Time interval from human chorionic gonadotrophin (HCG) injection to follicular rupture

The aim of this study was to estimate the time interval fromhuman chorionic gonadotrophin (HCG) injection to follicularrupture. Furthermore, it was observed whether there was anyeffect on the pregnancy rate if the insemination was performedat the time of follicular rupture. In a programme of intrauterineinsemination 37 consecutive cycles in 32 patients were monitoredafter stimulation with clomiphene citrate. HCG was administeredby i.m. injection when a leading follicle of at least 18 mmin diameter was observed sonographically. All patients weremonitored by sonography with 1 h intervals from 32 h after HCGinjection until the first rupture of a follicle. Inseminationwas performed immediately after the first follicular rupture.The pregnancy rate was 16% (5/32). In 66%, the largest folliclewas the first to rupture. The mean time interval from HCG administrationto first follicular rupture was 38.3 h (SEM = 0.54; range =34–16). Our findings support the concept that ovulationoccurs about 38 h after HCG administration. The pregnancy ratewas within the normal range, although insemination was performedat the time of follicular rupture. The largest follicle wasnot always the first to rupture