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Tips on Injections: A Helpful Guide for Surrogates

October 11, 2024
4 min read
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Injections are an important part of the surrogacy and fertility journey. While they may feel intimidating at first, preparation and practice can make the process much easier. Below are practical tips to help you feel confident and supported.


Preparation

  • Gather Supplies
    Make sure you have everything ready: syringes, needles, alcohol swabs, gloves, and a sharps disposal container. Your coordinator is always available to answer questions and guide you.
  • Wash Your Hands
    Always wash your hands thoroughly before starting any injection.
  • Check Medication
    Verify the medication name, dosage, and instructions against your prescription. Double-check when you receive your medications to ensure nothing is missing.
  • Warm or Ice the Area
    Some surrogates prefer to ice the injection site beforehand to numb the area. Others find warming the vial (by holding it against the body for a few minutes) makes the medication easier to draw up and inject.
  • Drawing Up Your Medication
    Follow your clinic’s instructions carefully. If you’re unsure, reach out to your coordinator for guidance.
  • Rotate Injection Sites
    Alternate between sites to avoid irritation, lumps, or soreness.
  • Seek Emotional Support
    If you feel anxious, ask a partner, friend, or fellow surrogate for assistance. Having someone with you can make a big difference.

Technique

  • Select the Correct SiteIntramuscular (IM): Common sites include the gluteus maximus, typically used for progesterone and estradiol.Subcutaneous (Subcut): Usually given in the abdomen, such as Lupron injections.
  • Clean the Site
    Use an alcohol swab to disinfect and allow the skin to air dry.
  • Stay Relaxed
    Take slow, deep breaths. Relaxing your muscles makes the injection smoother.
  • Position the NeedleHold the syringe like a dart.Pinch the skin if subcutaneous; stretch the skin if intramuscular.Insert at the correct angle (90° for IM, 45° for Subcut).

Administration

  • Aspirate if Instructed
    For intramuscular injections, some clinics recommend pulling back the plunger slightly. If blood appears, withdraw and try another site.
  • Inject Slowly
    Fertility medications are often thick and may take extra effort to push. Steady pressure helps reduce discomfort.
  • Withdraw Quickly
    Remove the needle at the same angle it entered.

Aftercare

  • Dispose Properly
    Place used needles and syringes directly into a sharps container.
  • Apply Pressure
    Use a cotton ball or gauze to stop any bleeding.
  • Massage or Apply Heat
    Gentle massage or a warm compress helps the medication disperse and prevents lumps from forming. This can also ease soreness.

Key Takeaways

  • Preparation and relaxation are just as important as technique.
  • Rotating sites prevents irritation and lumps.
  • Massaging and heat application can improve absorption.
  • When in doubt, ask your coordinator—support is always available.

FAQ: Common Questions About Surrogacy Injections

1. Do injections hurt?

Most surrogates describe the discomfort as mild and temporary. Using ice, warming the medication, and practicing relaxation techniques can help.

2. How long will I need to take injections?

It varies by protocol, but many surrogates take injections for the first 8–12 weeks of pregnancy.

3. Can I give myself the injections?

Yes. Many surrogates self-inject after a bit of practice, but it’s fine to ask a partner or friend for help.

4. What if I miss a dose?

Contact your fertility clinic immediately. Timing is important, and your clinic will advise you on the next steps.

5. How do I reduce soreness at the injection site?

Rotate sites, inject slowly, and massage/heat the area afterward.

6. Is it normal to see a small lump after an injection?

Yes, small lumps can happen if the medication doesn’t disperse fully. Massage and heat usually help.

7. Do I need to aspirate for every injection?

Not always—follow your clinic’s instructions, as recommendations vary.

8. What should I do if I feel very anxious about injections?

Reach out to your coordinator, join surrogate support groups, or ask a loved one to assist. You are not alone.


Final Encouragement

Injections are a temporary but essential part of your surrogacy journey. With preparation, proper technique, and support, the process becomes manageable—and each injection brings you and the intended parents one step closer to creating a family. 💜

👉 If you’re ready to learn more about becoming a surrogate and making a difference in someone’s life, apply today to become an Ivy Surrogate.

Encheng Cheng

International Client Director

Encheng Cheng brings over two decades of medical and healthcare experience to his role as International Client Director at Ivy Surrogacy. Trained in c...

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