Egg retrieval is a medical procedure performed during in vitro fertilization (IVF) to collect mature eggs from a woman’s ovaries. These eggs are then fertilized with sperm in a laboratory setting, with resulting embryos either implanted into the uterus or frozen for future use. Patients often wonder about resuming normal activities, particularly exercise, after the procedure. Following medical advice is important to ensure a safe recovery and support the overall success of fertility treatment.
Immediate Post-Retrieval Exercise Restrictions
Following egg retrieval, exercise is strictly limited for the immediate 24 to 48 hours. This restriction minimizes discomfort and prevents potential complications. During the egg stimulation phase, ovaries become enlarged as multiple follicles grow. This enlargement makes them more susceptible to twisting, a condition known as ovarian torsion, where the ovary twists around its supporting ligaments, cutting off its blood supply.
Strenuous activities, heavy lifting, or high-impact movements like running, jumping, or intense core exercises can increase the risk of ovarian torsion due to the bouncing or twisting motions. Puncture sites from the retrieval procedure also need time to heal. Activities such as swimming, taking baths, or using hot tubs should be avoided for about a week to reduce infection risk. Rest is generally recommended during this initial recovery period to allow the body to heal and the ovaries to begin returning to their normal size.
Gradual Return to Physical Activity
After the initial 24 to 48-hour recovery period, and assuming no complications, a gradual return to light physical activity is generally permissible. Ovaries may remain enlarged and sensitive for approximately one to two weeks post-retrieval, or until the next menstrual period. This extended period of ovarian enlargement necessitates continued caution with physical activity.
Gentle activities such as light walking are often encouraged, as they can promote healing and help prevent blood clots without putting undue stress on the body. Light stretching and gentle yoga, avoiding any inversions or deep twists, can also be incorporated. Listening to one’s body and avoiding any movements that cause pain or discomfort are important. Always consult with the medical team before increasing activity levels to ensure it is safe for individual recovery.
Understanding Ovarian Hyperstimulation Syndrome (OHSS) and Exercise
Ovarian Hyperstimulation Syndrome (OHSS) is a potential complication of fertility treatments, particularly IVF, where the ovaries overreact to hormone stimulation. This condition causes the ovaries to swell and become painful, leading to fluid retention in the abdomen and sometimes the chest. OHSS symptoms can range from mild (abdominal bloating, mild pain, nausea) to severe, including rapid weight gain (more than 2.2 pounds or 1 kilogram in 24 hours), severe abdominal pain, persistent nausea and vomiting, decreased urination, or shortness of breath.
OHSS necessitates prolonged and stricter exercise restrictions because the already enlarged and sensitive ovaries are at an even higher risk of ovarian torsion or rupture. Strenuous exercise should be avoided completely if OHSS is suspected or diagnosed. Patients experiencing symptoms of OHSS should seek immediate medical attention, as severe cases can lead to serious complications like blood clots, kidney failure, or significant fluid buildup. While mild cases can often be managed at home with rest and increased fluid intake, medical monitoring is important.
Exercise Considerations Before Embryo Transfer
For patients preparing for an embryo transfer, specific exercise guidelines are in place, distinct from post-retrieval recovery. In the days leading up to the embryo transfer, vigorous exercise is typically discouraged. This is generally not due to a direct risk to the embryo or implantation, but rather to minimize uterine contractions, manage overall body stress, and promote a calm environment for the procedure.
Light activities such as gentle walking are usually permitted and can be beneficial for stress reduction and promoting healthy blood flow. However, high-impact activities, heavy lifting, and exercises that involve significant core engagement should be avoided. Some fertility specialists suggest reducing exercise intensity a few days before the transfer to ensure the body is in an optimal state for implantation. Adhering to specific instructions provided by the fertility clinic is important during this delicate phase of the IVF journey.