Egg retrieval is one of the most important steps in the test tube baby procedure, also known as in vitro fertilization (IVF). For many couples struggling with infertility, this stage marks a turning point where science and hope come together. 

Understanding the Egg Retrieval Process

Before we discuss the number of eggs retrieved, it’s important to understand what happens during this stage. The test tube baby process begins with ovarian stimulation, where fertility medicines are given to encourage the ovaries to produce multiple eggs in one cycle. This is different from a natural cycle, where usually only one egg matures each month.

The growth and development of the follicles (fluid-filled sacs containing eggs) are monitored through ultrasound scans and blood tests. Once the follicles are mature, a trigger injection is given to prepare the eggs for collection. The retrieval process is done under light sedation, and a fine needle is used to collect the eggs from the ovaries.

How Many Eggs Are Typically Retrieved?

On average, fertility specialists aim to retrieve 8 to 15 eggs per cycle. This range is considered optimal because it provides a good number of eggs for fertilization without increasing the risk of complications like ovarian hyperstimulation syndrome (OHSS).

However, the number can vary:

• Younger women (under 35) often produce more eggs due to better ovarian reserve and egg quality.

• Women over 35 may have fewer eggs retrieved due to a natural decline in ovarian reserve.

• Women with certain fertility conditions such as polycystic ovary syndrome (PCOS) may produce more eggs than average.

Factors That Affect Egg Count

Several elements can influence how many eggs are collected during the test tube baby procedure:

1. Age of the woman – The most important factor affecting ovarian reserve and egg quality.

2. Ovarian reserve – Measured by tests like AMH (Anti-Müllerian Hormone) levels and antral follicle count.

3. Response to fertility medication – Some women respond better to stimulation than others.

4. Lifestyle factors – Smoking, poor diet, and stress can affect egg health.

5. Underlying medical conditions – Conditions like endometriosis or previous ovarian surgeries can lower egg count.

Why More Eggs Are Not Always Better

While it may seem that retrieving more eggs increases the chances of pregnancy, quality matters more than quantity. Even if 20 eggs are collected, not all will be mature, and only some will fertilize successfully. The ultimate goal is to have healthy embryos that can be transferred into the uterus or frozen for future use.

Too many eggs retrieved, especially in women with PCOS, can increase the risk of OHSS, a condition that causes the ovaries to swell and can lead to discomfort or more serious symptoms.

What Happens After Egg Retrieval?

Once the eggs are retrieved, they are examined in the laboratory to determine maturity. Mature eggs are then fertilized using sperm, either through conventional IVF or intracytoplasmic sperm injection (ICSI). The resulting embryos are monitored for growth before the best ones are selected for transfer.

Can You Improve the Number of Eggs Retrieved?

While you cannot change factors like age, you can take certain steps to support ovarian health and improve your response to stimulation:

• Maintain a balanced diet rich in vitamins, minerals, and antioxidants.

• Stay physically active but avoid excessive exercise during treatment.

• Reduce stress through relaxation techniques such as meditation or yoga.

• Avoid smoking and limit alcohol intake.

• Follow your doctor’s medication instructions carefully.

The Role of Your Fertility Specialist

Your fertility doctor will personalize your treatment plan to achieve the best balance between egg quantity and quality. Regular monitoring ensures that the right time for retrieval is chosen, maximizing your chances of a successful outcome.

Conclusion:

The number of eggs retrieved during the test tube baby procedure varies for each woman and depends on multiple factors such as age, ovarian reserve, and response to stimulation. On average, retrieving between 8 to 15 eggs offers a good balance for creating healthy embryos while reducing health risks. Remember, the quality of eggs is just as important as the quantity, and your infertility specialist in Lahore will guide you toward the best possible outcome for your unique situation.