PCOS Treatment Intramuscular Injections of Progesterone in Oil By Nicole Galan, RN Nicole Galan, RN Facebook LinkedIn Twitter Nicole Galan, RN, is a registered nurse and the author of "The Everything Fertility Book." Learn about our editorial process Updated on February 04, 2022 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Monique Rainford, MD Medically reviewed by Monique Rainford, MD Monique Rainford, MD, is board-certified in obstetrics-gynecology, and currently serves as an Assistant Clinical Professor at Yale Medicine. She is the former chief of obstetrics-gynecology at Yale Health. 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Learn about our editorial process Print Table of Contents View All Table of Contents Purpose Performing the Injection After the Injection Frequently Asked Questions As part of the process of in vitro fertilization (IVF), you may have to take daily progesterone injections to increase the odds of becoming pregnant. This article explains why progesterone is important during pregnancy. It also offers tips on how to self-administer intramuscular injections of progesterone if your doctor has prescribed them. Jose Luis Pelaez Inc / Getty Images Purpose of Injection Progesterone is a sex hormone that plays a key role in maintaining a healthy pregnancy. Self-administering progesterone during IVF helps your body prepare for a pregnancy. It can be difficult to give yourself injections. However, knowing that you may be helping your chances of a healthy pregnancy should make the discomfort a little easier to tolerate. And remember, it’s only temporary. Progesterone is usually compounded in sesame oil. If you have allergies to peanuts or sesame, make sure to mention it to your doctor. They may prescribe progesterone in olive oil instead. Performing the Injection If you are currently self-administering progesterone injections and finding it difficult, the following tips can help: Keep the oil in a warm place, not in the refrigerator. Oil can become thicker when it's in a cold environment. This can make it more difficult to draw up or inject. Before you inject yourself, change the needle after drawing the medication into the syringe. A sharp needle will make the injection a little less painful. Once you've picked an injection site—for intramuscular injections this will most likely be your buttocks, arm, or thigh—use ice to numb your skin before cleaning it with alcohol. Don't forget to rotate your injection sites. Never inject your medication into the same spot repeatedly. This can increase your chances of tissue damage. Make sure you palpate (gently feel) your muscles before choosing a site. Sometimes progesterone in oil can accumulate in your muscle, causing little knots or bumps, known as panniculitis. Your injection should not go into one of these bumps and it should be at least an inch away from a knot to avoid pain and to help the absorption of progesterone. If it's still difficult for you to inject yourself, ask a friend or family member for help. If that isn't an option, call your doctor's office and ask for a tutorial. How to Inject Your Fertility Drugs With Less Pain After the Injection Once you've injected yourself, use heat or a heating pad to warm the injection site. Because the progesterone is contained in the oil, it can take a while to absorb into your muscles. The heat will warm and thin the oil, helping boost absorption. You should also massage the area after the injection is complete. This can also help the progesterone get absorbed. Summary Progesterone is a hormone that is important for maintaining a healthy pregnancy. For this reason, women who are undergoing IVF are may have to give themselves progesterone injections. Self-administering shots can be difficult, but there are ways to make the process easier and less painful. A Word From Verywell If you are having a lot of difficulty tolerating giving yourself daily injections, or if you notice any side effects, ask your doctor about switching to a different type of progesterone. Progesterone also comes in gel, tablet, or suppository form. These are placed in the vagina and don't require an injection. Frequently Asked Questions What are progesterone oil injections used for? Intramuscular progesterone oil injections (marketed under the brand name Gestone and others) can restore normal periods that have stopped for several months and treat abnormal uterine bleeding due to low hormones. They can also improve the odds of a pregnancy in women undergoing in vitro fertilization (IVF) or intrauterine insemination (IUI). Learn More: Hormones and Your Menstrual Cycle How are progesterone oil injections given? Intramuscular progesterone oil is delivered by injection into a large muscle, usually the buttocks. It is typically self-administered. When used for IVF, the daily injections are started three to five days before the scheduled embryo transfer and continued until the ninth week of gestation. Learn More: About the Luteal Phase and Pregnancy What are the side effects of progesterone shots? Common side effects of intramuscular progesterone injections include injection site pain, headaches, acne, fatigue, breast tenderness, vaginal discharge, and depression. What are the alternatives to progesterone shots? In addition to intramuscular injections, there are different methods of delivering progesterone for IVF. (Note: Not all are available in the United States.) These include Endometrin (a vaginal insert), Crinone (vaginal gel), Cyclogest and Milprosa (vaginal pessaries), and Utrogestan (oral capsules). Are intramuscular progesterone injections the best option for IVF? Intramuscular progesterone appears to work as well for IVF as the other forms of progesterone. Each has its benefits and drawbacks. Speak with your healthcare provider about which form would be best for you. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 7 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Society for Reproductive Medicine. Progesterone Supplementation During In Vitro Fertilization (IVF) Cycles. Washington University Physicians. Progesterone and IVF: So who do I need this? Hirsch LJ, Strauss KW. The injection technique factor: what you don’t know or teach can make a difference. Clinical Diabetes. 2019;37(3):227-233. doi:10.2337/cd18-0076 Xiao W, Huang X, Lin C, Liu Y, Chen S, Wu R. Panniculitis caused by progesterone injection can be treated by physical therapy. Dermatologic Therapy. 2021;34(1):e14501. doi: 10.2337/cd18-0076 Palomba S, Santagni S, Battista la Sala G. Progesterone administration for luteal phase deficiency in human reproduction: an old or new issue? J Ovarian Res. 2015;8:77. doi:10.1186/s13048-015-0205-8 Fresenius Kabi. Package insert - progesterone injection USP, in sesame oil. Zaman AY, Coskun S, Alsanie AA, Awartan KA. Intramuscular progesterone (Gestone) versus vaginal progesterone suppository (Cyclogest) for luteal phase support of in vitro fertilization-embryo transfer: patient preference and drug efficacy. Fertil Res Pract. 2017;3:17. doi:10.1186/s40738-017-0044-y