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When  going through In Vitro Fertilization procedures, the number of injections can be overwhelming.  The anxiety and anticipation of the needle can sometimes be worse than the actual injection itself.  Over the past 25 years as a nurse, I have developed various techniques for greatly reducing the discomfort of injections.  Below are some of the pointers I share with my patients, so they can have the most positive experience of injections possible.

  1. Do not immediately inject anything taken directly from the refrigerator.  Draw up your med into the syringe, and hold it in your hands for a few minutes to bring it to body temperature.
  2. To provide minimum of trauma and pain on insertion, observe for the bevel (slant) on all needles and make sure the bevel is held facing up, while holding the needle in your hand like writing with a pencil.  This allows for only the sharp tip to penetrate the skin.  If the bevel faces down, the entire aperture must be forced through the skin, causing increased trauma and pain.
  3. Allow Menopur to sit for five minutes following dilution, so the medication crystals may go more fully into solution.
  4. Think “upper-outer” for injection sites: upper outer thigh, upper outer hip.  NOT in the bottom, as this will be very likely to injure the sciatic nerve.
  5. Pinching the skin up is only for actual insertion of the needle through the skin.  Do NOT keep pinching the skin while injecting the medication, slowly releasing the pinched up skin and riding it down with the inserted needle in place.   This will help to avoid pain, pressure, trauma, bruising and escape of the valuable medicine out the injection site when the needle is removed.
  6. Injection sites for medications other than progesterone in oil may be iced for a few minutes prior to insertion of the needle.  Do NOT ice progesterone site prior to injection, but DO apply a warm moist compress with massage to the site after injection completed.  Only intramuscular (hip) sites may be massaged after injection.  Do NOT warm or massage subcutaneous injection sites (belly/thighs), as this will increase speed of absorption, which is not desirable for these types of medication.
  7. Administer subcutaneous injections while seated, keeping the underlying muscles relaxed and disengaged.
  8. Use two hands on the syringe for administration of the medicine, as this will help to stabilize the needle for less movement in the tissue, hence less trauma and pain.
  9. For intramuscular injection, remember to pull back on the plunger to aspirate a few air bubbles to verify you are in the proper placement.   If you see a streak of blood in the  barrel, pull the needle out, choose a new site and repeat the process. This prevents oily substances from being delivered into the blood vessels, as well as too rapid absorption of the medication.
  10. Finally, as the medicine is injected, envision that you are receiving liquid light into your body, that will bathe your ovaries, eggs and fetus in a life-giving blessing!
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