Introduction: Fear of Pain – Why Many Families Hesitate to Start

In my consultation room at Olympia Reproductive Medical Center, Cambodia, I often hear concerns like these:

“Doctor, are the ovulation induction injections very painful?”
“Is egg retrieval scary? I’m really afraid of pain.”
“Will the transfer be uncomfortable?”

These worries are very real and very common. Many women hesitate for a long time on their fertility journey because of the fear of pain, and some even miss the optimal window for treatment.

Today, I would like to explain, from a doctor’s perspective, the issue of pain throughout the entire IVF process. I hope that after reading this, you will feel less fear and more reassurance.

1. Ovulation Induction Stage: Injections Cause Mild Stinging, But Are Completely Tolerable

The first step of IVF usually involves injecting ovulation induction medications to help multiple follicles develop simultaneously.

What it really feels like:

• The needles used for ovulation induction are very fine. Most patients describe it as “like a mosquito bite.”

• There may be slight stinging, soreness, or minor bruising at the injection site, usually easing within a few minutes.

• Some medications can be self‑administered at home, and our nursing team will teach you the correct injection technique in advance.

• As the follicles grow, a small number of patients may feel mild lower abdominal bloating or a heavy sensation. This is normal and generally does not require special treatment.

Doctor’s advice:
If you are particularly nervous about injections, try deep breathing or listening to music to distract yourself. Our nursing team will also guide you throughout the process, helping you complete each step with ease.

2. Egg Retrieval Procedure: Usually Performed Under Sedation or Anaesthesia – Generally No Obvious Pain During Surgery

Egg retrieval is the step many patients worry about most. In fact, egg retrieval is usually performed under sedation or anaesthesia, so there is generally no obvious pain during the procedure.

What it really feels like:

• The procedure usually takes only 10‑20 minutes.

• The anaesthesiologist will develop a suitable sedation or anaesthesia plan based on your physical condition.

• During the procedure, you may be in a light sleep state and will not feel significant pain.

• After the procedure, there may be mild lower abdominal heaviness, slight vaginal bleeding, or mild abdominal pain, usually easing on its own within 1‑2 days.

• Your doctor may prescribe pain relief medication as needed to help you recover more comfortably.

Doctor’s advice:
Please strictly follow the fasting and fluid restrictions before egg retrieval. After the procedure, rest well and avoid strenuous exercise. If you experience significant discomfort, inform the medical staff promptly.

3. Embryo Transfer: A Gentle Procedure, Usually with No Obvious Pain

Embryo transfer is the most “gentle” step in the IVF journey.

What it really feels like:

• The transfer procedure usually takes only a few minutes and does not require anaesthesia.

• The doctor will place a thin, soft catheter containing the embryo through the cervix into the uterus. Most patients feel something similar to a routine gynaecological examination.

• Some may experience mild discomfort or a small amount of discharge, but generally no obvious pain.

• After transfer, you can urinate normally and rest. Prolonged bed rest is not required.

Doctor’s advice:
Try to relax during the transfer. Excessive tension may actually affect the uterine environment. Our doctors and nurses will be with you throughout, helping you complete the transfer smoothly.

4. Luteal Support After Transfer: Possible Mild Discomfort, But the Plan Can Be Adjusted

After transfer, luteal support is usually required to help the embryo implant and develop better.

What it really feels like:

• Luteal support can be given through injections, oral medication, vaginal medication, and other methods.

• If injections are chosen, there may be mild local pain or hard lumps.

• If vaginal medication is chosen, there is generally no obvious pain, but there may be a small amount of discharge.

• Your doctor will adjust the method based on your tolerance to minimise discomfort.

Doctor’s advice:
If you are particularly uncomfortable with a certain method, please tell your doctor promptly. We will find a more comfortable alternative for you.

5. Psychological “Pain” Also Deserves to Be Seen

Discomfort during IVF does not only come from the body – it can also come from the mind.

Anxiety, tension, and worry about the outcome can all amplify physical sensations. At Olympia Reproductive Medical Center, Cambodia, we care not only about your physical indicators but also about your emotional state.

We offer:

• One‑on‑one private consultations to fully protect your privacy.

• Multilingual services (Chinese, English, Khmer) for barrier‑free communication.

• A professional medical team accompanying you throughout, promptly answering every question.

• Personalised plan adjustments to minimise your physical and psychological burden.

6. How to Make the IVF Process More Comfortable?

As a doctor, I would like to offer a few practical suggestions:

1. Choose a reputable institution – An experienced medical and anaesthesia team can maximise your safety and comfort.

2. Strictly follow medical advice – Taking medication on time and attending follow‑up appointments on schedule are the foundations for smooth treatment.

3. Maintain a positive mindset – Excessive anxiety amplifies the perception of pain. Try to focus on positive things.

4. Communicate promptly – If you feel any discomfort, tell the medical staff immediately. We will help you resolve it.

5. Family support – The companionship of your partner and family is the best “painkiller.”

Conclusion: Don’t Let the Fear of Pain Become a Regret

In summary, the IVF process is tolerable, and most people do not experience severe pain. When injecting medication, there may be a slight stinging or painful sensation. Egg retrieval is usually performed under sedation or anaesthesia, so there is generally no obvious pain during the procedure.

What you really need to do is let go of unnecessary fear, choose a professional medical team, and give yourself a chance to become a parent.

At Olympia Reproductive Medical Center, Cambodia, we use professional technology, warm companionship, and comprehensive pain management to help you complete this journey with greater peace of mind and comfort.

If you have any further questions about IVF, please feel free to contact us. We take every question seriously.

Olympia Reproductive Medical Center (ORC), Cambodia

• Address: Building C5, Olympia City, No. 161, Sangkat Chey, Phnom Penh, Cambodia

• Hotline: +855 715158899, +86 15005080508

• Service Languages: Chinese, English, Khmer, and other multilingual services