hCG Does Not Increase Orgasm Intensity
There is no evidence that human chorionic gonadotropin (hCG) increases the intensity of orgasms. The available clinical guidelines and research do not support this use, and hCG is not recommended for this indication.
What hCG Actually Does
hCG is used in specific clinical contexts related to male reproductive health, but orgasm intensity is not among its documented effects:
hCG stimulates testosterone production in men with secondary hypogonadism by mimicking luteinizing hormone and directly stimulating Leydig cells in the testes 1
hCG preserves fertility in men with hypogonadotropic hypogonadism, making it the mandatory treatment choice (combined with FSH) when fertility preservation is desired, as testosterone therapy would cause azoospermia 2, 1
hCG may improve libido and erectile function in men with documented hypogonadism, but this is through its effect on raising testosterone levels, not through any direct mechanism on orgasm 3, 4
Evidence on Sexual Function
The single older study examining hCG for sexual dysfunction showed improvements in erectile function and sexual desire, but did not measure or report effects on orgasm intensity 3. This 1987 double-blind study found hCG improved erectile failure and lack of sexual desire in 47% versus 12% with placebo, but the outcome measures focused on erectile capacity and desire—not orgasmic function 3.
A more recent retrospective study of hCG monotherapy in men with normal testosterone levels (>300 ng/dL) but hypogonadal symptoms found subjective improvement in erectile dysfunction (86%) and libido (80%), but again made no mention of orgasm intensity 4.
What Actually Helps With Orgasm Problems
If you're experiencing problems with orgasm intensity or difficulty achieving orgasm, the evidence-based approaches are:
PDE5 inhibitors (sildenafil, tadalafil, vardenafil) can improve problems with male orgasms, including less intensity and difficulty achieving orgasm 2
Testosterone therapy (not hCG) may relieve problems with orgasm in men with confirmed biochemical hypogonadism (morning testosterone <300 ng/dL on two separate occasions) 2
Vibratory therapy may reduce problems with orgasm according to cancer survivorship guidelines 2
Pelvic floor muscle training may improve sexual function including orgasmic function in some populations 2
Critical Clinical Context
The primary indication for hCG in men is fertility preservation in secondary hypogonadism, where it is combined with FSH to stimulate both testosterone production and spermatogenesis 2, 1. It is absolutely contraindicated to use testosterone therapy in men desiring fertility, making hCG the appropriate gonadotropin-based alternative 2, 1.
hCG is not FDA-approved or guideline-recommended for enhancing orgasm intensity in men with normal sexual function. If orgasm problems exist, the first step is confirming whether hypogonadism is present through proper diagnostic testing (two morning testosterone levels <300 ng/dL), and if confirmed, testosterone replacement therapy—not hCG—is the standard treatment unless fertility preservation is needed 2, 1.