Nội dung text Comprehensive self injection guide for HRT
Contents ● Intro ● Needles ● Injection types for hormone therapy ● Needle choices ● Calculating dosages >Calculating injection values with concentration, volume, and dose >Reading U100 and U40 syringes ● Injection sites ● Picking between subcutaneous and intramuscular ● Aspiration ● Administering injections > Subcutaneous > Intramuscular ● Loss of volume ● Your responsibility ● Injection techniques ● Estradiol esters dosage information ● Testosterone esters dosage information ● Bibliography Intro I am going to preface this by saying that I have zero professional experience on this topic (not reassuring, I know, but this is something you should be aware of). This document is simply a bunch of information compiled into bite sized pieces with self-injecting transgender individuals kept in mind. This document contains a lot of information on needles, how to inject, and hormone dosing. If you are going to use the information in this doc, remember that I am not a professional. Needles Needles are classified by three main factors: length, gauge (thickness/girth of the needle) and syringe volume. A higher gauge number means a slimmer needle, eg:- a 31g needle is slimmer than a 25g needle. The volume of the syringe is determined by its capacity. (Galan)
Injection types for hormone therapy Injection types are defined by their depth and location. For the sake of this document I will stick with injections for hormones. For hormones, there are two types of injections: subcutaneous (SubQ or SubC) and intramuscular (IM). Subcutaneous A subcutaneous injection is an injection administered to the fat layer of the skin, below the dermis. Injections to the fat absorb slower than intramuscular injections (Kim). Subcutaneous injections are generally considered less painful due to slimmer needle gauges and shorter needles. The subcutaneous layer is also called the hypodermis. Intramuscular Intramuscular injections are administered directly to the muscle, which is below the subcutaneous layer. They use longer needles with a thicker gauge. (Varma and Chastain)
Needle choices The volume of a hormone injection is typically small (0.1~0.5 ml), hence 1 ml syringes are preferable. The needle gauge and length depends on whether you are doing IM or SubQ. As a general rule, IM injections have longer needles and lower gauges than SubQ needles. Subcutaneous needles are typically 1⁄2 to 5⁄8 inches (12.7 to 15.875 mm) long with gauges ranging from 25 to 30. Intramuscular needles are typically 1 to 1.5 inches (25.4 to 38.1 mm) long with gauges ranging from 20 to 22. (Galan) Calculating dosages Calculating injection values with concentration, volume, and dose The amount of medicine you will inject will be defined in terms of dose (usually measured in milligrams (mg)). Concentration of medicine varies between vials, and the volume of medicine you should inject depends on the concentration and dose. Dose is the only thing that remains absolute in your regimen, so that is the value you should focus on.