Help - PIO inj question re needle guage

(7 posts)(4 voices)
  1. My clinic recommends a 1 1/2 inch needle tip and 25g for my PIO shots. I am cycling out of town. The pharmacist gave the wrong needles from the beginning and I returned today to get the right ones. The only needles they have are 1 1/2 inch but with a 22g. These look huge. Has anyone here had to do the shot with a needle that big? Was it really painful? I will be afraid to plunge that into my skin. I have phoned a local fertility clinic here to see if they can help but I've heard they use a different needle and not 1 1/2 inch tip. Any similar stories or any suggestions would be great. Thanks

  2. Hi marvax2005,

    I withdraw using a 18g 1.5" needle and inject using a 22g 1" needle. The 22gauge needle is fine for inserting into your buttocks. Ice the area first, hold skin taunt and inject. It's not as bad as it looks.

    Good luck!

    Donnie

  3. Thanks Donnie. That makes me feel much better.
    Can I withdraw the PIO oil using the 22g needle? I wasn't given anything else to draw the medicine out of the vile? I have been monitored very well throughout but haven't had any guidance really with the PIO and am now getting very worried. I received the prescription from my clinic and then took what the pharmacist gave me. The pharmacist only is familiar with what our local clinic does, but my out of town clinic is different so I'm not getting much guidance.

  4. Is it in oil or ethyl oleate? It makes a difference for what guage needle you need. For PIO, I used 18g to draw up and 22g to inject. For PIEO (ethyl oleate), I used 22g to draw up and 25g to inject. For oil, you need wider needles because it's much thicker. I once tried drawing up PIO with 22g and it was soooo slow. The 22g did look huge, but I didn't notice any difference in pain. To avoid additional pain, you need to draw up with one needle, then change and inject with a second needle. It's because the needle dulls when going through the stopper or if it touches the glass. It's much less painful to inject with a fresh untouched needle.

    Sorry you haven't gotten much guidance. I know it's scary when they let you loose with injections for yourself.

  5. Thank you all for your help.
    Update: I called my clinic here and one of the nurses gave me a whole bunch of 25g needle tips. They are great and I should have asked them in the first place.
    Thank you again.

  6. Thanks Donnie. That makes me feel much better.Can I withdraw the PIO oil using the 22g needle? I wasn't given anything else to draw the medicine out of the vile? I have been monitored very well throughout but haven't had any guidance really with the PIO and am now getting very worried. I received the prescription from my clinic and then took what the pharmacist gave me. The pharmacist only is familiar with what our local clinic does, but my out of town clinic is different so I'm not getting much guidance.

    marvax2005,
    As Dina mentions it depends if it is PIO or PIEO. I use PIO so I withdraw using the 18g needle as it is much faster compared to using the 22gauge needle to withdraw. Again, I switch out the needle to the 22gauge 1" to administer.

    Good luck!
    Donnie

  7. For PIO I use 18g to draw it up and 25g to inject it. The package (and the pharmacist) suggest a 22g needle to inject, but my clinic suggested a 25g needle and it is working just fine. You just need to use a little more strength in pushing the plunger down.

    I hope you have gotten some guidance about the injection site. For me it was not intuitive at all as the injection site is not really the buttock but higher up where I would have been afraid to hit a kidney or bone etc. I had the nurse mark two big circles on my back to show the appropriate area and I redraw the circles once they fade after showering.

    As to the pain, I have been doing them (well, DH has been doing most of them) for a few days. Honestly, other than the initial prick when it goes through the exterior skin (stretching the skin helps), I don't feel a thing as the needle goes in deeper and the medication is injected. Not a thing! So far also no welting or pain afterwards, although I have been doing it for only 8 days and I understand this may develop with time. For now, I don't use ice or heating pad although the nurse said to ice beforehand and heat afterwards if there is pain.

    When I first saw the needles I was worried but it really is not as bad as it looks!

    Hope this helps!

RSS feed for this topic

Reply

You must log in to post.