The Best Areas to do Intramuscular Self-Inject of Testosterone (IM)

Posted by Dr. Michael White, Updated on November 26th, 2021

Where to inject Testosterone ? Testosterone injection is done intramuscularly. What this means is the shot must go directly into the muscle by penetrating the skin and subcutaneous (under the skin) tissue.

where to inject Testosterone

Intramuscular injections are quickly absorbed and are the only option to use when more massive doses are required than can be absorbed cutaneously (through the skin only). They are also needed when the injection of the drug is too uncomfortable to be administered subcutaneously.

The third reason for intramuscular injection of testosterone is that this method allows the drug to disperse from the injection site at a timed, precise rate.

The most common areas used for intramuscular injections are the buttocks, the side of the thigh, and the deltoid region (shoulder). Why these areas? Because these muscles are dense.

Also, these areas contain large numbers of muscle fibers and fascia (the connective tissue that engulfs the muscles), which gives the testosterone injection a sizable surface area for absorption.

Besides, these muscles are significant, and that means they enjoy a continual, massive flow of blood which will transport the testosterone to the tissues.

Another benefit given to inject testosterone into these areas is that there is enough muscle area to minimize the chance of hitting a significant nerve or blood not inject testosterone into nerves - avoid

For many people, the preferred site for testosterone injections is the gluteus medius muscle (glute). This area is the upper outer quadrant of the buttock, closer to the hip than the thigh and toward the outside.

A commonly used reference point for this quadrant is the iliac crest, which is located at the top of the pelvic girdle on the back side.

The best spot to inject testosterone is 2 to 3 inches underneath the iliac crest. You can locate the peak by feeling the highest bone area above both glute muscles. This is an excellent area for injection since the muscle in this region has few nerves, few blood vessels, and is rather dense.

best spots to inject testosteroneAlso, injecting here lowers the possibility of injury to the sciatic nerve, which runs through the mid-to-lower area of the buttock. This nerve is “the boss” of the rear of the entire leg.

If you accidentally hit this nerve or even get too close to it, intense pain is guaranteed, and perhaps even temporary paralysis may result. Not what you need! So be aware of this location.

A drawback to injection into the glute is that many folks lack flexibility and coordination and are unable to turn to their side far enough to reach the glute.

One option is to turn to a friend or spouse to inject Testosterone. But then a majority move on to self-injection once they realize that the process is (usually) painless.

Here is one more consideration concerning injections into the glutes. Always rotate the injection site from one glute to the other. This action will stop scar tissue from forming.

If you are alone and have not mastered the art of self-injecting the buttocks, your next best bet for injection is the outer thigh region (the quadriceps, or “quad”), specifically the vastus lateral muscle.

Intramuscular spots to inject testosterone

Intramuscular Sites

The quad can handle a large volume of testosterone and is easier to get at than the glute. The downside of quad injections is two-fold.

First, there may be some after-injection discomfort and stiffness. Second, the quad is subject to a bit more bleeding than the glute, since it is possible to hit a small vein.

On rare occasions, the blood can explode from the injection site similar to an erupting volcano immediately after the needle is pulled out. Then it settles down to a slow trickle.

This side effect is no big deal unless you suffer from a heart condition. Just get out the band-aid.

Here’s how to find it the vastus lateral muscle: use your knee and your greater trochanter of your femur (thigh bone) for positioning. The greater trochanter is the bony area found where the femur meets the pelvic girdle.

Locate the middle of the muscle by measuring your palm above the knee, then below the greater trochanter. The central area is your injection site.

Here’s another way to find the right injection site for the thigh. Divide your thigh into three equal parts, and your injection area is in the outer, middle third.

A crucial point to remember: DO NOT inject Testosterone into the front of your thigh, not to your inner thigh! Why? Because these areas are jam-packed with nerves and blood vessels.

Your third option for injection is the deltoid muscle, located on your shoulder. If you choose this method, the area for injection to aim for is 2 to 3 fingers below the acromion (outer end of the scapula, or shoulder blade) and lateral to the axilla (armpit).

The deltoid area is the least desirable for injections since it is painful and may rupture blood vessels. This is the reason why this area is usually reserved for immunizations.

Inject Testosterone via the Deltoid Site is less desirable

Deltoid Testosterone Injection Site


Final Takeaways

The recommended method of holding the injection device is to grasp it like a dart. The method of piercing the skin is similar to a flick of the wrist throwing motion. But unlike a dart, make sure not to let go of the device!

Consider practicing on the skin of an orange to perfect your injection technique and get a feel for the correct amount of force to employ.

If you accidentally hit a nerve, quickly pull the needle out and try again an inch or two away.

Before injection, depress and spread the skin next to the intended injection site with your opposite hand. After the dose, pull the needle out and relieve the pressure on the surface.

Injections should not be painful as they go through your skin, and they should not cause bruising unless you are using a dull needle. Our clinic will provide specific, detailed instructions about the lifespan of the needles you will be using.

To prevent dull needles, do not push a needle through a rubber stopper of a multi-use vial since this severely dulls the needle.

Finally, consider this: many folks have a deep-seated phobia concerning needles. At times just the mere sight of a needle is associated with illicit street drug addiction.

you should not be scared to self inject TestosteroneA picture of a dripping syringe often accompanies anti-drug articles and does an outstanding job of scaring people half to death and make them reluctant to inject anything, regardless of possible health benefits.

And that includes injectable testosterone.

But here’s the supreme irony: injectable drugs are much more comfortable on the body than many oral medicines. Why? Because injectable medications bypass the liver, while many orals are metabolized by the liver.

This makes the already-stressed, overworked liver work even harder. This extra workload can result in severe liver problems and may lead to a cascade of health issues.

Dissimilar to the typical needle-using junkie, users of prescription testosterone are exceedingly hygienic and well-versed in safe injection methods. In fact, the incidence of “problem shots” or infection is infrequent with these people.

Our clinic will provide you with the instruction, the testosterone, and the injection equipment to enjoy the miraculous benefits of testosterone safely and efficiently.

Don’t let the fear of needles and injections stop you from adding the powerful tool of testosterone to your anti-aging arsenal.inject testosterone - nursing textbooks


Testosterone Injection

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