You will be given medication instructions prior to the procedure and it should also be on your calendar. If you are expecting a transfer 5 days after your retrieval, you will begin taking your Medrol and Progesterone this evening. Tylenol is safe and may be taken for pain relief if needed. These will block prostaglandin production which is involved in the implantation process. DO NOT USE ANTIHISTAMINES, IBUPROFEN/ADVIL, ALEVE, ASPIRIN OR OTHER NON-STEROIDAL ANTI-INFLAMMATORY MEDICATIONS. Avoid high-impact activities until your ovaries have returned to normal size. Abstain from intercourse until after your pregnancy test if you have a transfer, or 1 week following retrieval if you don’t have a transfer. You are able to resume normal activity the day after your procedure as tolerated. If bloating and discomfort increases over the 7-10 days after your retrieval, let your nurse coordinator know. It may take a couple weeks for your ovaries to return to normal size. The severity of symptoms can vary greatly between patients. Expect abdominal cramping and bloating for up to a week after your retrieval. Narcotics can make you very nauseous if taken on an empty stomach. Be sure to eat a small meal or snack before taking pain medication. You will receive a prescription for Tylenol #3 with codeine for pain. You will be tired and should be resting for the remainder of the day. It will take several hours for the anesthesia to completely wear off. You need to go straight home/hotel to finish recovering. You will need to arrange for transportation after your retrieval as you are not allowed to drive yourself home. We want to make sure your pain is minimal and you have had plenty of fluids by the time you are discharged. You will spend about an hour in recovery. Your husband/partner will be able to come back to join you in recovery once you are awake and ready for a visitor. As soon as you are awake and can eat a small snack you will be offered some pain medication. Abdominal cramping is normal and to be expected. If you experience nausea, please tell your recovery nurse immediately so we can give you some medication in your IV to alleviate the nausea. Some patients feel nauseated and this is normal. You will wake up from the anesthesia within 5-10 minutes after the surgery. Once all the follicles have been aspirated, the vaginal area is cleaned, the speculum is removed and the procedure is complete.įrom the OR you will go to the recovery area. This process typically takes 5-10 minutes. The length of this process depends on how many follicles are in each ovary. Robins first aspirates one ovary, then moves on to the next. An aspiration needle attached to the probe is used to penetrate the vaginal wall and enter the ovaries to remove the egg and follicular fluid from each of the follicles. Then a vaginal ultrasound probe is used to identify the ovaries. Robins can clean the vaginal area with warm saline. Once you have identified your dish, you will go to sleep for approximately 20-30 minutes.Ī speculum is placed so Dr. This is where your eggs will be placed and fertilized after the retrieval. Once in the OR, an embryologist will come in to confirm your ID and you will be asked to view a monitor on the wall where your Petri dish with your name on it will appear. We will then escort you to the OR, making a stop at the restroom so you can empty your bladder. An anesthesiologist will come in and talk to you about your retrieval, medications used, and take a brief medical history. Your vitals will be taken and a nurse will go over instructions with you, sign consents and answer any questions you may have. Once you check in for your retrieval you will be taken to an exam room where you will change in to a gown and have in IV started. Be prepared for some spotting, this is normal. You will likely experience some cramping and discomfort after your procedure. Wear comfortable clothing to your appointment. Odors can be toxic to embryos so they are not allowed in the operating room. Do not use any scented lotions, hair products, make-up or perfume the day of the retrieval. You may use a sip of water to take any oral medications, but nothing more. Make sure you have NOTHING TO EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE YOUR RETRIEVAL. Timing is vital during this process so plan accordingly. This will be one hour prior to your retrieval time. You will be given a specific time to check in for your retrieval. If you are using donor sperm, make sure it is in our office at least 2 days prior to your retrieval. The embryologists will prepare the sperm to fertilize the eggs once they have been retrieved. You will be given a specific time for this collection, usually between 7:00 and 7:45am. On the day of your retrieval your husband/partner will need to come in during morning clinic to give a semen specimen.
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