Ovarian puncture: a key stage in the in vitro fertilisation process

Ovarian puncture, also known as follicular puncture, is an important stage in the in vitro fertilisation (IVF) process. Although it is a minor surgical procedure, it can be a source of concern for some patients.
What does ovarian puncture involve?
Ovary puncture is carried out under general or local anesthesia and takes about 20 minutes, around 35 hours after ovulation has been triggered. The doctor inserts a needle through the vaginal wall to puncture the ovarian follicles under ultrasound control. This procedure enables the oocytes to be collected by aspiration of the follicular fluid.
After the procedure, the patient is generally asked to stay for a few hours for observation before returning home. Slight vaginal bleeding is common in the hours that follow, due to the puncture sites.
Risks and complications
Although ovarian puncture remains a surgical procedure, the associated risks are low. Complications such as infections or internal bleeding are rare, occurring in only 0.01 to 0.1% of cases. The vast majority of patients experience only mild to moderate abdominal pain, which is easily managed with painkillers.
Advice after ovarian puncture
It is possible to return to work as soon as the patient feels ready, but it is recommended not to work on the day of the procedure.
Ovarian puncture is a major stage in IVF, and one that is well supervised. Although there are risks, they are minimal and carefully managed by the medical team. By remaining attentive to her body, the patient can approach this stage with peace of mind and concentrate on the next phase of her journey towards motherhood.
- More information:
Brochure FertiGenève. (2024). Comprendre la médecine de la fertilité – Un guide pour les couples. FertiGenève, p. 39. https://www.fertigeneve.ch/wp-content/uploads/2023/04/FertiGeneve_MedecineFertilite_web3.pdf - Hôpitaux universitaires de Genève (HUG). (2022). Bien vivre la fécondation in vitro (FIV) – Conseils pour couples. https://www.hug.ch/sites/interhug/files/documents/bien_vivre_la_fiv.pdf