Before you go, one of the clinical team members will tell you how many eggs were retrieved. If you have additional questions or require pain medication, you will be taken care of before being discharged. We encourage those having an egg retrieval to take it easy on the day of the procedure. Rest and relax at home and catch up on your favorite series or watch a movie. You can expect to experience some pain after egg retrieval, including bloating, mild soreness in the vaginal area, slight abdominal cramping, or some spotting, which can last a couple of days.
Over-the-counter pain relievers such as Tylenol or ibuprofen, will help. Most women feel back to normal by the next day. Women taking injectable fertility medications are at risk for developing ovarian hyperstimulation syndrome OHSS , which causes the ovaries to swell and become painful. Mild OHSS can include abdominal pain, nausea, vomiting, and diarrhea, as well as tenderness near your ovaries. OHSS symptoms usually subside after several days to a week.
But if your symptoms are severe, you may require medical attention. OHSS usually happens within a week after your trigger shot. This is why close monitoring is necessary throughout your IVF cycle. By regularly checking the development of your follicles, your doctor can adjust your medication dose or prescribe other medications that can help prevent hyperstimulation if it looks like you are at higher risk.
Electing to freeze embryos and have an FET later when your body has had a chance to recover may also be encouraged should you be at risk for or having OHSS. To prevent constipation, be sure to hydrate and add in a stool softener if you are having difficulties moving your bowels.
Immediately after retrieval, your eggs are transported to the embryology lab by the embryologists attending your egg retrieval.
The embryology team will then locate, count, and place your eggs in nourishing media that mimics the environment of your fallopian tubes. The eggs are then placed in an incubator labeled with your full name and medical record number. Once cooled, the eggs are kept in liquid nitrogen cryotanks for preservation.
If you are freezing embryos or planning a IVF embryo transfer, the eggs will be fertilized approximately 4 hours after the retrieval and placed back in the incubator. A precise dosage of fertility medications Follistim, Menopur, Gonal-F, Bravelle, Repronex or a combination of these per day is begun.
Since we may need to change the dose of medication during the day, it is most convenient if the patients take their injections in the evening. Regular office visits are now begun, starting with day five of stimulation and then continuing every one to two days until follicle aspiration.
During each office visit, an ultrasound and blood test for estradiol are performed. You must call at the end of the day about p. Ovulation is triggered with an injection of human chorionic gonadotropin HCG , lupron, or both. Trigger is administered when the follicles are judged to be mature, usually 8 and 12 days after the start of injectable fertility medications. On the day of follicle aspiration, you will be asked to come to the office about one hour before your scheduled retrieval procedure.
You will go home approximately two hours afterwards. For example, for a a. The aspiration procedure itself takes less than 30 minutes.
Sperm are obtained from the male partner on the day of egg retrieval. The procedure can take anywhere from ten to twenty minutes. This is an outpatient procedure done in our on-site surgery center, RSA. Following the retrieval, you will be taken to our recovery bay and monitored to make sure you are secure and comfortable enough to be released.
In terms of what happens after the eggs are retrieved, it all depends on what you are pursuing. Our highly experienced embryologists would then determine which and when any developing embryos would be transferred to your uterus or gestational carrier within the next few days.
As mentioned earlier, if Dr. When this time comes, the eggs would be carefully thawed in the IVF Laboratory for use in a cycle. We hope you feel more aware of what to expect before, during, and after as well as some options that can help provide some extra assistance in the success of your fertility treatment. The number of embryos produced depends on several factors including the age of the couple. In the past, multiple embryos were transferred in the hope of maximizing success but this often resulted in twins or rarely triplets, both of which are associated with pre-term birth and other serious complications to both babies and mother.
The safest approach is to limit transfer to a single embryo. To maximize the chance for success, the healthiest embryo is selected by the embryologist based on a grading system used to evaluate each embryo. A soft, flexible, and thin catheter is used to transfer the embryo into the uterus. An abdominal ultrasound is used to make sure that the tip of the catheter places the embryo at the best location for the embryo to implant.
Pain and discomfort are rare, and the experience has been compared to how it feels to get a pap smear. Good embryos not used for transfer are usually frozen in case the cycle is not successful or a couple wants more children following a successful first cycle.
Hopefully, the development of the embryo continues in the uterus and the embryo hatches and implants in the uterine lining within days following embryo transfer. Assisted hatching is a micromanipulation procedure where a hole is made in the flexible shell that surrounds the cells of the early embryo.
Normally, this membrane dissolves on its own since this is necessary for embryo implantation.
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