Can I Train for a Marathon and Freeze My Eggs: Mariana Fernández & Dr. Kofinas
read next

Can I Train for a Marathon and Freeze My Eggs: Mariana Fernández & Dr. Kofinas

How Can I Make Injections Easier: Mariana Fernández & Dr. Kofinas

How Can I Make Injections Easier: Mariana Fernández & Dr. Kofinas

Mariana Fernández, a yoga and running instructor at Peloton, sits down with Dr. Jason Kofinas, the Director of IVF & Research at Kofinas Fertility Group and a double board certified Reproductive Endocrinologist. Here they talk about ways the injection process can be made a little easier for patients.

Mariana

 

Injection was a big thing in the back of my mind as I delayed and delayed this process because I had this fear of doing it on my own. The folks that I knew who had done an egg retrieval process lived with a partner and they had someone. And ultimately, I just felt really empowered once I got it done properly- just knowing the process and that it's not as complicated as you think. But again we have this mindset that it’s going to be very intimidating, but patients have different reactions to needles- what can help?

 

 

I tell a lot of patients after they're taught and it's fresh in their mind to put on an instructional video while they’re doing it so they don't feel alone.

 

 

 

Dr. Kofinas

 

The trick is when you're first doing the injections, if it can be done, see if the teaching can be done in-person close to the date that you're starting it or even for your first injection. It takes away that fear. I tell a lot of patients after they're taught and it's fresh in their mind to put on an instructional video while they’re doing it so they don't feel alone. And then once you get through it once or twice, the injections become something that you just do for the next few days.

 

Mariana

 

You want to get the right amount of the medication, and that’s part of getting it right- it’s like a recipe almost where you have to get the measurements correct

 

 

Dr. Kofinas

 

To that point- you don’t have to be 100% precise. I will have patients say, "Oh my God, I left a little drop behind." And it’s okay. I know that can bother you all night. So I'm saying it now- if you'd leave a drop behind or even if you miss an entire dose, it's okay. 

 

 

Mariana

 

And to know that- I had this instance where because I had been on birth control and I was well into my injection process. I had to include Ganirelix as one of my injections 3 or 4 days in. 

 

 

Dr. Kofinas

 

Yes, that's typically taken four days into your cycle. It prevents ovulation. There’s a similar medication called Cetrotide. For that one, you want to make sure you get the whole dose because that's going to keep you from releasing the eggs, which would ruin the whole cycle.

 

 

Mariana

 

That was one part of the process where even though I had gotten the injections down, there's some factors that are being monitored and checked, even up until that trigger shot. that are still changing. But, luckily with that information you know what path you are on, getting you ready for that retrieval moment. 

 

 

 

If you’re seeing your doctor and they’re monitoring you, ask them how it’s going and when they think the retrieval will be.

 

 

Dr. Kofinas

 

Yes, that monitoring helps get you ready for that retrieval moment.. And again, when it comes to monitoring every clinic's different. I like to tell my patients to come to my office and see me for monitoring because it's a great opportunity to ask questions. If you’re seeing your doctor and they’re monitoring you, ask them how it’s going and when they think the retrieval will be. You have a life and need to know when you’re going to be under anesthesia. You’ll have to get someone to pick you up and take the day off of work. You’ll need to know if there’s anything you can do to decrease the risks of complications. These are things that are evolving as you’re going through the process.

 

 

 

Watch the Interview

Watch Mariana and Dr. Kofinas talk about ways the injection process can be made a little easier for patients.

Keep Reading

Can I Train for a Marathon and Freeze My Eggs: Mariana Fernández & Dr. Kofinas
Can I Train for a Marathon and Freeze My Eggs: Mariana Fernández & Dr. Kofinas
What To Ask Your Insurance Company About Fertility Coverage
insurance What To Ask Your Insurance Company About Fertility Coverage
Fertility Journeys Beyond the Clipboard: Jenni Quilter & Hatching
Fertility Journeys Beyond the Clipboard: Jenni Quilter & Hatching