Can a Trigger Shot Cause a Positive Pregnancy Test?
[Answers · Bone, menopause and fertility medicines]

Can an hCG trigger shot cause a positive pregnancy test?

From FDA labels, public health agencies and published studies · Reviewed

Short answer: Yes. Ovidrel, Pregnyl and Novarel are all forms of hCG, the same hormone home and blood pregnancy tests look for. The Ovidrel label says it may interfere with the reading of pregnancy tests, and MedlinePlus says fertility medicines can cause a false-positive result. The label gives a half-life of about 29 hours for Ovidrel, so the hormone takes days to clear. Fertility clinics usually set the date of the pregnancy blood test.

Why a trigger shot shows up on a test

Pregnancy tests check urine or blood for human chorionic gonadotropin (hCG). MedlinePlus explains that the placenta makes hCG after a fertilized egg attaches to the uterus, and that levels then rise, almost doubling every three days.

A trigger shot is a dose of hCG given to finish egg maturation and start ovulation. Pregnyl and Novarel are made from hCG collected from urine; Ovidrel is a recombinant (lab-made) hCG that its label calls comparable to hCG from pregnancy urine. A test cannot tell the injected hormone from hCG made by a pregnancy.

The Ovidrel label states that it may interfere with the interpretation of pregnancy tests. MedlinePlus says that taking a pregnancy test while on fertility medicines could give a false-positive result, and that anyone on fertility drugs who gets a positive result should talk to their provider, who may need to confirm it.

How long the hCG stays in the blood

hCG half-life after an injection under the skin
SourceProduct and doseHalf-life
Ovidrel labelOvidrel 250 mcgMean terminal half-life about 29 hours (29.2 hours median in IVF patients)
Radicioni 2022 (26 healthy women)Ovitrelle 250 mcg (about 6,500 IU)About 39 hours
Radicioni 2022 (26 healthy women)Urinary hCG 10,000 IUAbout 37 hours

A half-life is the time for the level to fall by half, so it takes several half-lives for hCG to drop to very low levels. How high the level starts also varies: a 2007 study of 115 IVF patients found the hCG level the day after the trigger depended on body mass index and on the number of follicles larger than 14 mm. None of these sources gives a fixed number of days after which a home test can be trusted.

How clinics confirm a pregnancy

MedlinePlus describes two kinds of blood test: a qualitative test that says yes or no, and a quantitative test that measures the exact amount of hCG. Because hCG from a pregnancy rises over time while hCG from a trigger shot falls, a measured level or a repeat test can help tell them apart. The test timing is set by the fertility clinic or prescriber.

The labels also note that hCG can cross-react with lab tests for other hormones, especially LH, and ask that the lab be told when someone is on hCG.

Keeping track of the date

The exact time of the trigger shot matters for egg retrieval and for reading later test results. Dose Track can log the trigger with its date and time alongside the stimulation injections, so the timeline is in one place when the clinic asks.

Read more on Dose Track: Ovidrel dosing schedule · Pregnyl dosing schedule · hCG half-life calculator · Half-life · Female fertility

General education drawn from labels, public health agencies and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your medicine are the final word. Questions for other users? Ask in the Dose Track community.

Frequently asked questions

Can Ovidrel cause a false positive pregnancy test?+
Yes. Ovidrel is hCG, the hormone pregnancy tests detect, and its label says it may interfere with the interpretation of pregnancy tests.
What is the half-life of a trigger shot?+
The Ovidrel label gives a mean terminal half-life of about 29 hours after an injection under the skin. A 2022 study in 26 women found about 37 to 39 hours for two hCG products.
How many days after a trigger shot can I test?+
The labels do not give a number of days. The level depends on the dose and the person, so the fertility clinic usually sets the date of the blood test.
Can hCG affect other blood tests?+
The hCG labels say it can cross-react with lab tests for other hormones, especially LH, and that the lab should be told about hCG treatment.