How Are Eggs Retrieved During In-Vitro Fertilisation (IVF)?

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Dr Kelly Loi
Dr Kelly Loi

Senior Consultant Obstetrician & Gynaecologist

Medical Director & Clinical Governance Officer (CGO) of Monash IVF Singapore

Medical Director of Health & Fertility Centre for Women

During IVF, egg retrieval is a minor surgical procedure in which mature eggs are collected from the ovaries using ultrasound-guided aspiration under anaesthesia.
The start of the IVF process can be overwhelming to many couples, especially when they are faced with a whole range of unfamiliar medical terms and complex-sounding procedures. For some of these couples, the concept of egg retrieval might sound like something invasive or uncomfortable, and contribute to their worry. These concerns are normal, especially when facing such an emotionally significant step in your journey to start a family.
By understanding what the IVF process entails and how egg retrieval carefully fits into the overall treatment plan, patients may feel more reassured knowing the procedure is planned with comfort and safety in mind.

What Does IVF Involve?

IVF involves a series of carefully planned medical steps designed to support fertilisation and early pregnancy. It is typically preceded by health screening and cycle monitoring, which allow doctors to understand the body’s natural rhythms before treatment begins.

The next steps are:

Stage 1: Ovarian Stimulation

IVF begins with ovarian stimulation, where hormone medications are used to encourage the ovaries to produce multiple eggs instead of the single egg released during a natural cycle. This increases the number of eggs available for fertilisation.

Stage 2: Ovarian Follicle Monitoring

During stimulation, ultrasound scans and blood tests are used to monitor follicle growth and hormone levels. This monitoring helps doctors determine whether the ovaries are responding appropriately and identify the safest and most effective timing for egg retrieval.

Stage 3: Egg Retrieval

Once the follicles have matured, eggs are collected through a minor medical procedure. Egg retrieval is precisely timed and performed under medical supervision to maximise egg quality while prioritising patient comfort and safety.

Stage 4: Fertilisation

After retrieval, the eggs are fertilised with sperm in a laboratory setting. Fertilisation may occur through conventional IVF or other techniques, depending on individual circumstances.

Stage 5: Embryo Transfer

If fertilisation is successful, one or more embryos are transferred into the uterus at the appropriate time. The goal is to support implantation and the early stages of pregnancy.

What Is the IVF Egg Retrieval Process?

The IVF egg retrieval procedure is typically performed in a controlled clinical setting and usually takes a short amount of time. It is considered a routine part of IVF treatment when carried out by experienced fertility specialists.

Using ultrasound guidance, a fine needle is used to collect mature eggs from the ovaries. Specifically, transvaginal ultrasound guidance allows doctors to visualise the ovarian follicles and retrieve eggs accurately. Measures are taken throughout the process to prioritise patient comfort and safety.

Preparation

Before egg retrieval, patients are given clear instructions to help them prepare for the procedure. This may include guidance on medications, fasting requirements and when to arrive at the clinic. In the days leading up to retrieval, ongoing monitoring helps doctors confirm that the timing is appropriate and that the ovaries have responded as expected. This preparation phase helps ensure the procedure is carried out smoothly and safely. Some common instructions are to:

  • Fast for 12 hours before the procedure
  • Avoid wearing jewellery, makeup or nail polish on the day
  • Arrange for someone to accompany you home afterwards
  • Wear comfortable, loose-fitting clothing to the clinic
  • Inform your care team of any new symptoms, medications or concerns before the procedure

Surgical Procedures

The egg retrieval procedure usually only takes a short amount of time. It is often scheduled 36 hours after the patient has taken their ovarian stimulation medication and is performed under anaesthesia in order to minimise discomfort to the patient.

Once the patient has been sedated, a gynaecologist will carefully use ultrasound guidance to locate the ovarian follicles and retrieve the eggs using a fine needle. The procedure is closely monitored to ensure the patient’s safety.

After the eggs are successfully retrieved, they are stored and transported to the IVF laboratory for fertilisation. The procedure is closely monitored to ensure patient safety at all times.

How Long Does Recovery Take After IVF Egg Retrieval?

Most patients recover within 24–48 hours after IVF egg retrieval.
Recovery after IVF egg retrieval is generally short, and patients may be able to return to their usual activities within a day or two. It is common to experience mild cramping, bloating or light spotting following the procedure, which typically settles on its own with rest.
Most patients are advised to avoid strenuous activity on the day of egg retrieval and for a short period afterwards. Your care team will provide personalised aftercare instructions, including guidance on pain relief, activity levels and signs to watch out for as your body recovers.
Follow-up appointments may be scheduled to ensure recovery is progressing as expected and to discuss the next steps in your IVF treatment, such as fertilisation results or embryo transfer planning.

Explore Safe and Carefully Managed IVF with Dr Kelly Loi

Having the right support throughout the IVF process can make a meaningful difference. At the Health & Fertility Centre for Women, care is guided by a patient-centred approach that recognises the physical and emotional strain of fertility treatment.

Our clinical care is led by senior consultant obstetrician and gynaecologist Dr Kelly Loi, who has extensive experience in assisted reproductive treatments and fertility care. We aim to provide comprehensive guidance to help patients navigate their fertility journey with greater confidence, prioritising comfort, safety and clear communication at every stage.

If you are considering IVF or have faced challenges with fertility treatment in the past, our team is well-equipped to discuss your options. Arrange an assessment with us today and explore how careful monitoring and personalised care can support your next steps.

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