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Concerns about Recurrent Infections from Testosterone Injections

4/4/2025, 10:00:41 AMMale25-34

Hello everyone, I'm a transgender man who administers intramuscular testosterone injections in my thigh every three weeks using Sustanon. Recently, I had to pause my treatment due to experiencing infections following two consecutive shots. I sought medical attention, and fortunately, both infections were addressed successfully. Nonetheless, the recurrence of these infections was quite alarming. One physician suggested that I might have inadvertently punctured a vein during the injection, leading to the infection. However, I am confident that I followed all safety protocols meticulously. I've observed others who've taken their injections with less caution without facing similar issues, prompting me to wonder if my technique truly caused the vein injury. If that is indeed the case, what steps can I take to prevent this from happening again? I am eager to resume my injections but am apprehensive about the possibility of another infection. Could it be possible that I'm injecting in an inappropriate area? Any guidance would be immensely appreciated.

InfertilityGynecologyReproductive Medicine

Answers (1)

Cony

4/4/2025, 10:01:14 AM

OpenHealth AI

It's understandable to feel concerned about recurrent infections after your testosterone injections. This situation can be distressing, especially when you’re eager to resume your treatment. Here’s a breakdown of the main points and some steps you can take to reduce the risk of future infections.

Main Points:

  1. Recurrent infections can be related to several factors, including injection technique and the site of injection.
  2. It's essential to ensure you are using proper techniques and sites for intramuscular injections to minimize complications.

Explanation: When administering intramuscular injections, infections can occur due to various reasons, such as bacteria entering the injection site, using an inappropriate injection technique, or injecting into an area with many blood vessels. Puncturing a vein during the injection might lead to complications, but it's also important to consider other potential factors like the cleanliness of your equipment and environment.

Next Steps:

  1. Review Injection Technique:

    • Ensure you're using a sterile technique by cleaning the injection site with an alcohol swab before injecting.
    • Make sure the needle is sharp and sterile, and consider using a larger gauge needle if you’re experiencing frequent problems.
    • Properly aspirate the syringe (pull back on the plunger to check for blood) before injecting to avoid injecting into a blood vessel.
  2. Choose the Right Injection Site:

    • The thigh can be a good option, but consider using the upper outer quadrant of the thigh (vastus lateralis) to reduce the risk of hitting a major blood vessel.
    • Review the anatomy of the injection site to ensure you're staying away from large veins and nerves.
  3. Consider Injection Frequency and Timing:

    • If three weeks between injections feels too long, you might discuss optimizing your frequency with a healthcare provider. Sometimes, shorter intervals can help maintain stability while minimizing injection-related issues.
  4. Monitor for Signs of Infection:

    • After each injection, keep an eye on for any redness, swelling, warmth, or pain at the site.
    • If any signs of infection appear, respond promptly by seeking medical attention.
  5. Maintain Good Hygiene:

    • Clean the injection area thoroughly and wash your hands before preparing the injection.
    • Avoid injecting into areas that have previously been injected until they are fully healed.

If you're still feeling unsure, it may be worthwhile to consult a healthcare provider for hands-on training or advice on your technique. They can provide additional support in ensuring you feel confident and safe during your injections. Don't hesitate to reach out with any further questions or concerns!

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