Short answer: Both are hCG. Ovidrel (choriogonadotropin alfa) is made by recombinant DNA and comes as a 250 mcg prefilled syringe injected under the skin, approved only for fertility treatment in women.1 Pregnyl is purified from the urine of pregnant people, comes as a 10,000-unit powder vial given into muscle, and is also approved for some boys and men.2
| Ovidrel (choriogonadotropin alfa) | Pregnyl (chorionic gonadotropin) | |
|---|---|---|
| Source | Recombinant human hCG1 | Purified from the urine of pregnant people2 |
| Approved for | Final follicle maturation in IVF and similar programs; ovulation induction in anovulatory women1 | Prepubertal cryptorchidism; hypogonadotropic hypogonadism in males; ovulation induction in anovulatory women2 |
| How it comes | Prefilled syringe delivering 250 mcg in 0.5 mL1 | Multiple-dose vial of 10,000 USP units powder plus a 10 mL solvent vial2 |
| Route | Under the skin (subcutaneous) only1 | Into muscle (intramuscular) only2 |
| Label dosing | 250 mcg once, one day after the last follicle-stimulating dose1 | Women: 5,000 to 10,000 USP units once, one day after the last gonadotropin dose. Men and boys: several regimens, for example 500 to 1,000 units 3 times a week2 |
| Half-life | about 29 hours (label: mean terminal half-life about 29 hours after a subcutaneous dose)1 | Not stated in the label |
| Storage | Refrigerated; may be kept up to 30 days at room temperature (up to 77°F)1 | Unopened at room temperature; once mixed, refrigerate and use within 60 days2 |
| Main warning | Ovarian hyperstimulation syndrome (OHSS)1 | OHSS, anaphylaxis, blood clots, ovarian torsion; precocious puberty in boys2 |
Yes. The Ovidrel label describes three randomized trials against approved urinary hCG products (not named as Pregnyl):1
OHSS occurred in 1.7% of women on Ovidrel 250 mcg in the IVF trials and 3.0% in the ovulation trial.1
Only Pregnyl's label covers males: undescended testicles in boys and hypogonadotropic hypogonadism in men, with dosing such as 500 to 1,000 USP units three times a week, or 4,000 units three times a week for 6 to 9 months.2 Ovidrel's label is for women in fertility treatment only.1 For hCG alongside testosterone, see hCG vs enclomiphene: how do they differ?.
The Pregnyl label also states that hCG has not been shown to help with weight loss.2
More detail: Ovidrel side effects, Pregnyl side effects, and the Ovidrel and Pregnyl dosing schedules.