "trigger shot," given when one or more follicles is ready to release an egg. of the drug, depending upon the patient. Pregnyl is composed of HCG, human chorionic gonadotropin , and is used for the stimulation of ovulation. The trigger shot works. HCG usually triggers ovulation within three days of receiving a shot. My first trigger I paid 225$ at a local pharmacy and my insurance does not even cover a penny of it. What is Pregnyl and how will it help make me ovulate? What do I need to know before taking it? Pregnyl is a brand name for beta hCG — human chorionic gonadotropin — which is the human pregnancy hormone. The physicians emulate a practice philosophy that combines the best science with heart felt compassion for each patient, every time. Either of those could have been the case with you. The GnRH analogs can sometimes be also used for patients undergoing non IVF ovulation induction cycles. If that goes well, I will receive my ovidrel trigger shot then and there. Please see injectable medication training videos below. The trigger injection or ‘trigger shot’ as it is also known, is a hormonal injection used in fertility therapy.



Since it comes in a pre-filled syringe, no mixing or drawing up of medication is required. Novarel® (Chorionic Gonadotropin for Injection, USP) FOR INTRAMUSCULAR USE ONLY Rx Only DESCRIPTION: Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta, is composed of an alpha and a beta subunit. This administration guide, along with a training video available on. It mimics the increase in luteinizing hormone that’s a natural part of a woman’s fertility cycle. (h GONADOTROPIN CHORIONIC AN HUM Of the many medications used in fertility treatment, the most important is hCG or human chorionic gonadotropin. hCG trigger shot. The egg retrieval process is a day care procedure performed with Ultrasound Guided Aspiration under sedation. I was warned of the chance of multiples since it is a fertility treatment. Load the Novarel Instructions · Ovidrel Instructions · Progesterone Instructions. Ovidrel, Novarel, Ovarel, Profasi and Pregnyl. How to Prepare Novarel Subcutaneous Injection - Trigger Shot - Duration: 4:25. Human Chorionic Gonadotropin (hCG), is sold under the brand names Novarel, Pregnyl and Profasi. Ultrasounds are then performed during this phase to monitor the growth of somewhere between 1-4 eggs, on average. You're not too late! Prior to the trigger shot, the eggs are stuck to the side of the follicle. Fertility treatment requires a unique combination of specialized medications for each patient, so finding the best price for your out-of-pocket costs can be an exhausting task. Last month I took Novarel for my IUI and I was nervous about having to mix the powder wtih the water.



HCG Trigger and Ovulation Detection. Commercial brands are known as: Pregnyl® Novarel® Ovidrel® Contact us for more information about ovulation medicine for ovulation induction or superovulation. Using Ovidrel To Trigger Ovulation Wendy Watson May 08, 2017 No Comments If you are a woman actively trying to conceive or planning to do so in the near future, having a clear understanding of how the body works can be beneficial. My first cycle my E2 spiked after my hcg trigger to where I felt like I was getting a panic attack (which I didn't know what one was like. Why Fertility Doctors Shouldn't Give hCG Booster Injections. The trigger may be not following best route, high-traffic or the indegent control of some other driver. I've always have to give it to myself or have dh do it bec you take the shot at night. The active substance (HCG) in the injection takes over the role of luteinizing hormone. Learn how to self-administer Novarel® fertility treatments from Freedom Fertility Pharmacy. The following prices are available exclusively to cash paying patients. This shot is meant to induce ovulation within the 24-36 hours of injection, but can only be administered if a follicle in one of my ovaries measures long enough to indicate that it will supply an. So after getting that BFP on my 8 day apparently it was the trigger shot still in my system because I tested in d evening an got a bfn and continued testing until 11 days post IUI n got bfn's however I tested on the 12 day post IUI which was yesterday morning n evening on clear blue digital and first response and both were BFP an then sai no tested 13 days post IUI which is today at 4:30 am. Due to the hormones in the Depo Provera shot, your body believed it was pregnant. Please read instruction carefully. ☐Lupron Trigger 1mg/0. It takes about a day for your body to eliminate 1,000 units of hCG, meaning that if you home test any time before 14 days after your trigger shot, a positive test could be picking up the hCG from the injection and not hCG. However, HCG triggers provide the needed support during your LP.



femara didn't delay my periods in the past, however i was always on progesterone so as soon as i stopped that then AF would come! GOOD LUCK! keep us updated!. HCG injections are especially helpful for women who have irregular ovulation cycles and might not know when they will ovulate next. I was so excited to hear those words since I was stressing my self out if it was set back another day. I am taking Ovidrel and 10,000 units of Novarel hCG each of the past two cycles and this one. The hCG trigger injection is a medication known as a human chorionic gonadotropin and is used after other fertility hormones, such as clomiphene citrate or menotropins, to induce ovulation (release of the egg from the ovary) or in women undergoing an assisted reproductive technology (ART), to induce final maturation of the eggs. To conceive, you have sex 12 to 36 hours after the trigger shot. This is the optimum follicle size for mature eggs to be developed. Most often, the trigger shot is Lupron (20 or 30 iu). A trigger shot is an injection of synthetic human chorionic gonadotropin (hCG), which is a hormone medication used to stimulate the maturation of follicles and trigger ovulation. You may have to register before you can post: click the register link above to proceed. Our greatest priority at Kofinas Fertility Group is helping you start the family of your dreams — not just with our genuine compassion, but also with as little inconvenience and financial burden as possible. HCG usually triggers ovulation within three days of receiving a shot. These shots (brand names Ovidrel, Novarel, and Pregnyl) are used alongside FSH and hMG injections (sometimes even in conjunction with Clomid) to help trigger ovulation. This month, I have two mature follicles, one on each side. Also was taking progesterone tablets and asprin too so I got the whole package!. This medication is given by injection into a muscle by a health care professional. The trigger shot contains HCG and when injected it will trigger ovulation in 24 to 36 hours.



Ovidrel, Novarel, Ovarel, Profasi and Pregnyl. It mimics the increase in luteinizing hormone that’s a natural part of a woman’s fertility cycle. I've been told to monitor ov with OPK's and when I get a positive OPK, to go in for a scan to measure follicles. Common Side Effects of the HCG Trigger Shot Sharon Perkins HCG, or human chorionic gonadotropin, is a drug given to mature eggs from artificially stimulated ovaries. This is the shot that will finalize the maturation of the eggs and get the follicles ready for ovulation. If ovulation usually occurs halfway through the cycle, then peak fertility should happen at roughly 14 days after the start of your last period. If you have had intercourse a few days before and on the day of ovulation, chances of pregnancy are possible (provided there are no factors affecting vaginal pH and cervical mucus). It is sold as generic hCG or under the brand name Novarel. For patients with no insurance coverage, or patients that have exhausted their insurance coverage for infertility, our physician and specialty pharmacy networks provide you with access to fellowship-trained and credentialed Reproductive Endocrinologists and discounted prices on fertility medications. Preparation and administration videos for Novarel or Pregnyl. If you took 10,000iu hcg, it would take about 10-12d to be <5 iu in your blood. On my third cycle they gave me Clomid again 100mg but changed my trigger shot to Novarel. Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta, is composed of an alpha and a beta subunit. The egg retrieval process is a day care procedure performed with Ultrasound Guided Aspiration under sedation. It lasted from about 7pm-10pm. At the same time, the births of multiples because of IVF dropped from 48 percent to 32 percent. Human chorionic gonadotropin, or hCG (Pregnyl, Novarel, Ovidrel, and Profasi) is a hormone used to trigger release of the eggs from the follicles (ovulation). HcG trigger shot is like the hormone LH produced naturally which is responsible for triggering ovulation. This hormone will develop during the early stages of pregnancy and is responsible for maintaining the proper levels of progesterone, which is necessary for healthy gestations.



She told me that I need to have intercourse that night and the following two. HCG mimics the hormone LH. The only one that is different is Ovidrel, which is a prefilled syringe that is injected subcutaneously (under the skin). hCG is typically used to trigger ovulation in a cycle where gonadotropins or hMG is used to induce ovulation - it's often referred to as the trigger shot. You're not too late! Prior to the trigger shot, the eggs are stuck to the side of the follicle. Novarel Injection Novarel 5k injection supplies: hCG 5000 units vial and sterile water vial (packaged together)3 ml syringe with attached Not a Patient - Have a question Become an Egg Donor Patient Portal. hCG is an injectable medication used to trigger ovulation. Why Fertility Doctors Shouldn't Give hCG Booster Injections. Because of this, you should see a positive ovulation test shortly after taking the trigger shot. Get an IVF cost breakdown by state and procedure. This is the "trigger shot" that you probably hear people talk about. I had my trigger shot last Thursday AM and then had my IUI last Friday AM, 24 hours later. Due to the cost of the medications, ultrasounds, and blood tests during a COH cycle, its cost is significantly higher than ovulation induction with oral medications. This increase in FSH, along with the FSH we give you in your medication will help stimulate your ovaries. Best Answer: "Many women are prescribed hCG (Human Chorionic Gonadotropin) injections (Profasi, Pregnyl) to trigger ovulation or to lengthen the luteal phase. Your fertility nurse tells you exactly when to do the trigger injection. Clinic co-owners Simon Hong (right) and Dr.



The trigger shot works. I just wonder if increasing your hCG might help those other follies mature and release? Also, how many days prior to trigger were you when you saw the 23mm follie? Is that the same number of days prior to trigger you are this cycle?. LH is what an ovulation test detects for. So, this past month, I did the Femera again, had two big follicles, but got the Novarel shot as soon as my dr. The major limitation of the use of GnRH agonist to trigger ovulation is that GnRH agonists are ineffective in women with a low gonadotrophin reserve or after pituitary down-regulation with a GnRH agonist. Novarel® (Chorionic Gonadotropin for Injection, USP) FOR INTRAMUSCULAR USE ONLY Rx Only DESCRIPTION: Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta, is composed of an alpha and a beta subunit. I hadn't heard of triggering with lupron either until my RE recommended it last week. The medication can be used alone, in an ovulation induction cycle as with intrauterine insemination or during in vitro fertilization. Joshua Berger (left) are seen above. Fertility Drugs, Not IVF, Are Top Cause Of Multiple Births. However if OHSS is suspected, a reduced dose of 5000iu is preferred. ) This injection will make you ovulate within 24-36 hours, which makes it easier to time whatever your next step is. In 2 days i start the Femara. hCG (Human Chorionic Gonadotropin) is slowly cleared from the body. Ovidrel, Pregnyl, and Novarel are common trigger medications, and these are usually injected with a short needle into the tummy fat, or with a bigger needle into the "hip" (read: BUTT MUSCLE). Common Side Effects of the HCG Trigger Shot Sharon Perkins HCG, or human chorionic gonadotropin, is a drug given to mature eggs from artificially stimulated ovaries. Fertility Treatment: What is an HCG Trigger Shot? Tweet If you are undergoing in vitro fertilization (IVF), intrauterine insemination (IUI), or using timed intercourse methods, your fertility plan may involve the injection of a hormone called human chorionic gonadotropin (hCG).



If you have had intercourse a few days before and on the day of ovulation, chances of pregnancy are possible (provided there are no factors affecting vaginal pH and cervical mucus). Human chorionic gonadotropin, HCG may induce precocious puberty in males treated for cryptorchidism. side effects on Novarel (trigger shot) matthewsbride05. I would get two follicles at a time and my lining was very thick. How To Get Him Obsessed With You One extremely common places we recognise that have got tired and or stressed inside a car. Help! Don't worry! Once your cycle is being triggered medically, your chart is no longer your best way to detect ovulation. Therefore, an injection of hCG, called an hCG spike or the trigger shot, will initiate ovulation approximately 36 hours later. normal ovarian follicle, and the mid-cycle LH surge triggers ovulation. This is where the "art" and experience of the Physician comes into play. Just had to wait foy LH surge (using CBFM) to give myself the hcg trigger shot. An injectable medication, it may be used by itself or along with fertility drugs. possible trigger. Last month when I had the trigger my nurse said ovulation should occur 24-36 hours later. Timing of the retrieval or trigger is based on the size of the follicle and not the cycle day. A doctor will prescribe anywhere from 5,000 to 20,000 I. Sometimes hCG is given as an injection medication to promote fertility. We tried to concieve for over 2 years, i attempted each and every of the different dosages of Clomid with and without the hcg shot, I continuously ovulated on time yet couln't get pregnant. Friday was trigger shot day and I had to wait until 7PM to administer it. Compare prices, print coupons and get savings tips for Novarel and other Fertility drugs at CVS, Walgreens, and other pharmacies.



Enough to give me hope and then be disappointed. Novarel can also be used for luteal support. This number is the “take home baby” rate and the most important measure of success. I am on my third cycle of clomid 50mg and also on my second hcg trigger shot. It can only be used this way in patients who are doing a GnRH antagonist protocol. My ovulation kit tests weren't showing positive until day 15). The first is used for women who are not ovulating spontaneously (irregular or infrequent menstruation). The more frequent shots may be administered after re-evaluation and approval from your health care specialist. Last month I took Novarel for my IUI and I was nervous about having to mix the powder wtih the water. The most familiar of these drugs are the follicle stimulating hormone (FSH), and the luteinizing hormone (LH). The Reproductive Medicine Group has earned the reputation as one of Western Florida’s leaders in fertility by providing excellent success rates in a patient-centered environment. Midwest Fertility Center was established to meet the needs of couples experiencing infertility through treatments, including In vitro fertilization (IVF treatments), artificial insemination, donor insemination, and surgical procedures including tubal ligation reversal. I have done 3 rounds of Clomid and of those 1 round included the HCG trigger injection (I think that's what the Novarel is correct?). Before using NOVAREL, patients should be appropriately pretreated with human menotropins, such as MENOPUR® (menotropins for injection). The hCG trigger shot is available by prescription and can be found pre-mixed or unmixed. Currently on 10th TI cycle with letrozole and trigger shot 🤞. I watch the E2 rise (regardless of how high a blood concentration it reaches) and then track it coming down again. 2ml Sig: mg SC, when directed Qty Refills ☐ Progesterone in Sesame Oil 50mg/ml 10 ml Vial.



Did I ovulate? I took two lupron shots 12 hrs a part. When the follicles reach a state of maturity as evidenced by your ultrasounds and estradiol results, your physician will have you take your hCG injection to trigger the release of the eggs from your ovaries. I had my trigger shot last Thursday AM and then had my IUI last Friday AM, 24 hours later. I was so excited to hear those words since I was stressing my self out if it was set back another day. Even if your aim is natural conception as opposed to intrauterine insemination or in vitro fertilization when timing is most crucial, an hCG trigger shot might be recommended if you don't ovulate or if you have irregular periods, making it difficult to know when or even if you are fertile. Lupron is usually continued until the day of the HCG trigger shot. A more controversial use of the hCG shot is as a way to lose weight, in conjunction with a low-calorie diet developed by British doctor A. Clomid and hcg trigger shot twins - Get Now. and midnight. Intramuscular injections: An intramuscular injection delivers fertility medication directly into a muscle, using a somewhat longer needle. So, this past month, I did the Femera again, had two big follicles, but got the Novarel shot as soon as my dr. I'm not being scanned no. The staff at the Reproductive Medicine Group have created this short video for IUI patients explaining Ovidrel®. IUI = Induction + Insemination. 4 A trigger shot is a hormone given at the end of stimulation to encourage eggs to mature. My Pregnyl Trigger Shot. Triggering Ovulation With Medication. This hormone will develop during the early stages of pregnancy and is responsible for maintaining the proper levels of progesterone, which is necessary for healthy gestations. HCG "trigger" shot = injection of a medication called HCG, which causes the eggs to complete the maturation process.



My first trigger I paid 225$ at a local pharmacy and my insurance does not even cover a penny of it. I know you very much want to be pregnant - and it is hard to wait for your doctor's test. Doctors use it to induce ovulation. Ovidrel, Novarel, Pregnyl (Human Chorionic Gonadoptropin, hCG) hCG is the hormone produced by pregnant women that we measure in a pregnancy test. Sometime we give hCG for patients who do not respond well to Lupron. Fertility Bridge. Before using NOVAREL, patients should be appropriately pretreated with human menotropins, such as MENOPUR® (menotropins for injection). treatment options. In 2 days i start the Femara. And with DH's swimmers it only takes one give it an evening's break and then try again tomorrow - sperm can last upto 5 days in the right conditions. Last month when I had the trigger my nurse said ovulation should occur 24-36 hours later. Novarel is a hormone that supports the normal development of an egg in a woman's ovary, and stimulates the release of the egg during ovulation. Day #1 - Trigger night: Give yourself the trigger shot anytime between 6 p. Fertility drugs work by causing the release of hormones that either trigger or regulate ovulation. How to use Novarel Vial. Learn More. An injectable medication, it may be used by itself or along with fertility drugs. Pregnancy Stages Pregnancy Test Pregnancy Workout Maternity Dress Outfits Pet Insurance Cost Pet Health Insurance Getting Pregnant Tips Trying To Get Pregnant Trigger Shot. Novarel is a prescription medication used to help with descent of the testicles in young boys, promote hormone production in men, and promote ovulation and pregnancy in women. So if it is detecting a level, it is more than likely due to a pregnancy, not from the shot.



Doing IUI after ovulation would be too late as it doesn't get you pregnant. I am supposed to do a Lupron trigger with a HCG booster after ER. finally I went to a fertility expert and that they got here across that I had a dermoid cyst on my left ovary and that i had a cyst on my left tube that supposedly replaced into no longer inflicting me issues. In such cases, the aim is to stimulate the release of one egg a month. Some health insurances will cover the cost of the injection while others will not and it usually costs $35 to $75. Which Fertility Drugs Contain HCG The hormone Human Chorionic Gonadotropin (hCG) is produced during pregnancy. The physicians emulate a practice philosophy that combines the best science with heart felt compassion for each patient, every time. Order prescriptions or refill your fertility medications online. An injectable medication, it may be used by itself or along with fertility drugs. Approximately 1 ½ days later, the IUI is performed. HOW TO ADMINISTER CG). Step 3: Egg retrieval. Sometimes hCG is given as an injection medication to promote fertility. Common fertility drugs used during IVF Numerous types of fertility drugs are used during IVF, some taken orally and others injected. / Novarel Description During an assisted reproductive cycle (ART), Novarel ® is used to induce egg maturation and trigger ovulation (the release of an egg(s) from the ovary) in women who have been treated with ovulation inducing medications. This is given in combination with other fertility drugs that stimulate follicle production and is administered at a precise time during the menstrual cycle, based upon the results of. Apparently the other medications are more forgiving if you vary by a few hours every day, but the Novarel has to be given at exactly the right time, because they plan the egg retrieval for 35 hours after giving the trigger shot. I was warned of the chance of multiples since it is a fertility treatment.



An increasing number of women are turning to a lesser-known alternative to in vitro fertilization these days: in vitro maturation (IVM). ALL OF OUR PHARMACY LOCATIONS ACCEPT ELECTRONIC PRESCRIPTIONS. It didn’t hurt anymore than the acupuncture. Does the trigger shot actually delay ovulation for approximately 36 hours? I'm a little worried (especially since i messed up on the shot a little) that my ovulation will happen today and tomorrow's IUI will be too late?. I truly feel like my follicles were getting too big too early in my cycle (before my body got the hormone surge needed to ovulate). This is taken only once in the cycle. What Is HCG Trigger Shot? There is an hCG trigger shot that has a synthetic version of the hormone hCG and this is sometimes used as part of a fertility treatment for women trying to conceive. Most often, the trigger shot is Lupron (20 or 30 iu). It lasted from about 7pm-10pm. I also had the ovidrel trigger to induce ovulation. Yes, Novarel, Pregnyl and Profasi are all brand names for the same thing. Take 1mL of the Novarel (HCG) shot tonight (Tuesday, Jan 25th) at 10:40pm EXACTLY. We generally do not put embryos into a uterus whose lining is less than 7mm during IVF. 6 hours ago · A terrorist who posed with an AK-47 and vowed to 'wed' bullets with the 'Americans and British' in a chilling video shot on a Samsung phone which was shared by four British Jihadis in Syria has. Fertility drugs work by causing the release of hormones that either trigger or regulate ovulation. If your estrogen level is high or you have a large number of developed follicles, your doctor may have you stop injectable medications and wait a few days before giving HCG, which triggers ovulation.



My RE gave me a lupron trigger instead of my usual HCG or ovidrel trigger. Two inches on either the left or right side of my belly button. So, I am guessing i would only count days past trigger shot starting on Friday which would put me at 5 days past trigger shot. I am now on progesterone supp. Should we give 5000 or 10000 units of hCG to trigger ovulation? 10,000iu of HCG is recommended to trigger ovulation. One vial of sterile diluents. For this reason, it makes economic sense to wait until 10-12 days after ovulation, but even then a significant percentage of women who are indeed pregnant will still show a negative result. So the HCG trigger shot gave me a false pink box confirming. A more controversial use of the hCG shot is as a way to lose weight, in conjunction with a low-calorie diet developed by British doctor A. Please read instruction carefully. Clomid and hcg trigger shot twins - Get Now. The alpha sub-unit is essentially identical to the alpha sub-units of the human pituitary. An injectable medication, it may be used by itself or along with fertility drugs. I feel if we can relate our experiences, either positive or negative, I believe we can help one another. Does the trigger shot actually delay ovulation for approximately 36 hours? I'm a little worried (especially since i messed up on the shot a little) that my ovulation will happen today and tomorrow's IUI will be too late?. The physicians emulate a practice philosophy that combines the best science with heart felt compassion for each patient, every time.



Pregnancy rates are generally higher when insemination is done before rather than after ovulation. There is another brand called Ovidrel which is administered differently from generic hCG or Novarel. This process of chromosome reduction is known as egg maturation and creates a mature egg that is ready for ovulation and fertilization by sperm. HCG Trigger and Ovulation Detection. The hormone is produced once a fertilized egg reaches the lining of the uterus. Medication names you might hear: Novarel, Ovidrel, Pregnyl, or Profasi What it does: hCG helps to mature the follicles in your ovaries and tells your body to release eggs. Clomiphene (Clomid): This drug can trigger ovulation. Pregnant Now: 12. The medication can be used alone, in an ovulation induction cycle as with intrauterine insemination or during in vitro fertilization. Estradiol (E2) is a steroid hormone secreted into circulation by granulosa cells of developing ovarian follicles. Each time, I had a negative test by 8 days after the trigger shot. For patients with no insurance coverage, or patients that have exhausted their insurance coverage for infertility, our physician and specialty pharmacy networks provide you with access to fellowship-trained and credentialed Reproductive Endocrinologists and discounted prices on fertility medications. The trigger shot I typically use is branded as Novarel, and is 10,000 units of hCG. Those who use Novarel Trigger Shot. It is less predictable so you have to be prepared that you will miss by either trying to retrieved too soon or missing ovulation.



To conceive, you have sex 12 to 36 hours after the trigger shot. It is used in extremely low doses for fat loss. Fertility treatment requires a unique combination of specialized medications for each patient, so finding the best price for your out-of-pocket costs can be an exhausting task. Ovidrel is a fertility drug used to enhance and trigger ovulation. By Bianca Seidman September 24, 2015 / 3:04 PM / CBS News Betsy Kilmartin and her husband tried to conceive a child for nine months with no. This is taken only once in the cycle. Giving New York great fertility results with low-complexity therapies. This is known as coasting. How does 10,000 units of Novarel stay in your system? Will it leave faster in thinner people? I got a very faint - Answered by a verified OB GYN Doctor. Does that mean I can go back to my normal activities, including weight raining. Mandell’s Clinical Pharmacy can custom compound Leuprolide trigger injections in a pre-filled syringe, with the exact dose requested by the physician. We tried to concieve for over 2 years, i attempted each and every of the different dosages of Clomid with and without the hcg shot, I continuously ovulated on time yet couln't get pregnant. How to use Novarel Vial. CD12 my reading dropped again slightly, and the rose again on CD13 - the day of actual ovulation. As some know all too well, in vitro fertilization can be a long, tedious process that is further complicated by the uncomfortable but necessary Pregnyl Injection (“trigger shot”). I spent all day worrying about it because of the needle phobe that I am. The size of the follicle was certainly appropriate to trigger. Help! Don't worry! Once your cycle is being triggered medically, your chart is no longer your best way to detect ovulation. Enough to give me hope and then be disappointed. I took the HCG shot on Saturday at 10pm. Novarel Trigger Shot Ovulation.