Every gestational surrogacy journey includes in vitro fertilization (IVF). This process involves regular blood tests and many medications for the surrogate, as well as the intended mother or egg donor. Even for someone who isn’t afraid of needles, the thought of daily, self-administered injections can be overwhelming. With the right information and support, however, needles can become just a small part of the process.

The Basics

Blood draw: You will have blood drawn in a lab as part of the medical screening, as well as at pre- and post-transfer appointments. Although most people have experience with blood draws prior to starting IVF, the total number and frequency. can still be unnerving for some.

Subcutaneous injections: Not all medication protocols involve subcutaneous injections, but if you have Lupron as part of your protocol, that is what you will likely start with. You administer the injection in your abdomen using a very small needle, and many report not even feeling it.

Intramuscular injections: The majority of women undergoing IVF will have to administer intramuscular injections for progesterone and possibly estrogen. Generally, these go into the dorsogluteal muscle (the upper-outer quadrant of the buttocks). The needle is longer and a larger gauge that those used for Lupron, as this allows a larger dose and thicker medication to be administered.

Tips and Tricks

Relax. Sounds easy, right? Sometimes, the hardest part of the process can be getting over the mental hurdles involved with the injections. Remember to breathe! The injections will be much easier to administer if your muscles aren’t tense.

Ask for help. Make sure you feel comfortable with the instructions before you begin. During medical screening, staff at the fertility clinic will likely describe the medications involved and provide instruction on taking them. As the reality of starting medications sets in, sometimes new questions arise. You can get help from the fertility clinic, your agency, or friends or family who have undergone IVF or are medically trained. When it’s time for the shot, many people have someone help them administer the shots – a partner, close friend, or family member.

There are also many great online resources that include video guides and step-by-step instructions, including Freedom Med Teach and VFP Pharmacy Group.

Use heat, pressure, and massage. Especially with intramuscular injections, it’s important to use heat, pressure, and massage after the injection. This will help spread out the medication and prevent lumps or knots under your skin.

Numbing medications. The clinic you’re working with may be able to prescribe a numbing cream or patch to use before your shots. While this medication won’t help with the knots or tenderness that can sometimes develop after, it may lessen the pain of the shot itself.

Distract yourself and end with a reward. Play some of your favorite music or have a TV show on while administering your shot. If someone is helping you with your shots, have a conversation unrelated to what’s going on with the needles. Additionally, a small treat, a date with your DVR to watch a favorite show, or plans with a friend can be great motivation to get the job done. The medical process can be intense and it’s good to take some time for yourself every now and then.

Takeaway

Many women – intended mothers, egg donors, and surrogates alike – go into the process a bit nervous about all of the needles involved. For many, the blood draws and injections never quite become routine. However, taking things one day at a time, educating yourself, and figuring out which tips and tricks work best for you, can help the be more manageable.

Keep in mind that this part of the process doesn’t last forever! If all goes well, it’s over within a couple of months. And the end result is well worth it!