Third-Party Reproduction

Doing PIO shots myself...

DH is anxious around needles. Nearly passed out when I had my HSG. So, him giving me my PIO shots is not an option. I also don't have anyone close by that I feel comfortable asking to do them. Has anyone given themselves their own PIO shots?

I watched a video online. I feel like I can do them but I'm getting anxious. I've still got a couple of weeks or maybe 10 days before it will be time. I'll have the nurse teach me, of course, before it's time.

Any advice? Or other tips you can offer?

Thanks!!
SAIF/PAIF absolutely ALWAYS welcome to respond!

Re: Doing PIO shots myself...

  • I did it myself and it was not as hard as I thought. My tips are:

    Use a mirror. 

    Practice pulling back on the plunger (to check for blood) with an empty syringe in front of you, and then pushing the plunger in until you have the hang of it. You'll need to do all of this comfortably with one hand.

    Once you feel comfortable with this, get an apple and put it near your injection site. Have DH hold the apple steady by your hip (if he's up for this) while you practice injecting, pulling back, then plunging an empty syringe so you can get the feel for the one-handedness, angle and reach around required. Be careful not to stab yourself on accident because you'll turn into a fruit salad. :)

    Once you're ready to do the real deal, heat up the PIO under your arm for a few minutes and the injection site with a heating pad. It will help the oil disperse better.

    Put your weight on the leg that is NOT getting the PIO above it. It will hurt more to inject a tense muscle.

    Now, just bite the bullet and do exactly you practiced on the apple now on your real injection site. The location of where you inject is really important on whether or not it's going to hurt. If you're not sure, or if you just want more confidence that you're doing it in the right place, have your RE's nurse draw a circle on each hip for you. Then you can trace over it every few days so it's always there.

    Have your guaze pads and/or bandaids (if you use them) ready to go on the counter next to you.

    Some ladies find laying on their side in front of a mirror works better for their reaching, but I found standing up was easiest. 

    Good luck! You can do it and you're gonna feel like a rock star once realize you can do it by yourself. The first shot is always the hardest, but it's smooth sailin' after that.

    ************ Signature/Ticker Warning ************
    Me (32) DH (36) - Finding our way to baby #1
    Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
    DH: Severe MFI

    12/2/11 - IUI #1- BFN 
    8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)

    My ovaries are just for decoration

    12/6/12 - Adopted five embryos that had been frozen for over ten years!
    2/11/13 - DEmbryo FET #1 Thawed four, sadly two didn't survive. Transferred two beautiful blasts. 
    2/16/13 - First BFP of my life @ 6dp5dt! EDD 10/30/13
    3/27/13 - After beta and u/s hell, no heartbeat ever detected. D&C at 9w1d.

    6/5/13 - Adopted four new embryos that had been frozen for seven years!
     
    9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
    9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
    9/29/13 - m/c @ 5w1d. :(

    11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
    11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
    Beta #1 @ 13dp6dt - 522  Beta #2 @ 16dp6dt - 1373 
    6w5d ultrasound showed one perfect baby with a beautiful heartbeat of 134bpm!

    Snowflake baby is a girl! 
    Our beautiful Snowflake girl arrived on July 22, 2014!   
    My embryo adoption blog: Wishing on a Snowflake
     
        image      image 
  • Loading the player...
  • ufrowerufrower member

    I did it a couple of times myself and found that lying down on my side was easier for me than standing up. Also -- ice the area before hand for 3 minutes or so. Helps take the edge off.

    You will do great! Good luck!

  • imageufrower:

    I did it a couple of times myself and found that lying down on my side was easier for me than standing up. Also -- ice the area before hand for 3 minutes or so. Helps take the edge off.

    You will do great! Good luck!

    Icing can help the injection itself to not hurt quite as much, but my RE advised only using heat instead of ice. The reason is because icing causes the oil to freeze and won't disperse very well. If it pools up in one area causing lumps it can make it extra painful as the oil sits on your muscle. So he said it was a trade off - If you want to have less pain at the injection, ice can help, but unfortunately it's bad for the aftermath soreness and pain . I never tried icing before injection then hot pad after, but maybe that's the best of both worlds? I might try that next cycle.

    Not all REs give this advice, so I'm just throwing this out there. :)

    ************ Signature/Ticker Warning ************
    Me (32) DH (36) - Finding our way to baby #1
    Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
    DH: Severe MFI

    12/2/11 - IUI #1- BFN 
    8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)

    My ovaries are just for decoration

    12/6/12 - Adopted five embryos that had been frozen for over ten years!
    2/11/13 - DEmbryo FET #1 Thawed four, sadly two didn't survive. Transferred two beautiful blasts. 
    2/16/13 - First BFP of my life @ 6dp5dt! EDD 10/30/13
    3/27/13 - After beta and u/s hell, no heartbeat ever detected. D&C at 9w1d.

    6/5/13 - Adopted four new embryos that had been frozen for seven years!
     
    9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
    9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
    9/29/13 - m/c @ 5w1d. :(

    11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
    11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
    Beta #1 @ 13dp6dt - 522  Beta #2 @ 16dp6dt - 1373 
    6w5d ultrasound showed one perfect baby with a beautiful heartbeat of 134bpm!

    Snowflake baby is a girl! 
    Our beautiful Snowflake girl arrived on July 22, 2014!   
    My embryo adoption blog: Wishing on a Snowflake
     
        image      image 
  • FWIW, I ice'd before and applied heat afterwards.  It was the only way that I could survive the shots with almost no residual side effects.  I did this both for my (failed) initial cycle as well as my FET- for an entire 13 weeks.  My levels were great and very minimal pain.

    image
    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

  • ufrowerufrower member

    That is what I did -- ice before and heat afterward. Never affected my levels and definitely helped with the discomfort.

     Do what you feel comfortable with.

  • AmCheriAmCheri member

    You'll get good at the PIO fast. For me, it was easiest if I sat on the bathroom counter and twisted around just enough to see into the mirror.  Sitting on the counter takes the pressure off the muscle on the side you're injecting which greatly reduces the discomfort. 

    At my clinic, for donor cycles you have to inject 2cc PIO which does take some time to inject. I found it to be much easier and quicker if I heated up the oil first, usually using a heating pad.   

    GL!  The toughest part is applying consistent pressure long enough to get through the injection smoothly. It gets easier every time.   

    Baby girl Lila born 2013.
    Baby boy Henry born 2015.
    Expecting our capstone baby (boy) early March 2018.
  • AmCheriAmCheri member
    Also, I was in the ice before, heat after camp.  If you use ice prior to the injection, make sure to apply a heating pad after and give it a good massage for 5 min or so to help the oil disperse. I never had any trouble with knots, except toward the end of the fifteen weeks of PIO.  That's a lot of PIO!
    Baby girl Lila born 2013.
    Baby boy Henry born 2015.
    Expecting our capstone baby (boy) early March 2018.
This discussion has been closed.
Choose Another Board
Search Boards
"
"