One of the first things patients ask when they start an IVF cycle is: how many injections will I need, and will it hurt? It's a completely reasonable question. The injection phase of IVF — also called ovarian stimulation — typically lasts 10–14 days, and understanding what you're injecting and why can make the process feel much less daunting.
The main injections in an IVF cycle are gonadotropins: hormones (FSH and LH) that stimulate the ovaries to produce multiple follicles (fluid-filled sacs containing eggs). These are typically self-administered subcutaneously under the skin of the abdomen using a small, thin needle. Most patients are surprised to find the injections are far less painful than they expected.
Alongside stimulation injections, most protocols include a 'trigger shot' usually hCG or a GnRH agonist given at a specific time to trigger final egg maturation before egg collection. Timing is critical: the trigger must be given exactly as prescribed (often at 11pm or another specific hour), as egg collection is scheduled precisely 36 hours later.
Bloating, mild pelvic discomfort, mood changes, and tenderness in breasts are all normal side effects of high hormone levels during stimulation। When the ovaries overreact, ovarian hyperstimulation syndrome (OHSS) is a more serious complication। During stimulation, Dr. Rajesh Modi's team checks every patient with regular ultrasound and blood tests to detect OHSS signs and adjust the protocol if necessary
At Modi Pluro in Nagpur, patients receive thorough injection training before starting their cycle. No one is sent home to figure it out alone; the nursing team walks you through every step.
Q: How do I store IVF injection medications?
A: Most gonadotropin pens should be stored in the refrigerator (2–8°C) before first use, then at room temperature (below 25°C) after opening. Never freeze them. Check the specific instructions for your brand. If you're travelling, a cool bag is sufficient for short periods.
Q: What happens if I miss an injection?
A: Call the Modi Pluro team immediately if you miss a dose or inject at the wrong time. Do not double up without guidance. Missed injections can affect follicle development, but one missed dose rarely ruins a cycle the team will advise the safest way to get back on track.
Q: Is it safe to exercise during IVF injections?
A: Light walking is fine. High-impact exercise, heavy lifting, and vigorous activity are not recommended during stimulation as the ovaries grow and become heavier, increasing the risk of torsion. Dr. Modi will advise you on activity levels specific to your cycle.