How to Give an Injection in Gestational Surrogacy

Gestational surrogacy is a remarkable journey that allows intended parents to fulfill their dreams of having a child with the help of a surrogate mother. Throughout the process, there are various medical procedures involved, including the administration of injections. These injections are crucial for ensuring the success of the surrogacy by helping the surrogate’s body prepare for embryo transfer and subsequent pregnancy. In this article, we’ll provide a comprehensive guide on how to give an injection in gestational surrogacy.

Understanding the Purpose of Injections

In gestational surrogacy, injections are often employed to administer progesterone – a crucial hormone that supports the uterine lining and helps maintain a healthy pregnancy. These injections typically commence around the time of embryo transfer and continue for up to 10 weeks following successful implantation. During this period, the placenta gradually takes over the production of progesterone, making further injections unnecessary. However, it’s important to note that the duration of progesterone injections can vary depending on individual circumstances.


  1. Gather Supplies: Before administering an injection, ensure that you have all the necessary supplies ready. These may include syringes, needles, alcohol swabs, medication vials, a sharps container, and a clean, well-lit area.
  2. Wash Hands: Proper hand hygiene is crucial to prevent infection. Wash your hands thoroughly with soap and water before handling any injection materials.
  3. Read Instructions: Carefully read the instructions provided by the medical professional overseeing the surrogacy process. Different injections may have specific guidelines regarding timing, dosage, and administration technique.  Most nurses will send an instructional video that can be of use before administering your first shot.

Administering the Injection

  1. Choose Injection Site: Consult with the medical professional to determine the best site for the specific medication being administered.  There may be options and your medical team may ask you to vary the injection site from day to day.
  2. Clean the Area: Use an alcohol swab to clean the chosen injection site. Allow the area to air dry completely before proceeding.
  3. Prepare the Injection: If the medication needs to be mixed or reconstituted, follow the instructions provided. Draw the appropriate dosage into the syringe. Be mindful of air bubbles and ensure accurate measurement.
  4. Inject the Medication: Refer to the instructions from your medical team regarding how to inject, whether at a 90-degree angle, or 45-degree angle. Administer the medication slowly and steadily.  Remember that your spouse, partner, or other support person can inject for you if it seems difficult to do yourself.
  5. Remove Needle: Once the medication is injected, quickly and smoothly withdraw the needle from the skin.
  6. Apply Pressure: Use a clean cotton ball or gauze to apply gentle pressure to the injection site. This can help minimize bruising or bleeding.
  7. Dispose of Materials: Place used needles and syringes in a sharps container to ensure safe disposal.

After the Injection

  1. Dispose of Waste: Safely dispose of any used materials, ensuring that sharps are properly sealed and labeled before discarding.
  2. Record Keeping: Maintain accurate records of each injection, noting the date, time, dosage, and injection site. This documentation can be valuable for tracking the surrogacy process.
  3. Monitor for Side Effects: Keep an eye out for any potential side effects or adverse reactions. If the surrogate experiences any unusual symptoms, promptly contact the the nurse coordinator at your IVF clinic.


Administering injections in gestational surrogacy can be an essential part of the journey that requires attention to detail, hygiene, and communication with medical professionals. As intended parents or surrogates, understanding the purpose of these injections and following proper administration guidelines can contribute to the success of the surrogacy process. Always prioritize safety, adhere to medical advice, and maintain open communication with the healthcare team to ensure a smooth and successful gestational surrogacy experience.

To learn more about becoming an Elevate Surrogate please contact us at or being your journey today by completing our 2-minute initial surrogacy application.


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