Infertility

Inject Tips & Tricks

This is my second round of IVF, so you'd think I'd already knows this, but I've really been struggling with my injects (cetrotide and gonal f) the last few days. Aside from the specific directions by the drug company and the RE, does anyone have any special tips & tricks they use to make it slightly easier/less painful to inject in the abdomen? I've tried icing the area, rotating injection sites, deep breathing, pushing it in faster/slower, pinching more or less skin... but it's still incredibly painful - way worse than last time (and I have a high tolerance for pain). I know it's not supposed to be a walk in the park, but this is ridiculous! Any advice would be appreciated! 
TIA
30 yrs, healthy & TTC since April 2010 
DH 32yrs & healthy
*unexplained infertility* 

Regularly access alternative medicine to supplement a lack of resources in our geographical area.
  • Three rounds of clomid (50mg days 3-7) were useless.
  • IUI#1 w/clomid & HCG in May 2013, BFN.
  • IUI#2 w/clomid & HCG on July 23rd. BFN.
  • IUI #3 in August cancelled last minute, due to lab error.
  • IVF#1 - Started Gonal F stims October 13 2013 for IUI. Over-responded with too many follicles, so converted to IVF. Retrieval October 29th - got 5 eggs, 4 fertilized. Had 2 perfect little embryos transferred on day 3 (Nov. 1). The remaining 2 didn't survive to freeze. Got our BFN on November 13th 2013.
  • IVF#2 - Started stims August 21st. Triggered with Suprefact, started on dostinex due to risk of OHSS. Retrieval September 5th - got 27 eggs! 21 embryos on day 3. Embryos deteriorated quickly. ESet 5day blast on Sept 10. No embryos high enough quality to freeze. BFN came Sept. 22.

Reserved a semi-known proven donor in August .

Waiting for consult/screening and protocols with estimated fresh cycle timing in October



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Re: Inject Tips & Tricks

  • I use the cold pack that my medicine was mailed in.  It says "colder than ice" and it really does numb that sucker if you leave it on until just before the shot.  

    Me: 27 DH: 27

    October 2013: Endo erosion/ Clear HSG

    March 2014: SA #1/  2%morph, borderline sperm count, decent motility

    June 2014: SA#2/  2% morph, low sperm count, worse motility

    Plan: "Quick Start IVF"/antagonist protocol with Follistim, Ganirelix, Ovidrel and progesterone suppositories (yay)

    High AMH (11) and Low BMI= low doses of everything to prevent OHSS

    July 27, 2014: Started Follistim injections for ten days

    July 31, 2014: U/S= 20 follicles, 8.5 lining, E2 is good, Ganirelix for 4 days starting 8/2

    August 4, 2014: 14 follicles on-track, good lining, Trigger 8/6

    August 9, 2014: 9 ICSIed/ 5 embryos; aiming for a 5dt on 8/13

    August 13, 2014: 5DT of 1 4BA almost-hatching blastocyst (Please hang in, Little Bug!)

    August 14, 2014: We have 3 frosties! Hope they're having fun hanging out together. :)

    August 23, 2014: Beta #1: 144 8/23/14: Beta #2: 374 Beta 8/25/14  Beta #3: 6,600 9/3/14

    September 9, 2014: Ultrasound #1 115 heartbeats per minute

    September 23, 2014: Ultrasound #2 182 heartbeats per minute 

    September 26, 2014: Love my OB's office

    October 10, 2014: Our baby looks like a baby and is moving all over!  

    December 8, 2014: Anatomy scan- It's a girl! 


    "Hope strengthens.  Fear kills."- Karen Marie Moning

    "Heaviness is only temporary; the daylight will soon break in."- needtobreathe

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  • I second the pinching the skin and letting go as the med goes in. It seemed to help me with the Menopur.
    Fucking bump!!!!
  • Injections will also hurt less if you use a dart-like motion.  In other words, you want to penetrate the skin quickly.  Some people do it very slowly when they are nervous and it hurts more that way.
    Me 27 DH 29 Married since 2007, together since 2001
    Off BC since Febuary 2006 3 Clomid Cycles in 2008- symptomatic, US just showed a tilted uterus, otherwise normal, HSG normal.  DH has an ejaculatory duct obstruction and a congenital absence of the vas deferens.  This is common with cystic fibrosis carriers, but he doesn't have cystic fibrosis. IVF #1 with TESE/ICSI (Antagonist protocol) Aug 2014=BFN (poor embryo quality)   IVF #2 ICSI long lupron protocol November 2014
    imageimage
  • I did every which way and I found the best was to pinch the skin (small amt but enough ;-) ) and as said previously, use a dart like motion.... its tough, I had a mental fight with myself every time, but you just gotta stick it in there. If you go slow, its like torture. Remember if you use ice, because it vasoconstricts, it can slow absorption of the medicine from the site.
  • So sorry it is so painful for you! The Ganarelix really burns for me! Feels like my stomach is on fire after giving the injection.  I wish I had some good tips for you...it does help to have the medication at room temp.  Seems to burn less...Deep breath, dart like motion, and ice after.  Rewards do help :) Be extra nice to yourself during this time!!!
  • +1 to what everyone has said. I think it helps to massage the area after too.
    Ready to take the road less traveled. 
  • I always mix the stuff and let it sit for a few minutes before injecting seems to cut down on the burn. Sorry its been so painful for you I have gained some chub so its not so bad. 
    SIGGY WARNING//TICKER WARNING//PAIF

    Long of the Short:
     TTC since April 2013  DH 42 y/o I'm 30  Dh had vasectomy reversal Feb 2013 after 3 months developed scar tissue 
     First Re appt was September 2013 OOP for everything minus meds  
    DH's TESE surgery December 2013
    First cycle was February 2014 BFN none to freeze
     Second cycle was April 2014 BFP ending in Chemical Pregnancy none to freeze
     Third cycle June 2014 BFN none to freez
     Fourth cycle October 30th 28 retrieved, 13 mature and 12 fertilized
    PICSI, assisted hatching and fresh sperm from my DH's TESE surgery used
    5 FROZEN from a freeze all cycle! 
    FET completed on DECEMBER 9TH!!!
    Beta #1 13dp5dt BFP!! 800
    Beta #2 15dp5dt 2100
    Beta #3 17dp5dt 3600 
    First Scan January 5th! Everything looks great! Heart rate of 121!
    Second Scan January 20th. Baby Justone13 looks amazing. Heart rate of 175!
    Baby Girl is due August 27th
    Liv Annmarie born 8/25 7lbs 6oz 21 1/2 inches long 
    image 

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