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Reasons for Pregnancy failure after HCG Injection There are various reasons for not getting pregnant after an HCG injection, including: Women with high androgen levels Women with poor ovarian response Women with undefined fertility issues Men with poor semen quality or/and quantity Wrong timing of intercourse or IUI Not getting enough HCG doses HCG injections for weight loss and fertility In the context of fertility treatments, there is no trustworthy evidence that HCG injections will lead to significant weight loss