Welcome to injection training! Please click on the link below. You can then choose the medications that match those listed on the prescription form provided by your coordinator. If you have any questions after viewing the videos, please contact your coordinator for clarification.
Freedom Fertility Medication Training Videos (opens to new window)
Other Training Material
- Video examples of proper injection techniques
- Hints and Tips for Subcutaneous Injections
- Instructions for Administration of Progesterone in Oil
- Disposal of needles and medication bottles
If you need further assistance, please contact your Cycle Coordinator.
Breathing and other relaxation techniques can help with any anxiety or discomfort. If you’d like a few tips, contact our Mind-Body Program Coordinator, Dr. Janetti Marotta (800-597-2234). She will be glad to teach you some quick and easy techniques to feel more relaxed.
Instructions and Videos for Administering Injectable Fertility Medications
These sites offer a selection of online instructions and training videos that demonstrate how to self-administer various types of fertility drugs. Please click on the links below for videos showing proper injection techniques.
- Medical Center
- Subcutaneous injection video
- Intramuscular injection video
- Pregnyl (hCG)
- Gonal-F (Pens and Multidose vials)
- Novarel (hCG)
- Endometrin—vaginal inserts
Hints and Tips for Subcutaneous Injections
- You may have some sort of site reactions at the beginning of starting injectable medication. Reactions are caused mainly by the large proteins in the medication. Reactions reduce with improved technique, and as the body gets used to these proteins. Reactions do not reduce the efficacy of the medication.
- Common reactions may include bruising, soreness, redness and itching. Some allergic reactions may also occur such as hives and may require treatment or a change in your medication. If you experience severe reactions such as shortness of breath and it is after business hours, please seek emergency medical care.
- You will be instructed to take your medication between 7-9 p.m. or if you are taking the medication twice a day you will be instructed to take the medication between 7-9 a.m. and 7-9 p.m. It is very important not to miss a dose or take it later than 9 p.m.
- Before you start; wash your hands with antibacterial soap.
- Swab the area with alcohol, and allow the alcohol to dry on the skin before injecting.
- Use 27 gauge 1/2" needles for injection of Repronex and Menopur. Use 1cc of dilutent (sterile water) to mix each 75 unit of powder medication. 1cc of dilutent (sterile water) can be used to mix up to 6 vials of medication. The total amount injected should not exceed 1cc.
- For Ganirelix or Ovidrel, express air first, then inject.
- If injecting into the abdomen, go an inch below and to the left or right of the navel. "Pinch an Inch" to get to the injection site. Alternate using the left side and the right side of the abdomen each day to prevent soreness.
- Allow the alcohol to dry on the skin before injecting.
- Inject quickly and fully, at a 90-degree angle. This ensures cleaner penetration and reduces chance for reactions. Pull the needle straight out when finished injecting.
- When using Gonal F pen or Follistim pen, be sure to wait 5 seconds after injecting before withdrawing the needle.
- Cold compresses and over the counter cortisone can treat local skin reactions.
Instructions for Administration of Progesterone in Oil
- Remove pop-top from a vial and swab a rubber stopper with alcohol.
- No mixing is required. The vial contains Progesterone mixed in oil.
- Put a new sterile needle (22 gauge, 1 ½ inch needle) onto 3 ml syringe prior to the injection.
- Apply ice to the skin prior to the injection, if desired.
- Insert the needle in a dart-like motion.
- Pull syringe plunger back to check for blood.
- If you do not see any blood, inject the medication slowly since oil is viscous.
- If you observe blood, take the needle out, replace it with a new sterile needle (22 gauge, 1 ½ inch needle) and repeat the procedure.
- Massage the injection site after the injection. Massage the area applying good pressure in a circular motion.
- If you experience local inflammation at the injection site, you may use a heating pad.
- Pull syringe plunger back to the 1 ml mark to draw air.
- Inject 1 ml of air into the vial with Progesterone.
- Draw out 1 ml of the medication.
- Administer intramuscularly.
- Discard the needle and syringe.
Injections should be given in the shaded areas:
Disposal of Needles and Medication Bottles
Your pharmacy should provide you with a red Sharps container for needles. You may bring in needles and medication vials to any PAMF pharmacy. The needles must be in a puncture proof container.
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