I had bad cramps on the first day of my periods. Is it due to the failed IVF?

Q. Can a failed IVF lead to bad cramps on the first day of period?

Answered by
Dr. Uzma Arqam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 02, 2023

Hello doctor,

I had a failed IVF (in vitro fertilization) back in early spring that ended up with overstimulated ovaries and horrible pain minutes after egg retrieval. Now when I have my periods, the first day is associated with bad cramps, and I feel dizzy. Does this have anything to do with the failed IVF?

Please help.

Thank you.



Welcome to icliniq.com.

The symptoms that you are describing are suggestive of hyperstimulated polycystic ovarian syndrome that could be experienced in artificially stimulated ovaries. Abdominal bloating, fluid accumulation and hormonal side effects can add to the symptoms. Harsh egg retrieval could cause pain but recurrence only at the beginning of menstruation could be due to premenstrual syndrome or some pelvic pathology like endometriosis. In premenstrual syndrome, you can have abdominal pain, mood variations, cramps, etc. It is better to have a tablet of Ponstan (Mefenamic acid)500 mg eight hourly for three to five days from day second to the fifth or more and when you need it due to pain. Take the medicine after consulting your specialist doctor. When did you have the last scan? When were you checked for ovarian and pelvic pathology? If not done recently, it is better to check and discuss the result here or with the local gynecologist. Observe for other symptoms like pain at sex inside the vagina which is also a sign of endometriosis. If the transvaginal scan is not very clear then have one cervical smear and an outpatient hysteroscopic examination by a specialist to discuss in detail. Have a healthy diet, include fruits, and vegetables, and drink lots of water, etc.

Thank you.

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