How to self-inject in buttocks?

Discussion in 'Men's Health Forum' started by Random987, Oct 4, 2005.

  1. #1

    Random987 Junior Member

    I typically inject in my thigh, but how would you go about self-injecting in your rear? I would seem to be a bit awkward.
  2. #2

    MANWHORE Member

    Man you should have named this Thread .. HOW TO TAKE IT IN THE BUTT .. OK maybe you shouldn't have,just thought that was funny. I will go take a shower now
  3. #3

    MANWHORE Member

    Not as awkward as injecting in someone elses rear LOL OK OK i'm done
  4. #4

    RhinoChaser48 Junior Member

    It's not hard. You can use 2 hands to get through the skin, and only one hand is required for everything else. It's easier than you think.
  5. #5

    LiquidGib Junior Member


    haha sorry, thats all, just wanted to say that :)
  6. #6

    Glaim Junior Member

    Flex your butt cheeks. The part above the 'dimple' is where you want to inject, which is also about 2-3 inches below your waist. It's easy to inject in.
  7. #7

    Weatherlite Junior Member

  8. #8

    mranak Junior Member

    It wasn't until recently that I realized that it is easiest if I put my right arm around my right side and my left arm around my left side. Previously, I was twisting myself around and it didn't work so well.

    Just to be clear, you should not contract the muscle into which you are injecting during the injection process.
  9. #9

    Random987 Junior Member

    Thanks guys. In reading around the net, it appears the new recommended injection site is Ventrogluteal, which is located more toward your side/lower waist area. Does anyone inject there? It appears to be easier to self inject at that site.
  10. #10

    stat1951 Junior Member

    Here's one explanation (posting from another Board):

    The ventrogluteal site is the primary site for individuals over seven months old because there are no large nerves or blood vessels in the area. In addition, the ventrogluteal area is usually less fatty than the buttocks, meaning that more medication is administered directly to the muscle. When the ventrogluteal site is used, the injection is made into the gluteus minimus and the gluteus medius muscles. The site is situated in a triangle within three palpable bony landmarks: the iliac crest, the anterior superior iliac crest and the greater trochanter of the femur. THe site may be located by placing the palm of the hand on the lateral part of the greater trochanter with the index finger on the anterior superior iliac spine. Then the middle fingers are stretched dorsally as far along the iliac crest as possible. An alternative method of locating the ventrogluteal sit has been developed by Rhoda Brooke through her nursing experiences with adults and chilrdren. Whith this method it is not necessary to lay the nurs's hands on th body. Rather, the individual's anatomy is relied on more specifically. In Brooke's method, an imaginary line is drawn from the top of the iliac crest down to the trocanter. Then another line, parallel to the waistline is drawn from the anterior superior iliac spine (hip bone) to join the first line. The point of intersection is the ventrogluteal site. It is important to palpte the injection site; it should feel soft and fleshy. If it feels hard, the site is likely too close to the bone and will have to be adjusted accordingly. An injection may be given into the ventogluteal site with the patient in a prone, supine or side-lying position. (Dugas et al., 1999, p.1153)

    This is how I locate my site: I do the injection standing up in front of my mirror. I turn to the side so I can visulize the site in the mirror as well. I then find the greater trochanter (this is the top of your femur that inserts into the hip - you can find it easily by feeling around as you lift your leg up and down a bit). Once you've located that, just find the front of your pelvis on that side and follow the ridge (iliac crest) to the back. you can use your hand to guide imaginary lines that go from the two ends of the pelvis to the greater trochanter - an upside down triangle. Once you have an imaginary triangle traced find the middle. Push down in the area to ensure it is soft and not bony. If it is soft you can inject, so swab the area with alchohol, prepare your needle - I have used as small as insulin needles (I'm lean) to as large as 22 gauge and as long as 1" 1/2.

    Hope these links might also help....
    (General info... interesting comments about positioning)
    Interesting commentary: "Of course, every effort should be made to reduce the pain of the injection by using good technique and pain control measures, such as EMLA or a vapocoolant."... EMLA is like $15 per 2-dose tube while "vapocoolant spray (Fluori-Methane spray)" is like $0.50 per dose... both are prescription items... likely plain old ice-bagging the area would work just as well

    Also has anyone ever used lidocaine as a pain numbing agent on skin surface for shots? During some of my more advanced hypercortisolism testing I had one male nurse who would give a small shot of lidocaine to area before starting required IV and there was literally no pain - even with 16 gauge needle used... just wondered if a lidocaine gel would have similar effectiveness?
  11. #11

    Motomatt Junior Member

    That should be a sticky:)
  12. #12

    RitchieC Junior Member

    This is a great thread. I've been taking it in the ass for a while now - not realizing that the ventrogluteal site is pretty universally considered superior.

    Sounds like it's an easier site to self-inject too.

    Only thing that weirds me out is that every IM iinjection ever given to me by a physician has been in the dorso-gluteal. What's up with that??
  13. #13

    Motomatt Junior Member

    Thats how they we're taught probably.
  14. #14

    stat1951 Junior Member

    Just like with TRT, many (most?) docs - and their staffs - aren't necessarily up to speed on most advanced processes!

    I think it is important to also think of the ventrogluteal site as one of multiple sites that should be used to avoid build up of scar tissue, etc. As I am going to (hopefully) be switching over to IMs soon, am trying to talk the wife into giving me some of the shots. I can do the outer thigh ones okay, but the hip / buttocks ones are gonig to be tough because of a stocky torso combined with short ("stubby") arms... and a definite lack of yogi like flexibility (LOL)!


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