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Fertility · Injection guide

Ovidrel® (choriogonadotropin alfa)

The trigger shot. Once your stimulation medications have done their work, this single injection tells your ovaries to finish maturing the eggs and release them — which is why the timing matters so much. Here is exactly how to give it.

Medically reviewed by
Fora Rahmati, RPh, PharmD
Pharmacist & Owner · Reviewed 2026

Quick facts

TypeSubcutaneous injection, upper thigh or abdomen
ClassTrigger shot — recombinant hCG
Dose250 mcg in 0.5 mL, a single injection
MixingNone — the pen and syringe come ready to inject

Always follow your clinic's instructions for dose and timing.

What it is

What is Ovidrel®?

Ovidrel® (choriogonadotropin alfa) is a laboratory-made form of human chorionic gonadotropin, or hCG — the same hormone the placenta produces during pregnancy. Because it is made through recombinant DNA technology rather than collected from urine, every dose is consistent.

Ovidrel® is the trigger shot. After your stimulation medications have grown a batch of follicles, this single injection tells your ovaries to finish maturing the eggs and release them. That is why your clinic will give you an exact date and time for it: everything afterwards, whether that is egg retrieval or insemination, is scheduled from this injection.

It comes ready to use in a pre-filled pen or a pre-filled syringe. There is no powder to mix and no diluent to draw up.

Normally

  • Follicles mature
  • Natural LH surge
  • Ovulation on your body’s schedule

On Ovidrel®

  • Follicles grown by stimulation
  • Ovidrel® supplies the surge
  • Eggs finish maturing
  • Your clinic sets the exact hour

Before you begin

Everything you need, on a clean surface

One Ovidrel® pre-filled pen or syringe, 250 mcg
One single-use needle (supplied with the pen)
Alcohol wipes (not supplied)
A sharps container

Storage: in the refrigerator between 2–8°C, in the original packaging to protect it from light. Never freeze it. Check the expiry date before every use, and do not inject the solution if it looks cloudy or discoloured or has particles in it.

The Ovidrel pre-filled pen, showing the dose display, dose setting knob, reservoir holder and threaded needle tip
The Ovidrel® pre-filled pen — this is what comes home from our pharmacy.

How to inject Ovidrel®, step by step

Seven steps. No mixing — the pen arrives ready to inject, so most of the work is checking the pen and setting the dose correctly.

  1. 1

    Prep

    Before you begin

    Wash your hands thoroughly with soap and water and lay everything out on a clean work surface. Your hands and your supplies should be as clean as possible. Keep needles capped until you use them, and never let a needle touch any surface except skin you have just cleaned with alcohol.

  2. 2

    Prep

    Prepare the pen

    Remove the pen cap and wipe the threaded tip, including the rubber centre, with an alcohol swab. Check the reservoir holder: it should be intact and uncracked, and the solution inside should be clear and free of particles. If the holder is damaged or the liquid looks cloudy or discoloured, use a different pen. Confirm the dose display reads “0”.

    Pharmacist tip: Check the needle’s peel-off seal too. If it is loose or damaged, drop the needle into your sharps container with the cap still on and take a new one.

  3. 3

    Prep

    Attach and prime the needle

    Press the pen’s threaded tip into the outer needle cap and twist clockwise until you feel light resistance — do not overtighten, or it will be hard to remove afterwards. Pull the outer cap straight off and keep it; you need it later to take the needle off safely. Hold the pen upright with the needle pointing up and discard the inner green shield. If you see a tiny drop at the needle tip, the pen is ready.

    Pharmacist tip: No drop? Turn the dose knob clockwise until a dot appears, hold the pen needle-up, tap the reservoir gently, then press the knob fully until a drop appears. You may repeat this once, but no more than twice in total.

  4. 4

    Inject

    Set the dose to 250

    Turn the dose setting button clockwise until the display moves past the straight line and shows “250”. Do not push or pull the button while turning it. Remove the inner needle shield if you have not already. Check the display clearly reads “250” before going further.

  5. 5

    Inject

    Give the injection

    Use the site your doctor or nurse recommended, usually the upper thigh or the abdomen. Clean it with an alcohol swab and let the skin dry. Confirm the display still reads “250”. Hold the pen in one hand and gently pinch the skin with the other to raise a small fold, then insert the needle at a 90° angle — a different angle can bend it. Press the dose knob all the way down and hold for at least five seconds. Do not release the knob until the needle is out of your skin.

    Pharmacist tip: When the display returns to “0”, the full dose has gone in. Then press a fresh alcohol swab gently over the site.

  6. 6

    After

    Check the dose landed

    The dose display should read “0”. That confirms the whole dose was delivered — do not give yourself a second injection. If it does not read “0”, call your doctor for guidance rather than guessing.

  7. 7

    After

    Remove the needle and dispose of everything

    Hold the pen by the reservoir holder and carefully place the outer needle cap back over the needle without pricking yourself. Grip that cap and unscrew the needle counterclockwise, then drop it in your sharps container. The pen and needle are single-use: discard the pen once you have injected, and never reuse either. Medicines and injection devices should never go in household trash or down the drain.

See it laid out

Prefer to see it before you try it?

The same steps, illustrated. Call and our pharmacist will walk you through your first Ovidrel® dose in person or on the phone.

Illustrated Ovidrel pen steps: wiping the threaded tip, attaching the needle, priming until a drop appears, setting the dose to 250, and injecting at a 90 degree angle

What to expect

Side effects to know about

Common, usually mild

  • Discomfort, redness or soreness at the injection site
  • Abdominal pain
  • Nausea or vomiting

Rare, but serious

  • Ovarian hyperstimulation syndrome (OHSS): severe stomach or pelvic pain, bloating, nausea, vomiting, or rapid weight gain — call your doctor immediately
  • Report any new symptom or change to your healthcare team rather than waiting for your next appointment
  • This page does not cover every possible risk; read the leaflet in your box and go through it with your fertility team

Common questions

Ovidrel® FAQ

Something not covered here? Call (905) 235 8820 and a pharmacist will walk you through it.

What does Ovidrel® actually do?

It triggers ovulation. After the stimulation phase of your treatment has matured a group of follicles, Ovidrel® prompts your ovaries to finish maturing the eggs and release them, on a schedule your fertility specialist controls.

What is hCG?

Human chorionic gonadotropin is a reproductive hormone. In pregnancy it is produced by the placenta and appears in urine, which is what home pregnancy tests detect. Ovidrel® is a laboratory-made version of it.

What dose do I inject, and what if I take too much?

The recommended dose is 250 mcg. It comes as a pre-filled pen containing 250 mcg, a pre-filled syringe containing 250 mcg in 0.5 mL, and a freeze-dried form that is reconstituted with sterile water to give 250 mcg in 1 mL. If you think you have taken too much, contact your healthcare provider, an emergency department, or your regional Poison Control Centre right away, even if you feel completely fine.

Could Ovidrel® cause ovarian hyperstimulation syndrome (OHSS)?

OHSS is rare but serious. Warning signs are severe stomach or pelvic pain, bloating, nausea, vomiting, or rapid weight gain. If you notice any of these, contact your doctor immediately and do not continue until they tell you to.

Is Ovidrel® linked to multiple births or birth defects?

Multiple births have been reported with fertility treatment generally, and it is worth discussing that with your doctor before you start. On birth defects, clinical trial and post-marketing data have not shown a link between Ovidrel® and congenital anomalies, and large studies find the rate after assisted reproduction is in line with the general population.

Can I take Ovidrel® alongside my other medications?

Tell your doctor and your pharmacist about everything you are taking or have recently taken, including anything bought without a prescription. Bring us the list and we will check it for you.

Where this comes from

Checked against the official record

Every clinical statement on this page was checked against the sources below, then reviewed by our pharmacist. If something here does not match what your clinic told you, follow your clinic and call us.

Ovidrel® in your protocol?

We dispense it the same day your clinic sends the prescription, deliver across the GTA, and counsel you through your first injection.