The Fertility Podcast

The Drugs Teach with Kate Pleace – Fertility Nurse


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This week we’re talking about the drugs teach, which in normal terms means - how the hell do you do your injections when going through IVF, especially if you’re scared of needles. 

We’re joined by Kate Pleace who is a lovely lady and part of Kate’s team of nurses at Your Fertility Journey. 

Kate talks us through how it all works when it comes to taking your drugs for IVF. Unfortunately, the majority are injections and you following a plan and dosages. Kate explained how important it was to talk through the different injections how they work when you need to do them, how to draw them up and prepare them, and they have mock ones to practice with 

How it all works? 

You get to practice with a fake skin pin cushion which is good to know if you have a fear of needles, you get to feel more and get to see the needle, which is tiny. 

If you’re scared, it’s important to spend time with your fertility nurse, have a look ad practice and find out what works, you can get your partner and have them shown. Kate mentioned breathing techniques and meditations. 

It may sound terrifying for people but you soon get the hang of it, Natalie certainly did after being so worried on day 1, by day 3 she was in the loo doing it, as she was hosting an event!

Where should you inject? 

In your tummy, where your trousers sit - either side of your belly button. 

It’s really important to rotate around your tummy, to give the areas a break, you will get brushing as it’s a side effect of the treatment, which is why it’s good to rotate the area you inject. 

What about if you miss your injection? 

If it’s a few hours, Kate advises you do it, if it’s the next day, Kate advises you to call your clinic. 

What about air bubbles? 

There is a little air bubble on the pen ( there’s minimal evidence it will make any damage ) always give a little tap before injection, make sure fluid is at the top, pre-loaded pens are ready to go. 

Ways to help partners feel more involved? 

Natalie talked about how she and hubby named the two injections after film/cartoon characters 

What about nose sprays? 

There is a nose spray for the down-regulation, but they are mainly injectables, depending on your protocol. Your clinic can reduce the time you have to take them. 

Side effects of drugs? 

Depends - long protocol and down-regulation, can put you into temp menopause, people may report headaches, night sweats, difficulty sleeping, but these pass when on stimulation drugs. 

Stimulation drugs - These can make you feel bloated and fatigued

Cetrotide - can make you feel like there is a bee sting when you do the injection but it disappears in about 30 min.. 

Natalie mentioned her own experience. You will need to listen to the bizarre side effect Natalie experienced… if you had the same experience, do let Natalie know. 

Kate says if you do have any weird sound effects, do let your clinic know. 

Kate talks about ways to tick off the injections on the calendar, Natalie talked about treating it like a science experiment. Think about how it’s not forever… Kate talks about how she helps patients celebrate their last injection with patients. 

The Trigger Injection - what if you can’t do it in time? 

If you’re having any problems or struggling to take it, use the videos - talk to the nurse at your scan before it. If it comes to trigger time and there is a problem, contact your clinic as soon as you can, and they can advise you on what to do... 

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