TRT in the UK

Ventrogluteal vs Dorsogluteal IM Injection Sites

Ventrogluteal vs Dorsogluteal IM Injection Sites

By Mike Kocsis | 7 minutes read | Last updated: October 27, 2023
  •   Categories:  
  • Medically Reviewed by Dr. George Touliatos

    Evidence Based Research

    As the popularity of testosterone injection treatments continues to rise, it becomes increasingly evident that they are among the most highly effective solutions for individuals dealing with low testosterone levels. Nevertheless, there is growing interest in exploring subtle adjustments that might significantly enhance the effectiveness of these treatments. Notably, there are several injection site options available for testosterone therapy. Before selecting the ideal injection site for your treatment, it’s essential to familiarise yourself with each injection type and understand how the chosen location can impact the treatment’s effectiveness.

    In this article, we are going to examine two types of intramuscular (im) injection sites: ventrogluteal im injections and dorsogluteal im injections. One of the questions that many men ask who are undergoing testosterone injections is which injection site is best? This debated topic is somewhat difficult to prove beyond a reasonable doubt, but we are going to give you all of the information that is available on these two injection sites.

    Take Hormone Quiz

     

    Glute Injection Site Effectiveness and Safety

    If you’re seeking the most effective and safe injection site for your testosterone treatment, it’s essential to consult a medical professional specialising in testosterone therapies. However, medical opinions are far from unanimous. Just like within the TRT (Testosterone Replacement Therapy) community, scientists and doctors hold differing opinions on the best injection sites, or if the injection site significantly impacts the treatment’s outcomes.

    Personalisation is Key

     

    We are all unique, with individual medical circumstances, making it challenging to prescribe a one-size-fits-all injection site. Your ideal injection site could vary depending on your specific situation, your medical professional’s recommendation, or even your personal preference. The absence of a universal standard means you can have a say in this important decision.

    Prioritizing Safety: The Ventrogluteal Site

     

    Research into injection site safety has favoured the ventrogluteal site as the safest option. This preference arises from the absence of major blood vessels in this region, making it an inherently secure choice for injections. In contrast, the dorsogluteal site, located close to the sciatic nerve, presents more safety concerns.

     

     

    Ventrogluteal and Dorsogluteal IM Injection Site

    Source: springer.com

     

    The Preferred Choice, But Not the Only Choice

     

    While many medical professionals favour the ventrogluteal site for its safety, it’s crucial to understand that it may not always be the best option for every situation. Circumstances may call for alternative sites. Nonetheless, the ventrogluteal injection site remains the preferred choice for many, thanks to its established safety record.

     

    About Dorsogluteal Injections

    Dorsogluteal injections are one of the most common ways that doctors and patients choose to administer testosterone treatment injections. Here is some information about this type of injection and why so many people choose to use it.

    Where is the dorsogluteal im site?

    The first thing to understand about the dorsogluteal im site is where it is located. For a visual, you should divide the buttocks into four quadrants. To locate the site of injection you will simply find the upper and outer section of that grid. It is located high on the buttocks, near the thigh. This is one of the most common sites for injections of all kinds, not just testosterone therapy. Even though other injection sites are preferred for testosterone treatments, this site is still perfectly safe, when done correctly.

     

    The pros and cons

    Like with other injection sites, there are both pros and cons to using the dorsogluteal injection site for your testosterone replacement therapy. Understanding these pros and cons will help to guide you to make the right decision and stay informed throughout the process.

     

    Pros

     

    Easy to locate: One of the main benefits of dorsogluteal injection site is that it is very easy to locate. This means that even for a beginner to TRT and injections, it will be easy to find the location where you are supposed to put the injection.

     

    Cons

     

    Challenging for self-injectors: if you are going to be doing your injections yourself and you don’t have the greatest amount of flexibility, then this injection site might not be the best for you. To reach the location to perform the injection, you will have to twist and turn, which is not ideal for some people.

    Incorrect placement can lead to pain during injection: If you do get the injection site wrong due to its difficulty to reach, then it can be quite painful as well. Nobody wants to experience pain with injecting, so those who are unable to get the injection point right on a consistent basis might find this injection site difficult to use regularly. There is research to back this up that suggests dorsogluteal injections are, by nature, more painful than injections that occur in the ventrogluteal location.

    Near the sciatic nerve: In addition to the pain that is often involved and the hard-to-reach location of the dorsogluteal site, it is also near the sciatic nerve, which means that you will need to aspirate. This adds time and difficulty to the process, making it less than ideal if you are able to get the same effectiveness out of another injection location.

     

    Overall, the dorsogluteal site for injections should work fine for anyone who is able to use the injection site correctly. If you think that you will have trouble using the injection site as directed by our doctors, then we would advise you to inject into the ventrogluteal site.

     

    About Ventrogluteal Injections

    The other injection site that you can use for testosterone replacement therapy injections is the ventrogluteal site. There are two main sites that doctors and individuals use for these types of injections, and this site and the dorsogluteal site are the two. Ventrogluteal sites are much more commonly used because of the various benefits that they present. With this information about ventrogluteal sites, you’ll be able to have a thoughtful discussion with your medical professional to determine if this is the right injection site for you.

     

    Where is the ventrogluteal im site?

     

    The first thing that you’ll need to know about the ventrogluteal im site is its location. The location of the site is crucial because it determines how effective the injection is, how painful it is, and how easy it is to administer the injection. While the dorsogluteal site is very easy to locate, this site is a bit more challenging. This is one potential downside to it, however with some practice, you should be able to locate it fairly easily after a while.

    The ventrogluteal intramuscular injection site is located on the hip at the high part of the hip. To locate this site, it takes a bit of medical training, which we will provide you with. To locate it, place the palm of your hand on the femur on the part that protrudes. Place your index finger on the anterior iliac crest of the femur and spread your middle and index finger away from each other. The injection site is in the middle of the “V” that is created when this is done. To find this site, you’ll need to know your anatomy quite well and ensure you are placing your hands in the correct location.

     

    Ventrogluteal im injection procedure

     

    • Prepare everything, ensure you have your syringe, filter needle, other needles and testosterone ready, along with a disposal bin.
    • Open your syringe bag and filter the needle bag, keeping the packaging on where possible in order to not contaminate the needle.
    • We recommend using an 18 Gauge filter needles which we supply our clients with.
    • Screw the filter needle onto the syringe, leaving the protection cap on the needle.
    • Open your testosterone box and get out the glass single-use ampule. Break the top off the ampule from the dot and dispose of the top.
    • Take the top protection cap off the filter needle and draw up from the ampule your correct dose as prescribed by your doctor.
    • Draw any air and testosterone downwards and into the syringe and pop the filter needle protection cap back on.
    • Dispose of the single-use ampule, do not use any further testosterone from it.
    • Open the packing for your injection needle, we recommend the 25 Gauge needle.
    • Take your syringe and untwist the filter needle with cap off and put it in your sharps bin
    • Put your injection needle with packaging left on onto the syringe, once secured remove the packaging and push up all the air out of the syringe until you hit your dosage marker on the syringe.
    • Clean the injection area using an alcohol wipe once you have located it using our instructions as above (this is the upper outer quadrant of the glute or ventrogluteal injection site).
    • Dart the needle into the muscle and push in relatively quickly.
    • Press and wipe the area with an alcohol wipe and dispose of your injection needle into the sharps bin.

     

    Follow our Ventrogluteal im injection procedure video

     

    Pros and Cons

    Even with some of the added complexity that comes with using an ventrogluteal intramusular injection site for testosterone replacement therapy, it is still the site that most doctors and medical professionals prefer to use when administering testosterone replacement therapy. That is because it comes with tons of benefits to love.

    Away from major arteries and vessels: The main benefit of the ventrogluteal injection site is that it is far away from any of the major blood vessels in the leg. This includes nerves, vessels, and the sciatic nerve. In addition to the lack of nerves and vessels around this site, the tissue that surrounds the ventrogluteal site is thick and strong. With these factors in mind, the ventrogluteal site is so popular because doctors and patients feel confident that they will not cause harm to the patient when using this site for the injection for testosterone replacement therapy.

    Slightly easier to to reach: Due to the location of the injection site, the ventrogluteal injection site is only slightly easier to reach than the dorsogluteal site, but those who are injecting themselves mostly find it easier than trying to twist and turn to find the other location. Finding the exact injection location, however, is still quite challenging in this site. The more that you practice with this injection site, the better.

    If you are going to use this injection site for your testosterone replacement therapy injections, you should enlist the help of a medical professional to help you with the first few injections so that you can ensure you have a good grasp of what is going to be required to effectively administer treatments in this manner.

    Book Free Consultation

     

    Conclusion

    Testosterone replacement therapy is quickly becoming one of the most commonly used treatments out there, and as a result, there are millions of men worldwide who are looking to learn more about the treatment, how it is administered, and where is the best location to use for treatment. Knowing the best location for your treatment can drastically improve the effectiveness of the treatment and the comfort that you are able to experience while undergoing the treatment. For men who are dealing with the symptoms of low testosterone on a daily basis, it is more important than ever to get the injection site right and learn as much as possible about the possibilities when it comes to injection sites.

    Both injection sites offer pros and cons however, we would recommend the ventrogluteal site over dorsogluteal injection site as it is a lower risk area to inject into and once you get used to the procedure, finding the location it becomes easier over time. We have outlined the ventrogluteal im injection technique above that we use throughout our clinics.

    Was this article helpful?
    YesNo

    Evidence Based Research

    This article has been researched and written based on scientific evidence and fact sheets that have then been crossed checked by our team of doctors and subject matter experts.

    References, sources and studies used alongside our own in-house research have been cited below, most of which contain external clickable links to reviewed scientific paper that contain date stamped evidence.

    Our team of healthcare experts and GMC registered doctors are licensed to UK GMC standards. We strive to provide you with the latest evidence based, researched articles that are unbiased, honest and provide you with accurate insights, statistics and helpful information on the discussed topic to ensure you gain a better understanding of the subject. You can read more about our Editorial Process by clicking here.

    We value your feedback on our articles, if you have a well-researched paper you would like to share with us please contact us.

    Quick Low Testosterone Test

    If you know your total testosterone reading from a previous blood test input the results to the left above to see if your testosterone levels are normal.

    Check your testosterone

    Sex:
    Age:
    Tick all that apply:


    I have the following symptoms:

    Testosterone conversion tool
    Order testosterone blood tests

    Low Testosterone Levels

    You may have low testosterone depending on the symptoms you have, please contact us to find out how we can help.

    Take our ADAMS low testosterone questionnaire.

    Please Retry

    The Total Testosterone Level You Entered Is Incorrect. Figure Must be in nmol/L you can use our converter here.

    Take our ADAMS low testosterone questionnaire.

    Normal Testosterone Levels

    Your testosterone levels appear to be in the normal range.

    Take our ADAMS low testosterone questionnaire.

    LOOKING GOOD!

    You must be over 38, have had your ovaries removed or have suffered with premature menopause to warrant further hormone tests.

    Take our ADAMS low testosterone questionnaire.

    Further investigation needed

    Please contact us to discuss your hormones, we need your total testosterone levels to validate your hormone deficiency. You can order a blood test here.

    Take our ADAMS low testosterone questionnaire.

    Low Testosterone Levels

    You may have low testosterone depending on the symptoms you have, please contact us to find out how we can help.

    Take our ADAMS low testosterone questionnaire.

    High Testosterone Levels

    You appear to have higher than normal testosterone levels, please contact us for further investigation.

    Take our ADAMS low testosterone questionnaire.

    Normal Testosterone Levels

    You appear to have normal testosterone levels. Contact us if you have any concerns.

    Take our ADAMS low testosterone questionnaire.

    About the Author: Mike Kocsis

    Mike KocsisMike Kocsis has an MBA with a focus on healthcare administration and is an entrepreneur and medical case manager for Balance My Hormones Ltd which offers medical services in the UK and Europe. Mike has over 20 years of experience in the healthcare sector, much of that working with people who have hormone imbalances. Mike has appeared on podcasts and radio and is an expert speaker on the subject of hormone imbalance. He specialises in Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) and has helped thousands of people suffering from hormone imbalances recover and regain control of their lives. You can follow him on LinkedIn and on the Balance My Hormones YouTube Channel.

    Learn More About Us

    Last update: October 27th, 2023
    Hormone Imbalance: Causes, Symptoms and Treatment
    Hormone Imbalance: Causes, Symptoms and Treatment
    26 March, 2024, by Mike Kocsis

    Hormones are small chemical messengers that perform many big roles in the body. To ensure optimal functioning, they must remain balanced within the body. Having too much or too little of a hormone can disrupt normal body functioning, leading to a variety of symptoms and health issues. Hormone imbalance refers to a condition in which […]

    Read Article
    Do Women Have More Oestrogen Than Testosterone?
    Do Women Have More Oestrogen Than Testosterone?
    13 March, 2024, by Mike Kocsis

    Both oestrogen and testosterone are primary sex hormones that play many crucial roles in the body. Testosterone is mainly associated with male physiology, while oestrogen is predominantly found in females. However, these hormones exist in both sexes, albeit in different concentrations. Proper balance between these hormones is essential for the overall well-being of a person. […]

    Read Article
    The Link Between Female Hair Loss and Hormones
    The Link Between Female Hair Loss and Hormones
    28 February, 2024, by Mike Kocsis

    If you are shedding more than 100 hairs daily and have bald spots, you probably have hair loss and need to see a doctor as soon as possible. There are different causes of female hair loss, and one of them is hormonal imbalance. In this article, you will learn about female hair loss and how […]

    Read Article

    Get In Touch



    File(s) size limit is 20MB.

    Get Started Today
    Evidence based
    research backed
    hormone optimization

    Balance My Hormones helps customers restore their hormones to optimal levels through bespoke TRT and HRT treatment plans. We use modern American treatment methods and have over 25 years of experience in hormonal health which is backed up by our very own GPhC pharmacy.

    jQuery('.faq-item h4 a').click(function(e){var i=jQuery(this).attr("data-id");var opened=jQuery(".open").attr("data-id");if(i==opened){jQuery('.faq-item .answer').hide();jQuery('.plus').text('+');jQuery('.answer').removeClass('open')}else{jQuery('#sym-'+i+' span.plus').toggleClass("rotate");jQuery('.faq-item .answer').hide();jQuery('#a-'+i).slideToggle(250);jQuery('.answer').removeClass('open');jQuery('#a-'+i).addClass('open');jQuery('.plus').text('+');jQuery('#sym-'+i+' span.plus').text('-')} return!1});jQuery('.fulldbtn').click(function(){var elem='#'+jQuery(this).closest('.testbigbox').attr('id')+' .fulldetails';jQuery(elem).toggle("slow");return!1});jQuery('.mcheck').click(function(){var id=jQuery(this).attr('id');var other='';if(id=='finger'){other='vene'}else{other='finger'} if(jQuery('#'+id).is(':checked')){jQuery('.'+id).show()}else{jQuery('.'+id).not('.'+other).hide()}});jQuery('.redi').click(function(){var cnt='#'+jQuery(this).closest('.testbigbox').attr('id');var url=jQuery(cnt+' .dropdownupdate').find(':selected').data('link');window.location.assign(url);return!1});jQuery('.dropdownupdate').on('change',function(){var price=jQuery(this).find(':selected').data('price');var price_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .price';jQuery(price_container).html('Special Price: '+price);var oldprice=jQuery(this).find(':selected').data('oldprice');var oldprice_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .oldprice';jQuery(oldprice_container).html('Normal Price: '+oldprice+'');var link=jQuery(this).find(':selected').data('link');var link_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' a.orderbtn';jQuery(link_container).attr('href',link);var lefttitle=jQuery(this).find(':selected').data('lefttitle');var lefttitle_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' h2.left_title';jQuery(lefttitle_container).text(lefttitle);var lefttext=jQuery(this).find(':selected').data('lefttext');var lefttext_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .left_text';jQuery(lefttext_container).html(lefttext);var boxtitle=jQuery(this).find(':selected').data('boxtitle');var boxtitle_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .tbhead';jQuery(boxtitle_container).text(boxtitle);var boxtext=jQuery(this).find(':selected').data('boxtext');var boxtext_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .boxtext';jQuery(boxtext_container).html(boxtext);var fdttitle=jQuery(this).find(':selected').data('fdtitle');var fdttitle_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .fulldtitle';jQuery(fdttitle_container).html(fdttitle);var fulld=jQuery(this).find(':selected').data('fulldetails');var fulld_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .fulldetailscnt';jQuery(fulld_container).html(fulld);var coup=jQuery(this).find(':selected').data('coupon');var coup_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .coupon';jQuery(coup_container).html(coup);var im=jQuery(this).find(':selected').data('image');var im_container='#'+jQuery(this).closest('.testbigbox').attr('id')+' .imgcontainer img';jQuery(im_container).attr("src",im)});jQuery('.lwptoc_item a').addClass('border');jQuery('.lwptoc_item_label').css('border-bottom','2px #1d2463 solid !important');jQuery('.menu-toggle ').click(function(){var close='';var open='';if(jQuery('#menu-cnt').css('display')=='none'){jQuery('#menu-cnt').show();jQuery('.menu-toggle ').html(close)}else{jQuery('#menu-cnt').hide();jQuery('.menu-toggle ').html(open);jQuery("li.menu-item-has-children").removeClass('open')} return!1});jQuery("#videomodal").click(function(){jQuery("#myModal iframe").attr("src",'https://www.youtube.com/embed/IzmhteD7NWw');jQuery('#myModal').css('display','flex');return!1});jQuery("#videomodalquiz").click(function(){jQuery("#myModal iframe").attr("src",'https://www.youtube.com/embed/V3j482RtaQw');jQuery('#myModal').css('display','flex');return!1});function closemyModal(){document.getElementById('myModal').style.display='none';jQuery("#myModal iframe").attr("src",'')} jQuery("#ytbutton").click(function(){jQuery("#ytModal iframe").attr("src",'https://www.youtube.com/embed/MiGUJHnq1ZE');jQuery('#ytModal').css('display','flex');return!1});jQuery(".stbt").click(function(){var name=jQuery(this).attr("data-name");var bio=jQuery(this).attr("data-bio");var img=jQuery(this).attr("data-img");jQuery('#staffname').text(name);jQuery('#staffbio').text(bio);jQuery('#staffimg').attr('src',img);jQuery('#staffModal').css('display','flex');return!1});function openytmodal(){jQuery("#ytModal iframe").attr("src",'https://www.youtube.com/embed/MiGUJHnq1ZE');jQuery('#ytModal').css('display','flex');return!1} function closeytModal(){document.getElementById('ytModal').style.display='none';jQuery("#ytModal iframe").attr("src",'')} function closenoticeModal(){document.getElementById('noticeModal').style.display='none';document.cookie='notice=promos;max-age=259200000000;path=/'} function closestaffModal(){document.getElementById('staffModal').style.display='none'} function getCookie(cname){let name=cname+"=";let decodedCookie=decodeURIComponent(document.cookie);let ca=decodedCookie.split(';');for(let i=0;i992){headerHeight+=40}else if($(window).width()>1199){headerHeight+=60} $(window).scroll(function(){var scrolled=$(document).scrollTop();if(scrolled>headerHeight){$('#header').addClass('off-canvas')}else{$('#header').removeClass('off-canvas')} if(scrolled>scroll){$('#header').removeClass('fixed');if(window.matchMedia("only screen and (max-width: 760px)").matches){}}else{$('#header').addClass('fixed')} scroll=$(document).scrollTop()})})})(jQuery);jQuery.fn.outerhtml=function(){return(this[0])?this[0].outerHTML:''};jQuery(function(){let isMobile=window.matchMedia("only screen and (max-width: 760px)").matches;if(isMobile){jQuery("li.menu-item-has-children a").append('');jQuery("li#menu-item-292 ul").prepend('
  • About Us
  • ');jQuery("li#menu-item-297 ul").prepend('
  • Services Overview
  • ');jQuery("li#menu-item-7259 ul").prepend('
  • Blood Testing Overview
  • ');jQuery('#menu-primary-menu > li').click(function(e){var jQueryel=jQuery('ul',this);jQuery('#menu-primary-menu > li > ul').not(jQueryel).slideUp();jQueryel.stop(!0,!0).slideToggle(400);if(jQueryel.html()!=undefined){return!1}});jQuery('#menu-primary-menu > li > ul > li').click(function(e){e.stopPropagation()});jQuery("li.menu-item-has-children").click(function(){jQuery("li.menu-item-has-children").removeClass('open');jQuery(this).addClass('open')});const target=document.querySelector('#menu-primary-menu') document.addEventListener('click',(event)=>{const withinBoundaries=event.composedPath().includes(target) var open='';if(!withinBoundaries){jQuery('#menu-cnt').hide();jQuery('.menu-toggle ').html(open);jQuery("li.menu-item-has-children").removeClass('open')}}) var temp=jQuery('#wide1col1').html();jQuery('#wide1col1').html(jQuery('#wide1col2').html());jQuery('#wide1col2').html(temp);var temp=jQuery('#wide3col1').html();jQuery('#wide3col1').html(jQuery('#wide3col2').html());jQuery('#wide3col2').html(temp);jQuery("#menu-item-291").append('
  • Login
  • ');var temp=jQuery('.fulldbtn').outerhtml();jQuery('.fulldbtn').remove();jQuery(".newtestbox").append(temp);jQuery('.fulldbtn').click(function(){var elem='#'+jQuery(this).closest('.testbigbox').attr('id')+' .fulldetails';jQuery(elem).toggle("slow");return!1})}})