{"id":1158,"date":"2020-01-30T15:08:10","date_gmt":"2020-01-30T15:08:10","guid":{"rendered":"https:\/\/staging.theduff.co.uk\/?p=1158"},"modified":"2020-10-01T15:42:43","modified_gmt":"2020-10-01T15:42:43","slug":"egg-collection-what-to-expect-ivf","status":"publish","type":"post","link":"https:\/\/theduff.co.uk\/egg-collection-what-to-expect-ivf\/","title":{"rendered":"<strong>IVF egg collection:<\/strong><br> your questions answered"},"content":{"rendered":"\n<p><strong>I\u2019VE RECENTLY BEEN SPENDING TIME ON VARIOUS FERTILITY MESSAGE BOARDS AND FORUMS<\/strong>, in an attempt&nbsp;to find out about people's most pressing concerns and questions. One topic that comes up a LOT is the IVF egg collection procedure. There seem to be three types of question:&nbsp;&nbsp;<\/p>\n\n\n\n<ul><li><strong>Questions about pain <\/strong>(both during and after the procedure). \u201cIs IVF egg collection painful?\u201d \u201cHow long did it take you to recover from egg collection?\u201d \u201cIs it normal to have pain after egg retrieval?\u201d \u201cDo most people get bloated and constipated after egg collection?\u201d \u201cDid you get OHSS after egg retrieval?\u201d And so on. <\/li><li><strong>Questions about the eggs<\/strong>. \u201cHow many eggs is a good number?\u201d \u201cCan I still have success when just two eggs were collected?\u201d \u201cWhat size should my follicles be before egg retrieval?\u201d \u201cHow do the doctors decide when my eggs are ready?\u201d Etc. <\/li><li><strong>Questions asking for general tips and advice<\/strong>. \u201cEgg collection tomorrow! Any tips\/advice?\u201d \u201cDo I need to prepare for egg collection?\u201d<\/li><\/ul>\n\n\n\n<p>Well\u2026 this article aims to answer them all and more! Here goes\u2026 <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How will the doctors know when it\u2019s time for my eggs to be collected? <\/strong><\/h2>\n\n\n\n<p>You\u2019re ready for IVF egg collection when your scans show that the lining of your uterus is nice and thick, and you have a decent number of follicles that are the right size. (Your eggs are microscopic in size and can\u2019t be seen on the scan, so the size of each follicle \u2013 which encases the egg \u2013 is used as a proxy for egg size. Read <a href=\"\/follicle-egg-zygote-difference-ivf\/\">this article for more about the difference between eggs and follicles<\/a>.) <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What size should my follicles be for IVF egg collection? <\/strong><\/h2>\n\n\n\n<p>Doctors like to see follicles that are approximately 15\u201324mm in diameter, because these follicles will contain eggs that are deemed ready for ovulation. <\/p>\n\n\n\n<p>Most doctors actually&nbsp;prefer to wait until at least a few follicles have reached at least 18mm: at 15mm, the eggs inside still might not be ready for ovulation. On the other hand, the follicles can\u2019t be left to grow for <em>too <\/em>long: go past 24mm and there\u2019s a risk that the eggs will be too \u201cripe\u201d and therefore can\u2019t be used. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What\u2019s a good number of follicles? <\/strong><\/h2>\n\n\n\n<p>If you have at least ten follicles that are a decent size (see above), chances are your doctor will be happy: that\u2019s enough follicles for there to be a good chance of at least one <a href=\"\/egg-quality-quantity-ovarian-reserve\/\">high-quality egg<\/a>&nbsp;inside, but not SO many that you\u2019re at risk of <a href=\"\/ovarian-hyperstimulation-syndrome-ohss-ivf\/\">severe ovarian hyperstimulation syndrome (OHSS)<\/a>. <\/p>\n\n\n\n<p>Basically, you want not too many but not too few follicles, which aren\u2019t too big or too small. \u201cPicky\u201d is a word that comes to mind. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>I don\u2019t have many follicles! Is egg collection doomed? <\/strong><\/h2>\n\n\n\n<p>No \u2013 definitely not! You only need one fabulous egg to create one fabulous embryo, after all. Your chances of successful fertilisation might be reduced, but you\u2019re definitely not a lost cause. (And remember: plenty of people with a large number of follicles \u2013 and therefore eggs \u2013 have ended up disappointed that not one of them fertilised successfully.)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>I have a ton of follicles and I\u2019m scared about getting OHSS!<\/strong><\/h2>\n\n\n\n<p>Your doctor has a variety of methods to prevent OHSS \u2013 or at least lower the severity of the symptoms associated with it \u2013 and you can read all about them <a href=\"\/follicle-egg-zygote-difference-ivf\/\">here<\/a>. <\/p>\n\n\n\n<p>Bear in mind that you might get OHSS despite all precautions, so it\u2019s important to monitor yourself closely for symptoms. What\u2019s more, some people get OHSS despite having close to zero risk factors. Basically, everyone needs to keep an eye out for OHSS. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>I\u2019ve been told I\u2019ll need to take a \u201ctrigger injection\u201d before IVF egg collection. Why? What does the trigger injection do?<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"328\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/IVF-from-start-to-finish-05-e1582037327823.png\" alt=\"Pile of syringes for IVF\" class=\"wp-image-784\"\/><\/figure><\/div>\n\n\n\n<p>Your eggs need to go through one final stage before they\u2019re ready to be collected: they need to complete a process of&nbsp;maturing called \u201cmeiosis\u201d, which in turn&nbsp;causes ovulation to happen. <\/p>\n\n\n\n<p>The trigger injection kickstarts this process, and you'll need to administer it at a very&nbsp;specific time \u2013 usually 36 hours before your appointment for egg retrieval. <\/p>\n\n\n\n<p>Why 36 hours? It\u2019s because ovulation will take place approximately 36 hours after the trigger injection gets into your system (which takes a bit of&nbsp;time&nbsp;in itself). The doctors need to collect those eggs just <em>before<\/em> ovulation takes place, but just <em>after<\/em> the eggs are fully developed and ready. It\u2019s a teeny tiny window of time, and you can\u2019t miss it.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x.png\" alt=\"\" class=\"wp-image-492\" width=\"229\" height=\"105\" srcset=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x.png 443w, https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x-300x137.png 300w\" sizes=\"(max-width: 229px) 100vw, 229px\" \/><\/figure><\/div>\n\n\n\n<p><\/p>\n\n\n<style>.elementor-291 .elementor-element.elementor-element-4c84a175{margin-top:2%;margin-bottom:12%;padding:1% 4% 1% 4%;z-index:2;}.elementor-291 .elementor-element.elementor-element-554afbfb > .elementor-element-populated{margin:0% 5% 0% 5%;--e-column-margin-right:5%;--e-column-margin-left:5%;}.elementor-291 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data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-554afbfb\" data-id=\"554afbfb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-21014cc2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21014cc2\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7c412ba7\" data-id=\"7c412ba7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-144e6175 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"144e6175\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\" id=\"fdg\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">FREE DOWNLOAD<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ed2b9df elementor-widget elementor-widget-heading\" data-id=\"1ed2b9df\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Questions to ask your doctor at every stage of IVF treatment: free downloadable guide<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ffc0a2 elementor-widget elementor-widget-text-editor\" data-id=\"39ffc0a2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>IVF isn\u2019t just overwhelming<\/strong>; it can also be a mind-boggling and sometimes terrifying experience because there\u2019s so much to learn and so many rules to follow.<\/p><p>Problem is, doctors are busy \u2013 and they often don\u2019t have the time to anticipate your concerns and provide all the information you might need.<\/p><p>This downloadable guide contains questions that will help you understand the process better, get the answers you deserve, and feel more in control of the situation (and your rights as a patient).<\/p><p><strong>Enter your email address to receive it right away.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68569f9a elementor-mobile-button-align-center elementor-tablet-button-align-stretch elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"68569f9a\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;20&quot;,&quot;button_width_mobile&quot;:&quot;100&quot;,&quot;button_width_tablet&quot;:&quot;25&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"291\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"68569f9a\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"The Duff\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-80 elementor-md-75 elementor-sm-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Your email address\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-20 e-form__buttons elementor-md-25 elementor-sm-100\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-lg\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Get the PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e68b04a elementor-widget elementor-widget-text-editor\" data-id=\"4e68b04a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>I won't send you spam. Unsubscribe at any time.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\n\n\n<h2 class=\"wp-block-heading\"><strong>How do the doctors determine which trigger shot I should have? <\/strong><\/h2>\n\n\n\n<p>There are two main types of trigger injection: <\/p>\n\n\n\n<ul><li>The hCG trigger injection, which is usually (but not always) used by people who\u2019ve been on the long protocol. Brand names include Ovitrelle, Pregnyl and Choragon. <\/li><li>The GnRH agonist injection, which is usually (but not always) used by people who\u2019ve been on the short protocol. Brand names include Lupron and Synarel. <\/li><\/ul>\n\n\n\n<p>Read about <a href=\"\/ivf-process-step-by-step\/\">the IVF process from start to finish if you want to learn more about why different drugs are used for different protocols<\/a>. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What happens if I forget to do the trigger shot at the right time? <\/strong><\/h2>\n\n\n\n<p>Tell your doctor: they may decide to&nbsp;delay your retrieval by the same amount of&nbsp;time. Even if you\u2019re late by ten minutes&nbsp;or so, tell your doctor to be on the safe side. The good news is that the teeny tiny window of time mentioned above is still a window \u2013 not a letterbox (worst analogy ever?) \u2013 so there\u2019s room for a bit of&nbsp;timing leeway when it comes to the trigger and egg collection. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What happens after the trigger injection? <\/strong><\/h2>\n\n\n\n<p>The countdown begins until IVF egg retrieval time! As mentioned above, you\u2019ll have been given a specific time to arrive at the clinic\/hospital, which will be a specific number of hours (usually around 36 hours) after the trigger injection.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>I\u2019ve been told to fast the night before my egg retrieval. Why? <\/strong><\/h2>\n\n\n\n<p>If you\u2019re being sedated or anaesthetised for your egg collection, you\u2019ll be told to fast from midnight the night before \u2013 including chewing gum and sweets \u2013 and to stop drinking four hours before the procedure. Why? Because food or drink in your system can cause something called&nbsp;\u201caspiration\u201d. I won\u2019t explain it all here, but Google it if you want the deets. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How do they actually \u201ccollect\u201d my eggs? <\/strong><\/h2>\n\n\n\n<p>Here\u2019s what happens:<\/p>\n\n\n\n<ul><li>They\u2019ll pass a needle through the top of the vagina to get to the ovary and follicles. Ultrasound guidance helps them find the exact spot.<\/li><li>Next they\u2019ll \u201cpuncture\u201d (my word, not theirs) the follicles so that the eggs detach from the follicle walls and can be sucked out of the ovary.<\/li><li>You\u2019ll wake up feeling a bit&nbsp;crampy, a bit&nbsp;moody, and possibly a bit&nbsp;hungry. <\/li><li>You\u2019ll then be told how many eggs were retrieved and how good the sperm sample looks. <\/li><li>After that, it\u2019s time to go home and REST! <\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"500\" height=\"429\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/IVF-from-start-to-finish-07-e1582038018239.png\" alt=\"Egg collection diagram\" class=\"wp-image-786\"\/><\/figure><\/div>\n\n\n\n<p>Meanwhile\u2026<\/p>\n\n\n\n<p>I haven\u2019t mentioned what your partner\u2019s up to while your precious insides are being poked and prodded by a massive needle. He\u2019s having a marvellous time: watching porn, reading fetish websites, fantasising about Scarlett Johansson and jizzing away happily in his own private wank-off room. &nbsp;<\/p>\n\n\n\n<p>(That's not quite true \u2013 and many men find the sperm collection process to be quite an ordeal. If your partner is worried or has any questions, send him a link to &#8220;<a href=\"\/sperm-collection-ivf\/\">Sperm collection: what you need to know (an article for the men)<\/a>&#8220;.)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What does IVF egg collection feel like? Is it painful? <\/strong><\/h2>\n\n\n\n<p>I visited an IVF forum and asked fellow members a bunch of questions about their own egg-collection experiences. Below is what they said about the pain associated with the procedure itself, grouped according to the type of&nbsp;sedation\/pain relief they had. You might want to be aware that <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg156\/evidence\/full-guideline-pdf-188539453\">NICE recommends conscious sedation<\/a> for the procedure (\u201cWomen undergoing transvaginal retrieval of oocytes should be offered conscious sedation\u201d), but very&nbsp;few people (in my survey, anyway) seem to have chosen or been given that option. <\/p>\n\n\n\n<p><strong>People who had a general anaesthetic had this to say about the procedure:<\/strong><\/p>\n\n\n\n<ul><li>\u201cIt felt like I just had an amazing sleep.\u201d<\/li><li>\u201cWas asleep so can\u2019t really comment on the procedure itself.\u201d<\/li><\/ul>\n\n\n\n<p><strong>Those who had heavy sedation:<\/strong><\/p>\n\n\n\n<ul><li>\u201cThe procedure itself wasn\u2019t painful in the slightest. The heavy sedation pretty much felt like a general anaesthetic, and I don\u2019t remember a thing about it.\u201d<\/li><li>\u201cThey called it sedation but I believe I was completely out both times. I found it very&nbsp;straightforward and not really&nbsp;painful.\u201d <\/li><li>\u201cI didn\u2019t feel a thing.\u201d <\/li><li>\u201cI was completely out. I don\u2019t remember much about it. I think it was fairly quick, though.\u201d<\/li><li>\u201cI don\u2019t remember much at all, apart from being aware I was in the room.\u201d <\/li><li>\u201cWhen I was sedated I felt poking and prodding, and was a little uncomfortable.\u201d<\/li><li>\u201cIt was easier than expected. I went into hospital at 7.45am and was back home for 11am.\u201d<\/li><li>\u201cNo pain, thankfully. I was completely knocked out each time. Took about 30 minutes. The first four times [I had the procedure] I woke up in a chair in the ward \u2013 no clue how I\u2019d moved to the chair. The fifth time, I woke up in theatre as they\u2019d kept me in for monitoring with an irregular heartbeat.\u201d<\/li><li>\u201cI slept through the whole thing \u2013 apart from a brief&nbsp;moment when I woke up to hear them say \u2018There is no egg.\u2019 This must have been one of the empty follicles, and I\u2019d woken up at just the wrong time. When I came round afterwards, I remember saying to my hubby that&nbsp;it hadn\u2019t worked \u2013 there weren\u2019t any eggs. So when they told us they\u2019d collected 11, I was over the moon.\u201d<\/li><li>\u201cI don\u2019t remember a thing.\u201d<\/li><li>\u201cDidn\u2019t feel a thing! Procedure was fine \u2013 only took around 15 minutes.\u201d<\/li><li>\u201cI was completely out for the count.\u201d<\/li><\/ul>\n\n\n\n<p><strong>Those who had conscious sedation:<\/strong> <\/p>\n\n\n\n<ul><li>\u201cEgg collection wasn\u2019t nice. I was awake the whole time. I had a drip in my arm where the pain relief was administered. I had to ask for more. I was so glad when it was all over.\u201d<\/li><li>\u201cI was given wakened sedation, but was completely out for the whole procedure. It was absolutely&nbsp;fine.\u201d <\/li><\/ul>\n\n\n\n<p><strong>Those who had a local anaesthetic with gas and air:<\/strong> <\/p>\n\n\n\n<ul><li>\u201cThere was an initial sting with the local anaesthetic, but after that it was fine \u2013 easier than expected. The only thing I hated was hearing them count the eggs after they came out. I was fixated on it after the disappointment of the first round, and this stressed me out more than anything else. I also wasn\u2019t too chuffed with the doctor\/nurses having a chat right in front of my stirruped legs without any dignity sheet in place!\u201d<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What happens to the eggs after they\u2019ve been collected?<\/strong><\/h2>\n\n\n\n<p>A few hours after egg retrieval (and depending on the sperm sample), they\u2019ll be mixed with the sperm. If you\u2019re having ICSI, a single sperm will be injected into each mature egg. <\/p>\n\n\n\n<p>The day after the eggs and sperm have been mixed, they\u2019ll be checked to see how many have fertilised (approximately 70% of eggs fertilise normally). At this stage they\u2019re called embryos, and they\u2019ll be monitored constantly to see how they develop. <\/p>\n\n\n\n<p>The embryos will spend up to six days inside their own personal incubators, and you\u2019ll be phoned each day with an update on both their progress and when the most suitable day for transfer might be (if you\u2019re doing a fresh embryo transfer rather than a frozen one). Some embryos will be better quality than others, and it\u2019ll be one of the good \u2018uns that&nbsp;they transfer back into you.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x.png\" alt=\"\" class=\"wp-image-492\" width=\"229\" height=\"105\" srcset=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x.png 443w, https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1285@2x-300x137.png 300w\" sizes=\"(max-width: 229px) 100vw, 229px\" \/><\/figure><\/div>\n\n\n\n<p><\/p>\n\n\n<style>.elementor-291 .elementor-element.elementor-element-4c84a175{margin-top:2%;margin-bottom:12%;padding:1% 4% 1% 4%;z-index:2;}.elementor-291 .elementor-element.elementor-element-554afbfb > .elementor-element-populated{margin:0% 5% 0% 5%;--e-column-margin-right:5%;--e-column-margin-left:5%;}.elementor-291 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data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-554afbfb\" data-id=\"554afbfb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-21014cc2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21014cc2\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7c412ba7\" data-id=\"7c412ba7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-144e6175 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"144e6175\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\" id=\"fdg\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">FREE DOWNLOAD<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ed2b9df elementor-widget elementor-widget-heading\" data-id=\"1ed2b9df\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Questions to ask your doctor at every stage of IVF treatment: free downloadable guide<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ffc0a2 elementor-widget elementor-widget-text-editor\" data-id=\"39ffc0a2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>IVF isn\u2019t just overwhelming<\/strong>; it can also be a mind-boggling and sometimes terrifying experience because there\u2019s so much to learn and so many rules to follow.<\/p><p>Problem is, doctors are busy \u2013 and they often don\u2019t have the time to anticipate your concerns and provide all the information you might need.<\/p><p>This downloadable guide contains questions that will help you understand the process better, get the answers you deserve, and feel more in control of the situation (and your rights as a patient).<\/p><p><strong>Enter your email address to receive it right away.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68569f9a elementor-mobile-button-align-center elementor-tablet-button-align-stretch elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"68569f9a\" data-element_type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;20&quot;,&quot;button_width_mobile&quot;:&quot;100&quot;,&quot;button_width_tablet&quot;:&quot;25&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"291\"\/>\n\t\t\t<input type=\"hidden\" 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elementor-sm-100\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-lg\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Get the PDF<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e68b04a elementor-widget elementor-widget-text-editor\" data-id=\"4e68b04a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>I won't send you spam. Unsubscribe at any time.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\n\n\n<h2 class=\"wp-block-heading\"><strong>How does it feel in the hours and days after egg collection? Is it painful? What complications could arise? <\/strong><\/h2>\n\n\n\n<p>According to most members of my helpful gang in the IVF forum, you\u2019re likely to experience a certain level of discomfort afterwards \u2013 whether it be a small amount of bloating or fully fledged&nbsp;<a href=\"\/ovarian-hyperstimulation-syndrome-ohss-ivf\/\">ovarian hyperstimulation syndrome (OHSS).<\/a><\/p>\n\n\n\n<p>Here are their responses: <\/p>\n\n\n\n<ul><li>\u201cModerate\/severe OHSS! Ended up in hospital. There was always a big risk of me getting OHSS though (because my <a href=\"\/oestradiol-levels-ivf\/\">oestradiol level<\/a> was high throughout IVF, and because I had so many follicles).\u201d<\/li><li>\u201cI had bloating both times. After the first one I had very&nbsp;mild OHSS with extreme bloating, but luckily it went down so I could still have a fresh transfer.\u201d<\/li><li>\u201cBloating, cramping, tenderness, borderline OHSS.\u201d<\/li><li>\u201cA little bleeding and soreness when going to the toilet. Became particularly&nbsp;uncomfortable to allow a full bladder to develop, but all resolved after a few days.\u201d<\/li><li>\u201cThere were no complications.\u201d<\/li><li>\u201cJust a bit sore and bloated for a couple of days.\u201d<\/li><li>\u201cThe aftermath was tougher than I anticipated, due to mild\/mod OHSS symptoms with a lot of bloating and constipation. Stomach swelled to about its largest five days later and I needed painkillers to get to sleep. Couldn\u2019t crouch or bend over without pain\/discomfort. Started to get self-conscious in the office.\u201d<\/li><li>\u201cFirst time: no side effects. Second time: severe abdominal pain, ended up four days in hospital due to infection and mild OHSS.\u201d<\/li><li>\u201cNo complications, a little pain around my ovaries but nothing so bad I had to take pain relief for. This lasted about two days I guess. I was very bloaty but I think this was progesterone. I drank LOADS of water and no tea\/coffee, and I think this helped a lot.\u201d<\/li><li>\u201cI had some bloating and quite a bit of discomfort when moving around in the evening, but it began to ease the following day.\u201d <\/li><li>\u201cI ended up getting an infection afterwards and was admitted to hospital for IV antibiotics. My main symptom was really bad stomach pain.\u201d<\/li><li>\u201cLittle spotting, pelvic ache. Nothing serious.\u201d<\/li><li>\u201cI had constipation for a few days afterwards and I also got twinges and sharp stabbing pains for weeks afterwards \u2013 particularly when I sneezed, coughed or moved too quickly. I was lucky to get a BFP and at my seven-week scan. They said my ovaries were still the size of golf balls.\u201d<\/li><li>\u201cSore after and very bloated and constipated. No OHSS though. Had to resort to a load of prune juice to sort out the constipation. Had transfer on day 5. So glad as there was talk of day 3 transfer and I still felt awful that day.\u201d<\/li><li>\u201cJust quite a bit of discomfort around my stomach.\u201d<\/li><li>\u201cA few hours after the first egg collection, I became very&nbsp;sick, bloated and in pain, and was hospitalised for four days with mild OHSS. The second cycle I had no problems: felt back to normal straight away!\u201d <\/li><li>\u201cBloating and cramping.\u201d <\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Can anything be done to reduce the risk of pain and complications after egg collection? <\/strong><\/h2>\n\n\n\n<p>If you\u2019re at risk of OHSS, read this article about <a href=\"\/ovarian-hyperstimulation-syndrome-ohss-ivf\/\">how to avoid OHSS \u2013 or treat it if you do&nbsp;end up getting it<\/a>.<\/p>\n\n\n\n<p>Many of the treatments for OHSS can also be used for those who suffer from side effects but don\u2019t have full-blown OHSS:<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"346\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/About-to-OHSS-09-e1582988442344.png\" alt=\"Bottle of water\" class=\"wp-image-764\"\/><\/figure><\/div>\n\n\n\n<ul><li>Make sure you\u2019re drinking enough water: your blood has lost a lot of fluid and is much more concentrated as a result, which makes your kidneys slow down (and can also cause dehydration). Water will help to rehydrate you and bring some fluid back into the blood. You ideally need to be drinking enough that&nbsp;you\u2019re peeing out pale yellow urine every two hours.<br> <br>If you read any American IVF forums, you\u2019ll see that their health professionals recommend that you DON\u2019T drink pure water \u2013 but have fluids containing electrolytes instead. (Gatorade gets mentioned a lot, and coconut water gets the nod from people who are freaked out by the sugar content and overall artificial-ingredientness of Gatorade.) That\u2019s because they provide sodium and potassium \u2013 which are being lost in the fluid from your blood leaking out of your capillaries. British doctors tend to&nbsp;disagree with this advice.<br> <\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"343\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/About-to-OHSS-10-e1582988497343.png\" alt=\"Paracetamol\" class=\"wp-image-765\"\/><\/figure><\/div>\n\n\n\n<ul><li>Take paracetamol or codeine to manage the pain (although if you think your constipation was bad before the codeine\u2026). <\/li><li>Buy some trapped wind tablets and laxatives in advance, in case you suffer from trapped wind and\/or constipation after the egg collection. <\/li><li>Avoid all strenuous activity to make sure you don\u2019t accidentally get your now-MASSIVE ovaries in a twist (quite&nbsp;literally). <\/li><li>Monitor how often you\u2019re urinating, and what colour your urine is: dehydration is a sign of OHSS.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"306\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/About-to-OHSS-11-e1582988583554.png\" alt=\"Bathroom scales\" class=\"wp-image-766\"\/><\/figure><\/div>\n\n\n\n<ul><li>Get yourself to a doctor (or hospital) if your weight is increasing significantly and you\u2019re not urinating anywhere near as often as normal.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>In summary&#8230; IVF egg collection: not the most amazing experience of your life, but unlikely to be the worst, either<\/strong><\/h2>\n\n\n\n<p>As you can see, most people experience <em>some <\/em>level of discomfort at some point&nbsp;during the egg collection process \u2013 but for most, it\u2019s only a small amount of pain and\/or bloating, which can be managed with the help of painkillers and\/or prune juice\/laxatives. <\/p>\n\n\n\n<p>If you feel significantly&nbsp;bloated or in pain, you could have OHSS; call your hospital or clinic to find out what to do.<\/p>\n\n\n<style>.elementor-536 .elementor-element.elementor-element-3a6436ac{padding:4% 22% 8% 22%;z-index:2;}.elementor-536 .elementor-element.elementor-element-17d4eb46:not(.elementor-motion-effects-element-type-background) > .elementor-widget-wrap, .elementor-536 .elementor-element.elementor-element-17d4eb46 > .elementor-widget-wrap > .elementor-motion-effects-container > .elementor-motion-effects-layer{background-color:#C0E4E5;}.elementor-536 .elementor-element.elementor-element-17d4eb46 > .elementor-element-populated{transition:background 0.3s, border 0.3s, border-radius 0.3s, box-shadow 0.3s;margin:0% 14% 0% 14%;--e-column-margin-right:14%;--e-column-margin-left:14%;padding:2% 1% 4% 1%;}.elementor-536 .elementor-element.elementor-element-17d4eb46 > .elementor-element-populated > .elementor-background-overlay{transition:background 0.3s, border-radius 0.3s, opacity 0.3s;}.elementor-536 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6%;}.elementor-536 .elementor-element.elementor-element-576153c1{text-align:center;}.elementor-536 .elementor-element.elementor-element-576153c1 img{width:20%;}.elementor-536 .elementor-element.elementor-element-574ef11f{text-align:left;}.elementor-536 .elementor-element.elementor-element-574ef11f .elementor-heading-title{font-size:1.1em;}.elementor-536 .elementor-element.elementor-element-574ef11f > .elementor-widget-container{margin:4% 0% 6% 0%;}.elementor-536 .elementor-element.elementor-element-3d61ba35 .elementor-post__title, .elementor-536 .elementor-element.elementor-element-3d61ba35 .elementor-post__title a{font-size:1em;}}@media(min-width:768px){.elementor-536 .elementor-element.elementor-element-ef00547{width:13%;}.elementor-536 .elementor-element.elementor-element-19a555d6{width:87.031%;}}@media(max-width:1024px) and (min-width:768px){.elementor-536 .elementor-element.elementor-element-ef00547{width:100%;}.elementor-536 .elementor-element.elementor-element-19a555d6{width:100%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"536\" class=\"elementor elementor-536\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a6436ac elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a6436ac\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-17d4eb46\" data-id=\"17d4eb46\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-40f8e482 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40f8e482\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ef00547\" data-id=\"ef00547\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-576153c1 elementor-widget elementor-widget-image\" data-id=\"576153c1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"94\" height=\"142\" src=\"https:\/\/theduff.co.uk\/wp-content\/uploads\/2020\/02\/Group-1294@2x.png\" class=\"attachment-large size-large wp-image-493\" alt=\"Lighbulb illustration\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-19a555d6\" data-id=\"19a555d6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-574ef11f elementor-widget elementor-widget-heading\" data-id=\"574ef11f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\">You might also like to read&#8230;<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d61ba35 elementor-grid-1 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One<\/p>\n","protected":false},"author":1,"featured_media":1236,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Egg collection for IVF: all your questions answered<\/title>\n<meta name=\"description\" content=\"Including: how many eggs is a &quot;good&quot; number? Answers to all your questions \u2013 plus read about the experiences of others who&#039;ve been through egg collection.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/theduff.co.uk\/egg-collection-what-to-expect-ivf\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Egg collection for IVF: all your questions answered\" \/>\n<meta property=\"og:description\" content=\"Including: how many eggs is a &quot;good&quot; number? 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