Abdominal pain after follicular puncture: causes, normal and alarming symptoms

Why is there pain after a follicular puncture?

The follicular puncture is an important step in an in vitro fertilization (IVF) program, which is performed after prior hormonal stimulation aimed at ensuring the maturation of several eggs. During the procedure, mature eggs are retrieved from the ovaries to be fertilized in the laboratory with the partner's sperm.

The intervention is performed under ultrasound control with the insertion of a special needle through the vaginal walls. Despite its minimally invasive nature, the puncture is a surgical intervention. It is therefore performed in the operating room under short general anesthesia. After the puncture, the patient remains under medical supervision for several hours.

Normal or pathological: when is pain considered acceptable?

To understand if pain after a follicular puncture is a normal phenomenon, it is important to consider the possible causes of the pain:

• Vaginal trauma. During the intervention, the upper third of the vagina can be slightly damaged by the puncture needle, which may be accompanied by a small bloody discharge for 1 to 2 days.
• Increased ovarian volume. Due to hormonal stimulation aimed at maturing several follicles, the ovaries increase in size, which can lead to a feeling of heaviness and pain in the lower abdomen.
• Vascular injuries. The puncture needle inevitably touches the blood vessels of the ovaries, which can cause moderate pain.

Thus, mild pain after a follicular puncture is normal and should not raise serious concern. However, the degree of discomfort can vary depending on the individual characteristics of the patient's body.

How long does pain last after a follicular puncture?

Generally, painful sensations disappear on their own after one to two days. In women with a low pain threshold, it is possible to use pain relievers prescribed by the doctor. It is recommended to discuss this issue in advance with the specialist to manage pain safely.

When should you consult a doctor?

Although mild pain is considered normal, it is sometimes necessary to consult a specialist immediately, as certain symptoms may indicate complications such as ovarian hyperstimulation syndrome or an infection. It is necessary to urgently consult a doctor if the following symptoms are observed:

• Intense pain that does not go away after 2 days.
• Heavy and bloody discharge.
• High temperature, chills.
• Sudden deterioration of well-being, weakness, or dizziness.

Consultation with a specialist

If you still have questions about the IVF program and follicular puncture, you can make an appointment for a consultation with the specialists at the "Natuvitro" clinic. The doctors will help you assess your condition, provide individual recommendations, and ensure the necessary follow-up to minimize risks and potential discomfort after the procedure.