Ventral Gluteal Intramuscular Injection Guide

Introduction

• Channel: TRT and Hormone Optimization YouTube Channel
• Presenter: Guilty
• Topic: How to perform a ventral gluteal intramuscular injection
• Objective: Provide science-based information on TRT (Testosterone Replacement Therapy)

Advantages of Ventral Gluteal Injection

• Pain-Free: Area is relatively pain-free due to fewer nerves and blood vessels.
• Minimal Bleeding: Rarely causes bleeding.
• Volume Capacity: Can hold decent volume, up to 3ml depending on individual size.
• Accessibility: Easy to reach, especially for those with shoulder mobility issues or larger body size.
• Alternative to Deltoids: Useful for alternating injection sites to prevent scarring.

Anatomy of the Ventral Gluteal Area

• Target Muscle: Gluteus Medius
  • Part of the abduction mechanism, stabilizer, and abductor muscle.
• Finding the Site:
  1. Hand Position: Place palm on hip/leg; create a "V".
  2. Landmarks:
     • Anterior Superior Iliac Spine: Front above the hip.
     • Posterior Iliac Crest: Top area of the hip.
  3. Injection Site: Center of the "V", about an inch down.
  4. Identification: May feel bony; safe to use up to a 1.5-inch needle.

Injection Procedure

• Materials:
  • Alcohol wipe for preparation.
  • Insulin syringes (50/100 unit, 29/28 gauge needles).
• Preparation:
  • Clean the site with an alcohol wipe.
  • Relax the target leg by standing on the opposite leg.
• Injection:
  • Use small circular motions while cleaning.
  • Insert needle shallowly (example: half-inch needle).
  • Avoid kicking the leg out to activate the muscle.
  • Post-injection: Clean the area, and do not recap needle with hands.

Safety Precautions

• Needle Handling:
  • Do not recap needle with hands to avoid infection risk.
  • Use a sharps container for disposal.

Additional Information

• Aspirate?:
  • For those interested in aspiration, refer to linked video under the main video.

Conclusion

• Ventral gluteal injections are easy and pain-free.
• Encourage further learning on TRT and hormone optimization through linked videos.