IVF Injections

 

Where to keep the Injections ?

  • IVF Injections are to be kept inside the fridge at all times.
  • Advised storage temperature for most injections is usually 2-8 Degree Celsius.
  • Do not keep Injections in Freezer.
  • Check injection box to find out storage details.
  • While transporting injections from one place to another, always carry injections in an ice box with either ice or ice packs.

Check Storage Details

Timing of Injections

  • Take injections at the same time everyday.
  • 1 hour here or there won’t make any difference but always stick to a timetable. A good idea is to set a daily alarm on your phone.
  • There is no gap between injections from the day you start till Oocyte Retrieval (OPU). Plan well in advance as to how to take the injections on holidays, travel days etc.

General Advice

  • No relation to meals – Can be taken before or after meals.
  • Not related to any activity – You can travel, work, exercise as usual.
  • Ice can be rubbed over the injection site if you are experiencing pain / discomfort.
  • Any other medicine can be taken along with the injections. It is however advisable to show all medicines to the treating physician.

Types of Injections : Subcutaneous (SC) & Intramuscular (IM)

IntraMuscular Injections (IM)

  • Intramuscular injection delivers the medication directly into a muscle.
  • Slightly longer needle than subcutaneous needle.
  • HMG, Progesterone and HCG (trigger shot) is usually given as an intramuscular injection
  • Injection site is usually the outer and upper quadrant of the buttocks.
  • Usually administered by nurse, but with little training, can be administered at home by partner.

Sub Cutaneous Injections (SC)

  • Usually easy to administer by self or partner.
  • Rec FSH, Antagonists like Cetrorelix and Agonists like Leuprolide Acetate are given subcutaneously
  • Preferred site is belly or front of the thigh.
  • The needle is the same as the one used by diabetics for administration of Insulin.
  • The sensation is that of a quick pinch, sometimes one may experience stinging sensation, itching and bluish discolouration over the skin after the injection.

Contact Clinic

  • If the injection or vial is found to be broken.
  • If any of the precautions given above have been missed – like keeping the injection in the freezer instead of the fridge.