Ovarian retrieval, also known as follicular aspiration, is the second stage of the in vitro fertilization (IVF) process, following ovarian stimulation. During this procedure, eggs are collected from the ovaries and later fertilized in the laboratory with the partner’s sperm. After fertilization, the final step — embryo transfer — takes place.

Egg collection is performed via transvaginal follicular aspiration, a minimally invasive procedure carried out under light sedation or general anesthesia, depending on patient preference. Anesthesia is administered intravenously to minimize discomfort and ensure the patient’s well-being.

“You deserve to be heard, seen, treated with respect, and supported throughout your life.”

It is important for the patient to avoid food intake for at least six hours prior to the procedure. Clear liquids may be consumed until 2–4 hours before. Water, coffee, gum, and candy should be avoided to prevent nausea.

After check-in and transfer to the pre-anesthesia area, the patient meets with the anesthesiologist, who explains the sedation or anesthesia plan.

Once anesthesia is effective, the physician performs a vaginal saline wash and inserts the transvaginal ultrasound probe to locate the ovaries. The follicular fluid containing the eggs is then aspirated using a fine needle under ultrasound guidance.

The aspirated follicular fluid is transferred into sterile collection tubes connected to the aspiration system. The tubes are then passed to the embryologist, who identifies and counts the retrieved oocytes.

After the procedure, the needle is withdrawn, a brief local examination is performed, and the intervention is completed. Depending on the number of follicles, the procedure can last between 5 and 30 minutes.

The patient is monitored for at least 30 minutes afterward and discharged once fully recovered from anesthesia. Before discharge, she receives a treatment plan that may include antibiotics to prevent infection and pain medication if needed. She is also informed about the number of oocytes collected, possible post-procedure symptoms, and the next steps in the IVF process.

In the following days, strenuous physical activity should be avoided. Driving is strictly prohibited immediately after the procedure. Temporary symptoms may include bloating, light bleeding or brown discharge, mild to moderate pelvic pain, constipation, or low-grade fever. These generally resolve within 48–72 hours, and pain relief may be used as recommended by the physician.

Contact me

Talk with me about
Ovarian Retrieval

If you have questions related to ovarian retrieval or would like recommendations on evaluating and monitoring your newborn during the first days of life, you may request an individual consultation at any time. A thorough assessment helps determine the most suitable monitoring and support plan for your child.

Talk with me now