Egg retrieval is an important procedure in fertility treatments, such as in vitro fertilization (IVF) or egg freezing. Following the procedure, proper care is important for a smooth recovery and to help prevent complications. Adhering to specific post-retrieval instructions supports healing and overall well-being.
Avoid Strenuous Physical Activities
After egg retrieval, avoid strenuous physical activities because the ovaries remain enlarged and sensitive from stimulation medications. Intense exercise, heavy lifting, or high-impact movements can increase the risk of pain, bleeding, and ovarian torsion. Ovarian torsion occurs when an ovary twists around its supporting ligaments, potentially cutting off its blood supply, which can be painful and may require surgical intervention.
Activities to avoid include running, jumping, vigorous biking, and any exercises involving intense core work or bouncing motions. Heavy lifting, typically over 10-15 pounds, should also be avoided as it can strain the abdominal and pelvic areas. While complete rest is often recommended for the first 24-48 hours, light activities like gentle walking are encouraged to promote circulation and help prevent blood clots. It is advised to avoid strenuous activity until after your next menstrual period, or until your doctor clears you, as this indicates the ovaries have likely returned to their normal size.
Refrain from Intimate Activities and Certain Hygiene Practices
Refrain from sexual intercourse immediately following egg retrieval, typically for at least one to two weeks, or until cleared by a healthcare provider. The ovaries are often enlarged and sensitive after the procedure, and sexual activity can cause pain, increase the risk of infection, or lead to further ovarian irritation. There is also a theoretical risk of ovarian torsion if sexual activity causes vigorous movement of the enlarged ovaries.
Certain hygiene practices also need adjustment to prevent infection. Avoid using tampons; use sanitary pads instead for any post-procedure bleeding or spotting. The vaginal wall is punctured during egg retrieval, creating a potential pathway for bacteria. Therefore, avoid baths, swimming, or immersing yourself in water, including hot tubs and Jacuzzis, for at least one to two weeks to minimize infection risk. Showers are safe and recommended for hygiene during this recovery period.
Limit Substance Intake and Specific Medications
After egg retrieval, limit certain substances and medications for proper recovery and to avoid potential complications. Avoid alcohol consumption, as it can interfere with healing and may interact with prescribed medications. Recreational drugs should also be avoided, as they can disrupt hormonal balance and overall recovery. Both alcohol and recreational drugs can hinder the body’s ability to heal and may have unpredictable effects on the reproductive system.
Regarding medications, non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen should be avoided unless specifically approved by your doctor. NSAIDs can affect blood clotting and may increase the risk of bleeding after the procedure. Acetaminophen (Tylenol) is typically a safe alternative for pain relief. It is important to consult with your fertility clinic before taking any over-the-counter medications, supplements, or herbal remedies to ensure they do not interfere with your recovery or other prescribed treatments.
Do Not Ignore Warning Signs
While mild discomfort, bloating, and light spotting are common after egg retrieval, monitor for any warning signs that may indicate a complication. Severe or worsening abdominal pain, especially if not relieved by prescribed pain medication, warrants immediate medical attention. This could be a symptom of ovarian hyperstimulation syndrome (OHSS), a condition where the ovaries become excessively swollen and fluid leaks into the abdomen.
Other concerning symptoms that require prompt evaluation include:
- Heavy vaginal bleeding (more than a typical menstrual period)
- Fever (a temperature of 100.4°F or 38°C or higher)
- Signs of infection such as unusual vaginal discharge or persistent pain
- Significant abdominal bloating or distension
- Rapid weight gain (more than 2-3 pounds in 24 hours)
- Persistent nausea or vomiting
- Decreased urine output
- Difficulty breathing
Contact your fertility clinic or seek emergency care immediately if any of these warning signs occur.