Egg retrieval is a minor surgical procedure used to collect eggs for in vitro fertilization (IVF) or fertility preservation. The process involves a transvaginal ultrasound-guided aspiration, typically performed under conscious sedation. Recovery is generally swift, but dedicated rest is required to minimize complications and allow the body to settle from the procedure and the preceding ovarian stimulation. A structured approach to post-procedure care ensures comfort and a smooth return to daily routines.
Immediate Recovery: The First 24 Hours
The day of the egg retrieval requires complete physical and mental rest to allow the body to recover from the sedation and the procedure. Since conscious sedation is used, the patient is not permitted to drive, operate heavy machinery, or make any important decisions for a full 24 hours post-procedure. A designated adult must drive the patient home from the clinic and ideally remain with them for the rest of the day.
During this initial timeframe, it is common to experience mild abdominal cramping, light vaginal spotting, and general grogginess or fatigue from the anesthesia. Acetaminophen is usually sufficient to manage the mild discomfort. The primary focus should be on gentle movement, staying well-hydrated, and consuming light, bland foods.
Resuming Daily Life: Work and Light Activity
Most individuals feel well enough to resume non-strenuous daily activities and light work within 24 to 48 hours after the retrieval. Resuming light activity, such as short walks or desk work, is beneficial as it promotes circulation. This can help alleviate common post-procedure issues like constipation, which results from hormonal changes and reduced activity.
The recovery timeline is highly individualized, but most patients can return to a desk job or other sedentary work a day or two following the procedure. However, the ovaries remain enlarged due to the ovarian stimulation. It is important to avoid heavy lifting (typically defined as anything over 10 pounds) and excessive bending or twisting of the torso. Mild symptoms like bloating and pelvic fullness may persist for several days, sometimes until the next menstrual period arrives.
When Can Strenuous Activity and Intercourse Resume?
Strenuous activity and sexual intercourse are typically restricted for one to two weeks, primarily due to the risk of ovarian torsion. Ovarian torsion is a serious complication where an enlarged ovary twists on its pedicle, cutting off its blood supply. This is more likely to occur with vigorous movement. The ovaries remain swollen after the procedure, often until the onset of the next period, which usually occurs about 7 to 10 days post-retrieval.
Activities defined as strenuous include high-impact exercises like running, jumping, intense cycling, and heavy weightlifting. The standard recommendation is to wait until the ovaries have returned to their normal size before resuming a full exercise routine. Sexual intercourse is also advised against for about one to two weeks to reduce the risk of infection, irritation, and discomfort associated with the enlarged ovaries.
Warning Signs Requiring Medical Attention
While mild cramping and spotting are expected, certain symptoms necessitate immediate medical attention. Severe or rapidly worsening abdominal pain that is not relieved by over-the-counter medication is a serious concern. A fever of 100.4°F (38°C) or higher can indicate an infection and requires prompt evaluation.
Other urgent warning signs include heavy vaginal bleeding (soaking through more than one sanitary pad per hour) or persistent, severe nausea and vomiting that prevents keeping fluids down. Signs that may indicate the development of Ovarian Hyperstimulation Syndrome (OHSS) include difficulty breathing, rapid weight gain of more than two to three pounds in 24 hours, or significantly decreased urine output.