How Many Injections Are Given in IVF Treatment & its Cost?

by | Jul 3, 2023 | IVF

Why Injections are Given in IVF Treatment?

In vitro fertilization (IVF) is a complex and remarkable medical procedure that offers hope to individuals and couples struggling with infertility. This assisted reproductive technology involves the fusion of an egg and sperm outside the body, with the resulting embryo being transferred to the uterus. One crucial aspect of IVF treatment is the administration of injections. In this article, we will delve into the reasons why injections are given in IVF, the number of injections typically required, the daily injection routine, and the overall injection schedule.


The Importance of Injections in IVF:

  1. Aiding Ovarian Stimulation: In IVF the ovaries need to be stimulated to produce multiple eggs for retrieval. Injections play a vital role in this process by suppressing the natural hormonal cycle and promoting the growth and development of multiple follicles, which contain the eggs. These injections are typically known as fertility medications or gonadotropins, and they help to optimize the chances of successful fertilization.
  2. Ensuring Controlled Ovulation: Timing is crucial in IVF, and injections are used to prevent premature ovulation. Ovulation needs to be controlled so that the eggs can be retrieved at the most opportune moment. Medications such as GnRH agonists or antagonists are administered to prevent the natural release of eggs until they are mature and ready for retrieval.
  3. Boosting Egg Maturation: To enhance the chances of successful fertilization, injections containing human chorionic gonadotropin (hCG) are often given. This hormone mimics the natural luteinizing hormone surge, triggering final egg maturation and preparing them for retrieval. These hCG injections are carefully timed to coincide with the optimal stage of egg development.
  4. Supporting Endometrial Preparation: In preparation for embryo transfer, injections may also be administered to promote endometrial lining growth and receptivity. Medications like progesterone are commonly used to thicken the endometrium, creating an ideal environment for embryo implantation and pregnancy.


How Many Injections Are Given in IVF?

On average, patients can expect to administer between 8 to 15 injections throughout the IVF treatment cycle. These injections are typically self-administered, making them more convenient for patients. The number of injections required in an IVF treatment cycle can vary depending on various factors, including the individual’s response to medications and the specific protocol recommended by the fertility specialist.


How Many Injections Per Day Are Given in IVF?

IVF injections are generally subcutaneous or intramuscular, and patients are often provided with detailed instructions and training on how to administer them. Although the prospect of self-administering injections can be daunting, it becomes more manageable with practice. Many individuals find solace in knowing that they are actively contributing to their IVF journey.

The daily injection routine typically spans a couple of weeks and involves consistent monitoring by the medical team. This monitoring ensures that the medication dosage can be adjusted if necessary, optimizing the chances of success.


What is the IVF Injection Schedule?

The IVF injection schedule is meticulously designed to align with the body’s natural hormonal cycle and the specific requirements of each patient. Here is a general overview of the different stages and corresponding injections in an IVF treatment cycle:

  1. Ovarian Suppression: At the beginning of the IVF cycle, injections may be prescribed to suppress the natural hormone cycle. This helps create a blank slate for controlled stimulation.
  2. Ovarian Stimulation: Once ovarian suppression is achieved, the next phase involves stimulating the ovaries with gonadotropin injections. These injections are usually administered daily and continue for around 8-12 days. Regular monitoring through ultrasounds and hormone blood tests helps the medical team adjust the medication dosage if needed.
  3. Triggering Final Egg Maturation: As the follicles reach maturity, a carefully timed injection of hCG or other medications triggers the final maturation of the eggs. This injection is given approximately 36 hours before the scheduled egg retrieval.
  4. Luteal Phase Support: Following egg retrieval and embryo transfer, injections such as progesterone are often administered to support the development and maintenance of the uterine lining. These injections continue until a pregnancy test is conducted or as advised by the fertility specialist.


Which Time is Best for IVF Injections?

The timing of IVF injections is crucial for the success of the treatment. The specific timing will depend on the medication protocol prescribed by your fertility specialist. It is essential to carefully follow the instructions provided by your clinic to ensure optimal results.

How Many Days Do You Take IVF Injections?

When it comes to IVF injections, the duration can vary depending on individual circumstances and the treatment protocol recommended by your fertility specialist. On average, patients typically take injections for a period of 8 to 12 days. However, it’s important to note that this timeline can be subject to adjustments based on your body’s response to the medications and the development of the follicles.


What are the IVF Injections names?

IVF treatment involves the administration of various injections, each serving a specific purpose. Here are some commonly used IVF injections:

  1. Gonadotropins: Gonadotropins are fertility medications that stimulate the ovaries to produce multiple follicles containing eggs. Commonly prescribed gonadotropins include:
  • Follistim
  • Gonal-F
  • Menopur

These injections contain follicle-stimulating hormone (FSH) and, in some cases, luteinizing hormone (LH). They are typically self-administered subcutaneously or intramuscularly.

  1. GnRH Agonists and Antagonists: GnRH agonists and antagonists are medications used to suppress the natural hormonal cycle and prevent premature ovulation. They help control the timing of egg retrieval. Some commonly used GnRH medications are:
  • Lupron
  • Ganirelix
  • Cetrotide

These injections are also self-administered and play a vital role in the success of IVF treatment.

  1. hCG (Human Chorionic Gonadotropin): hCG injections are often administered to trigger the final maturation of the eggs and prepare them for retrieval. Common hCG medications include:
  • Ovidrel
  • Novarel
  • Pregnyl

The timing of the hCG injection is crucial, and it is usually given approximately 36 hours before the scheduled egg retrieval.

  1. Progesterone: Progesterone injections are frequently prescribed during the luteal phase of IVF treatment. They support the development of the uterine lining and create an optimal environment for embryo implantation. Progesterone injections can be self-administered or administered by a healthcare professional. Common progesterone medications include:
  • Endometrin
  • Crinone
  • Progesterone in oil (PIO)

The duration of progesterone injections varies and typically continues until a pregnancy test is conducted or as advised by your fertility specialist.


IVF Injections during Ovarian Stimulation:

During the IVF process, one of the key objectives is to stimulate the ovaries to produce multiple mature eggs. This is achieved through the administration of gonadotropin injections, as mentioned earlier. These injections mimic the natural hormones responsible for follicular growth and help maximize the chances of successful fertilization.

Regular monitoring through ultrasound scans and hormone blood tests is crucial during ovarian stimulation. These monitoring appointments enable your fertility team to assess the response to the injections and make any necessary adjustments to the medication dosage.


Are There Injections Before Embryo Transfer?

Yes, injections are often prescribed before embryo transfer to prepare the uterus for implantation. The specific medications given may include progesterone injections, as mentioned earlier, to support the development of the uterine lining and create an optimal environment for the embryo.

The duration of injections before embryo transfer can vary, but it typically continues for several days until the embryo transfer procedure is performed. Your fertility specialist will determine the appropriate timing and dosage of these injections based on your individual needs.


What to Expect from IVF Injections?

IVF injections are a crucial part of the treatment process. They are used to stimulate the ovaries, control the timing of egg retrieval, prepare the uterine lining, and support the early stages of pregnancy. While the idea of self-administering injections may seem daunting, many individuals find that with proper guidance and support, it becomes manageable.

  • Understanding the Injections: IVF injections typically involve the use of fertility medications such as gonadotropins, GnRH agonists or antagonists, hCG, and progesterone. These medications are designed to mimic or regulate the natural hormonal processes in your body to optimize the chances of successful fertilization and implantation.
  • Administration Methods: IVF injections can be self-administered or administered by a healthcare professional, depending on the specific medication and your comfort level. It is important to receive thorough instructions from your fertility clinic on the correct administration technique, including the site of injection, dosage, and timing.
  • Managing the Emotional Aspect: The emotional aspect of IVF injections should not be overlooked. It is normal to feel a mix of emotions, including excitement, anxiety, and hope. Remember that you are not alone in this journey. Reach out to your partner, family, friends, or support groups to share your feelings and gain support. Engaging in relaxation techniques, such as deep breathing exercises or meditation, can also help manage stress and anxiety associated with the injections.


How to Take IVF Injections Easily?

Taking IVF injections can be made easier with a few practical tips:

  1. Create a Comfortable Environment: Find a quiet, clean, and well-lit space where you can comfortably administer the injections. Having all the necessary supplies within reach, such as alcohol swabs, needles, and medication vials, can help streamline the process.
  2. Follow a Routine: Establish a consistent routine for administering the injections. Set a specific time each day and stick to it. This can help create a sense of familiarity and make the process feel more manageable.
  3. Distract Yourself: Find ways to distract yourself during the injection. Engage in activities you enjoy, such as listening to music, watching a favorite TV show, or talking to a loved one on the phone. By shifting your focus, you may find that the injection becomes less daunting.
  4. Practice Self-Care: Take care of yourself physically and emotionally throughout the IVF process. Get enough rest, eat a balanced diet, and engage in gentle exercise if advised by your healthcare provider. Engaging in activities that bring you joy and relaxation can also help alleviate any anxiety or stress associated with the injections.


Side Effects of IVF Injections:

While IVF injections are generally safe, they can come with potential side effects. It’s important to remember that not everyone experiences side effects, and their intensity can vary from person to person. Common IVF injection side effects may include:

  • Injection site reactions, such as redness, swelling, or bruising
  • Abdominal discomfort or bloating
  • Headaches
  • Mood swings or emotional changes
  • Breast tenderness
  • Nausea

If you experience any concerning or severe side effects, it is crucial to contact your healthcare provider promptly.


What is the Cost of IVF Injections?

IVF treatment involves multiple components, including medication, monitoring, and procedures. The cost of IVF injections can vary depending on several factors, such as the type and dosage of medications prescribed, the number of cycles required, and your location.

Types of IVF Injections and Their Costs in India:

Injection Name Cost Range (Approximate)
Gonadotropins INR 10,000 to INR 25,000 per cycle
Follicle Stimulating Hormone (FSH) INR 3,000 to INR 8,000 per ampule
Human Chorionic Gonadotropin (hCG) INR 2,000 to INR 5,000 per injection
Leuprolide Acetate INR 3,000 to INR 7,000 per vial
Medroxyprogesterone Acetate (MPA) INR 500 to INR 1,500 per injection


Factors Affecting Cost of IVF Injections:

  1. Medication: The cost of fertility medications can vary significantly. Some medications, such as gonadotropins, which stimulate the ovaries, can be expensive. However, there may be more affordable alternatives available.
  2. Dosage: The dosage of medications can impact the overall cost. Higher dosages may be required for some individuals, increasing the expense.
  3. Number of Cycles: If multiple IVF cycles are needed to achieve pregnancy, the cost of injections will multiply accordingly.

It’s important to consult with your fertility clinic to understand the specific costs associated with IVF injections. Additionally, check with your insurance provider to determine if any coverage is available for fertility treatments, including medications.


Are IVF Injections Painful?

The fear of IVF injection pain is a common concern for individuals considering IVF treatment. While everyone’s pain tolerance is different, most people describe the discomfort associated with IVF injections as mild and temporary.

Techniques to Minimize IVF Injections Discomfort

  • Use of Smaller Needles: Fertility clinics often provide thin and short needles, making the injections less painful.
  • Proper Injection Technique: Following the correct injection technique, such as pinching the skin and injecting at a steady pace, can help minimize discomfort.
  • Topical Anesthetics: Some individuals find relief by applying a topical anesthetic, such as numbing cream, to the injection site before administration.
  • Ice or Heat Packs: Applying a cold or warm compress to the injection site before the injection can help numb the area or increase blood flow, respectively, potentially reducing discomfort.

Remember, while the injections themselves may cause mild discomfort, the potential rewards of successful IVF treatment can outweigh any temporary pain.


Which Injection Site is Best: Stomach or Thigh?

The choice of the injection site for IVF injections is typically based on personal preference, convenience, and the guidance of your fertility clinic. The most common injection sites are the stomach (abdomen) and thigh.

Stomach (Abdomen)

  • Pros: The stomach is a convenient and easily accessible injection site. The fatty tissue in this area allows for easier and less painful injections.
  • Cons: Some individuals may find it uncomfortable to inject in the stomach due to sensitivity or psychological reasons.


  • Pros: The thigh can be an alternative injection site, particularly for individuals who prefer not to inject in the stomach. It may provide a larger surface area for injections.
  • Cons: The thigh has a higher muscle content compared to the stomach, which can make injections slightly more painful.

Ultimately, the choice of injection site should be discussed with your fertility clinic. They can provide guidance based on your specific needs and preferences.



Injections play a crucial role in the success of IVF treatment, supporting ovarian stimulation, controlled ovulation, egg maturation, and endometrial preparation. The number of injections and the injection schedule can vary based on individual factors and the specific treatment plan. By understanding the purpose and significance of these injections, patients can feel more empowered and actively engaged in their IVF journey. Remember, each injection brings you one step closer to realizing your dream of starting or expanding your family. Stay positive, seek support when needed, and trust in the expertise of your medical team.



Q: How many days of injections during IVF?

A: The duration of injections during IVF can vary, but typically it spans several weeks.

Q: How many injections are needed after embryo transfer?

A: The number of injections required after embryo transfer varies depending on the specific treatment plan, but typically it involves a few additional injections.

Q: What is the final injection for IVF?

A: The final injection for IVF is often a trigger shot, which helps with the final maturation and release of the eggs before they are retrieved.

Q: Is IVF injection painful?

A: The pain experienced during IVF injections can vary from person to person, but generally, the injections are tolerable and discomfort is usually minimal.

Q: How many hours between IVF injections?

A: The timing between IVF injections depends on the specific medication protocol, but it is typically around 24 hours.

Q: Can I get pregnant after IVF injection?

A: Yes, it is possible to achieve pregnancy after undergoing IVF injections, as the injections help stimulate egg production and increase the chances of successful fertilization.

Q: When is the best time to start IVF injections?

A: The timing for starting IVF injections depends on various factors, including the individual’s menstrual cycle and the specific treatment plan determined by the fertility specialist. It is typically initiated in the early stages of the menstrual cycle.

Q: What are the 5 stages of IVF?

A: The five stages of IVF include ovarian stimulation, egg retrieval, fertilization, embryo development, and embryo transfer.

Q: At what age is IVF successful?

A: The success of IVF can vary depending on several factors, including the age of the person undergoing the procedure. Generally, IVF success rates tend to decline with increasing age, but successful outcomes are still possible in older individuals.

Q: What are the 3 types of IVF?

A: The three types of IVF commonly used are conventional IVF, intracytoplasmic sperm injection (ICSI), and frozen embryo transfer (FET).

Q: Can IVF be done without injections?

A: No, IVF typically involves the use of injections as part of the treatment process. These injections are used to stimulate the ovaries and promote the development of multiple eggs.

Q: Which body part is injected for IVF?

A: In IVF, the injections are usually administered subcutaneously (under the skin) in the lower abdominal area or sometimes in the thigh.

Q: What are the signs of successful IVF?

A: Signs of a successful IVF procedure may include the presence of early pregnancy symptoms such as implantation bleeding, breast tenderness, nausea, and a positive pregnancy test. However, it’s important to note that a medical evaluation is necessary to confirm pregnancy.

Q: Do IVF babies come early?

A: IVF babies, on average, have a slightly higher chance of being born preterm compared to naturally conceived babies. However, advancements in IVF techniques have reduced the risk, and the majority of IVF babies are born at term or near term.

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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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