Is Egg Retrieval Done Under General Anesthesia?

Egg retrieval is a procedure in fertility treatments where eggs are collected from the ovaries. This article clarifies the common types of anesthesia employed and what to expect throughout the experience.

Anesthesia Types for Egg Retrieval

Most fertility clinics utilize a form of deep sedation or monitored anesthesia care (MAC) for egg retrieval. This approach places the patient in a state of deep relaxation, ensuring they are pain-free and unaware of the procedure. Unlike full general anesthesia, which typically involves complete unconsciousness and often requires assistance with breathing, MAC usually allows patients to breathe independently.

Medications such as propofol are commonly administered intravenously to induce this deep sleep-like state. Propofol is favored for its rapid onset and quick dissipation, allowing for a swift recovery after the procedure. Often, a combination of medications, including sedatives like propofol and pain relievers like fentanyl or midazolam, are used to achieve optimal comfort and stillness. The goal is to provide profound relaxation and pain relief without the need for a breathing tube.

What Happens During Anesthesia

Before the procedure begins, a healthcare professional will insert an intravenous (IV) line through which the anesthesia medications will be administered. Monitoring equipment, such as a blood pressure cuff, EKG leads, and a pulse oximeter, will be attached to continuously track vital signs.

Once the medications are given through the IV, the patient will quickly begin to feel relaxed and drowsy. While under sedation, patients have no memory of the egg retrieval process itself. The anesthesia provider meticulously adjusts the medication dosage to maintain a consistent level of sedation, ensuring comfort and stability during the approximately 10- to 30-minute procedure.

After Anesthesia: Recovery and Side Effects

Following the egg retrieval, patients are typically moved to a recovery area where they are closely monitored as the effects of the anesthesia wear off. Waking up from sedation usually occurs quickly. It is common to experience some grogginess, mild disorientation, or a feeling of being “woozy” immediately after waking.

Other temporary side effects may include mild nausea, dizziness, or a sore throat. These effects are generally manageable, and anti-nausea medication can be provided if needed. Most individuals can expect to feel much better within an hour or two, but it is important to have a trusted adult drive them home and to rest for the remainder of the day.

How Anesthesia Choices Are Made

The selection of anesthesia for egg retrieval is a collaborative decision involving the patient, the fertility specialist, and the anesthesiologist. Several factors influence this choice, ensuring the most appropriate and safe experience for the individual. A thorough review of the patient’s overall health and medical history is conducted.

The patient’s anxiety level regarding the procedure can also play a role. The expected duration of the egg retrieval and the specific protocols and resources available at the fertility clinic are also considered. Ultimately, the goal is to tailor the anesthesia plan to each patient, maximizing their safety and comfort throughout the egg retrieval process.