Women usually feel constipated after an egg retrieval operation. Everyone needs to listen to their own bodies though! Pain after egg retrieval is a common side effect that patients may experience after the procedure. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. In Australia alone, IVF Australiarecordeda 44.5% success rate among women aged 18-34 years with an 11% miscarriage rate. Should I call my doctor? If you also notice excessive bloating and constipation, call your doctor. This chronic autoimmune disease targets joints in your body, including your shoulder. As soon as your follicles are in clear view, the doctor will advance a thin needle through your vaginal wall and into the egg follicle. All of this leads to the uncomfortable bloated feeling you experience at ovulation. The good news is that with early diagnosis, and careful monitoring, this condition will resolve on its own within 7-10 days. OHSS(Ovarian hyperstimulation syndrome), If your doctor over-stimulates the ovaries using IVF fertility medication, it may put you at risk of OHSS. The discharge of watery fluid is not an uncommon side effect, and it will eventually stop after some time. Luckily the pain is completely gone today! Please be sensitive and kind. I was lucky enough to wake up this morning with no back pain at all! Suctioning the follicular fluid with mature eggs into a test tube, Marking and labelling the specimen appropriately, Chronic pain despite using pain relieving meds. Busso CE, et al. Go swimming for at least 1 week (due to risk of infection) Your ovaries are still enlarged. The good news is she didn't mention anything about a blood clot, but she said it could possibly be the ovaries bleeding into my abdomen. Egg retrieval is a minor operation wherein the eggs are sucked from the ovaries of a woman either as part of the IVF cycle or for egg freezing. Dont hesitate or feel bad to ask questions its their job to answer them and be available for aftercare. Discover helpful information I learnt from Sophies experience about the causes of pain after egg retrieval and how to curb it. Injectable fertility medications are more likely to cause OHSS than is treatment with clomiphene, a medication given as a pill you take by mouth. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Both modalities can also benefit your digestion and help to relieve pelvic or abdominal pain . Create an account or log in to participate. This article will discuss the probable risks and common side effects of the egg retrieval procedure. I had severe OHSS after my retrieval and if you are having pain around your collarbone/Che's area it's usually referred diaphragm pain d/t the bloating. This process of piercing the follicles with needles, draining fluid, and counting eggs, continues until all visible follicles are drained and the procedure is complete. Shoulder Pain Diagnosis Chart. During my stims, they found a polyp. A large number of egg follicles grow, the ovaries continue to swell, and eventually leak fluid into the pelvis. Follow the instructions and precautions theyll give you. Emergency room. Pain when I try to urinate. The eggs can also be fertilized first with the sperm before proceeding to the freezing stage. In addition to pain, other symptoms of infection include fever and vaginal discharge. loss of appetite, nausea, diarrhea and feeling bloated. Just wish they would have warned me about laying down too much bc they made me think I NEEDED to lay down and shouldnt move that much but turns out I should have moved more and honestly wanted to haha. I had my egg retrieval this morning (18 eggs retrieved!) Pain after egg retrieval - posted in Ask the Embryologist: Good morningI had my egg retrieval last Saturday Aug 16--(3 follicles but only one egg retrieved). I thought my my recovery would be like my last one in June but I have been wrong. The five days after the retrieval were miserable, back pain just added to the list. The rapid change in hormone level can cause the breast to feel tender or sore, which is similar to the feeling that some women get during PMS (premenstrual syndrome). After trying all sorts of natural fertility-boosting concoctions for six years, my sister Sophie- finally agreed to try IVF. First, lets explore what you can expect on your egg retrieval day. Is it just the gas? Youve finally made it to your egg retrieval! I went to see my RE just to be on the safe side. hopefully its nothing but if its something you need to be at the ER. If youre getting close to your egg retrieval, its a very exciting yet nerve-wracking time! The collected eggs are mixed with your partner's or the donor's sperm in a laboratory to fertilise them. This article provides an overview of the entire process. Healing is unique in every woman. Second reason for egg retrieval is to freeze the eggs for later use. The cervix is swabbed before the operation, causing some fluid to get left behind. 12th ed. After they are sedated, the vagina is washed with a sterile water solution. I also called my dr and she said it could be gas that floated up while laying down that is pinching a nerve. Complications may include: To decrease your chances of developing ovarian hyperstimulation syndrome, you'll need an individualized plan for your fertility medications. If you have been identified as high risk for OHSS, we will advise you to eliminate exercise and avoid sexual intercourse. Resting a heating pad on your abdomen will help with any vaginal soreness and/or cramping from the egg retrieval process. The doctor will guide the catheter, with a tiny hollow needle and a suction head attached to it, through the vagina. Dont try to run or workout again. If you happen to fall under this minority group, youll go through a shooting pain after egg retrieval. go now and please stay safe!!!! Your post will be hidden and deleted by moderators. Note that once you confirm, this action cannot be undone. Sometimes, OHSS happens in women with no risk factors at all. 1 The condition causes swelling, pain or damage to the tendons of the rotator cuff. Ovarian hyperstimulation syndrome is an exaggerated response to excess hormones. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. You walk in the door and they already know who you are. Management of ovarian hyperstimulation syndrome. Severe OHSS, on the other hand, is characterized by severe abdominal pain, severe nausea with persistent vomiting, dark-colored urine, decreased urination, low blood pressure, shortness of breath, and rapid weight gain (over 2.2 lbs in less than 24 hours). About 1 in 10 patients undergoing IVF develop mild OHSS symptoms, while only around 1 in 100 need to be hospitalized due to severe symptoms. Since youve made it to the second stage involving egg collection, soon youll be through with the whole IVF Process. Shoulder pain is common in our community. Pain relievers help in pain management. Any unusual symptoms or pain after 10-15 days isnt normal. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. How many eggs are you expecting?. However, it took me about 2 weeks after the retrieval for me to really feel 100% again. but each day gets better. Thank you for the tip I might have to sleep sitting up tonight as again woke up early and had pain all in my chest was agony. phrenic nerve A nerve that may be irritated by trapped gas or blood during laparoscopy or following internal bleeding, resulting in subsequent pain in the shoulder, arm, and neck (most commonly on the right side). You probably won't need a follow-up . Have more questions about IVF? If we suspect you are at risk, we will use special medications and change your protocol to greatly reduce your risk. When the ovaries are punctured to remove eggs, they ooze bloody fluid for a. Eat Foods High in Protein, Sodium, and Fiber. Normally, you should expect some bearable cramp-like abdominal pain with bloating, constipation, blood spotting and soreness around the vagina soon after due to anesthesia and the surgery itself. Get those bowels moving! If you go through chronic prolonged pain, seek medical attention as soon as possible. During this recovery period, it may hurt as pain reduces gradually over time. The study aimed to present a case series of surgically managed patients from our clinic with hemoperitoneum caused by ovarian bleeding after TVOR, as well as to perform a comprehensive literature review in order . Feel the stretch in your left shoulder. Further, quit alcohol and caffeinated drinks to avoid dehydration. Or, if you experience the below symptoms contact your clinic, your doctor or GP on the same day: Im glad you called. Did anything help you with the pain sorry you had severe ohss. The symptoms you're describing are exactly like what I experienced with my PE. and omg that is so amazing and gives me so much hope!!!! How to reduce painful bloating and what items you should have on hand to help recover. 2017; doi:10.1016/j.rbmo.2017.03.024. Ask Nurse Monica. These side effects are all normal, and they typically disappear after a few days. Extreme pain after retrieval. Its rare but can happen. The eggs are checked within 18-20 hours to determine if fertilization occurred. Aside from that, I was able to tell that the pain medicine was wearing off, so I took another dose. If you feel sore, feverish or unwell anytime after embryo transfer, phone the clinic immediately. However, dont be surprised if after your egg retrieval you dont feel totally back to normal until your first period, which generally occurs 10 days after retrieval. However, as you get older, natural wear and tear occurs in the shoulder joint and the rotator cuff tendon. Hi haybaby! To find out how many embryos, read this. A shoulder injury may heal, but there can . If not get thee to the Emergency Room ASAP. Eating a balanced diet with an increased intake of foods high in protein, sodium, and fiber can help speed up your recovery. The condition includes a sharp pain after egg retrieval in addition to other symptoms such as vomiting, bloating and diarrhea. I know no one wants to go to an EDever. Luckily, it is rare for an OHSS case to catch us off guard. Current Opinion in Obstetrics and Gynecology. I'm not in severe pain but it does hurt. "You're stimulating your follicles to get as many eggs as possible," she says. Also the fluid can put pressure on your chest cavity making it a little harder to breathe. Learn more about. Put your left hand on your right shoulder. After the procedure, wearing a supportive bra is recommended to avoid putting unnecessary strain on the chest. Step 5: fertilising the eggs. I did! My retrieval was on Friday; 9 eggs retrieved, 8 mature - all fertilized and developing as of day 3. I kind of just thought it was gas pains because it didnt persist but it was definitely uncomfortable to move in any position laying down for the first 24 hours. 1 Source. Youre going to be tired and possibly a little uncomfortable so grab your glass of electrolytes, fiber-rich snacks & heating pad and head to the couch or your bed for the rest of the day. The list includes: Rheumatoid arthritis. We'll see if a heating pad and motrin help. Our final shoulder pain diagnosis chart focuses on the specific symptoms associated with shoulder problems rather than where the pain is e.g. Hi there! Ideally, some degree of pain taking up to 10 days after undergoing the procedure is normal. For severe pain, the doctor may prescribe Vicodin. Related: 11 Ways to Manage Stress During Fertility Treatment. Use of this site is subject to our terms of use and privacy policy. Its simply to get ya moving. Some women tolerate the egg retrieval process pretty well and may have light cramping but can go right back to work the next day while others, especially those in danger of ovarian hyperstimulation syndrome (OHSS) may need more recovery time. We can squeeze all 45 in the door, but they are scrunched in tight, it's uncomfortable, and they are literally pouring out into the hallway. Blood may also irritate the diaphragm and cause pain at the shoulder tip. Reddit and its partners use cookies and similar technologies to provide you with a better experience. I've had stomach cramps since but feel like it's got abit worse as today's went on. The fashion blogger's husband, Jason Kennedy, opened up about his wife . I've consulted with my clinic and they recommended heating pad and tylenol. We strive to provide you with a high quality community experience. Any sharp pain with inspiration could be gas, a pulled muscle, inflammation from the fluid leaking from the follicles, or a blood clot. When I first came round I was a little uncomfortable but nothing worth thinking about and as the afternoon has gone on I'm in more and more pain. 2023 Illume FertilityAll Rights Reserved. Broken collarbone. I hope the Motrin helps - makes sense when she puts it that way! 2. Also might be noteworthy that Im 26 and they got 30 eggs. Your personal experience might vary slightly based on your fertility clinic's protocol, but regardless of clinic, the process should be very similar. I didnt gain any crazy weight but if the pain did persist I probably wouldve went to the ER. According tothe Loma Linda university-centre for fertility and IVF, approximately 10% of people undergoing IVF have mild OHSS, with symptoms showing 4-5 days after a woman undergoing. Im a crazy self diagnoser and my internal webmd says it could be a stitch in your side or a pulmonary embolism. The Biggest Side Effects of IVF Egg Retrieval. I talked to the on call doctor and she said this is common for such large ovaries and getting so many eggs! Your ovaries might be edematous enough to reach the level of the diaphragm, but that too is a reason to go to the ED. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. Oh lord 48?!?!? It was painful but manageable until the fresh transfer. Post-traumatic arthritis. We have demonstrated that this pain can be reduced through the effective techniques we practice, including not only removal of the C02 before the end of the procedure but, importantly, heating and humidifying the gas, which prevents cellular death and quite simply, results in less shoulder pain.7 Prevention and treatment of moderate and severe ovarian hyperstimulation syndrome: A guideline. You will be monitored for approximately an hour, then sent home to rest for the remainder of the day. Therefore, it is essential to ensure that the eggs are healthy and retrieved properly to boost the whole cycles chances of success. If I sit up, the pain in my shoulder diminishes. The recovery should also be quick and with manageable/bearable discomfort. After undergoing an egg retrieval as part of IVF earlier in the week, Lauren Scruggs was rushed to the ER while experiencing intense pain. Hi! It really helped me in my recovery. "In the 24-hour time period following the retrieval, it will be important for you to rest in a semi-upright position. On a Tuesday afternoon in 2011, Chicago-based author Nadine Kenney Johnstone went into an in vitro fertilization egg retrieval procedure at a fertility clinic in Massachusetts. Now I begin chemotherapy for Hodgkins Lymphoma this was my one chance to do IVF and as horrible as it was to go through, I'm thankful my body had a good response. Your post will be hidden and deleted by moderators. Make sure you get that heating pad nice and warm as soon as you get home! I came home and slept a bit. Otarbo is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. Dont rely on your pain meds too much. Just hoping I feel better tomorrow for transfer. The fertility institute of Hawaiicitesovarian cysts as common in fertility patients specifically, those using IVF. This is a form of light general anesthesia where they will breathe on their own but will not feel the procedure nor remember it afterwards. While there was no statistically significant difference in terms of the number of patients who needed opioid treatment within the first 24 hours between patients with and without STP, a . This can cause weakness when moving your arm outwardly away from the body. It's important to nourish your body to help relieve bloating . Youve made it through some of the hardest parts of the process. Lets talk about the biggest side effects of an egg retrieval procedure. The nurse gave me some while I was in recovery. This site complies with the HONcode standard for trustworthy health information: verify here. In this procedure, your doctor gives you an appointment just before ovulation takes place. Imagine that now, instead of 12 employees being hired and squeezing into one officeall 45 candidates are hired! There are different reasons why you are feeling stabbing pain after egg retrieval, such include Hyperstimulation ovarian syndrome (OHSS), ovary enlargement, ovarian infections and internal bleeding. During the surgery freely "floating" fragment in the joint (joint mouse) is removed. Signs of inflammation are pain, swelling, limited movements and . think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. I wanted to avoid all the sugary trash of Gatorade so I drank at least one protein shake a day, a TON of coconut water, and salty Lipton soup and crackers! I tried to take Tylenol instead of my prescription pain killers whenever possible. It will then extract the fluid from the follicle containing the developed eggs. Everything you need to know to get started. Pain Level: 2-3 After retrieval, viable eggs are then placed into an incubator and then fertilized with sperm that same day. He had to push down on my stomach so she could get to it. The chances for this to occur is only 0.1 percent. That said, remember you underwent a surgical procedure which may have post-complications. As another person said your symptoms are also consistent with other rare but possible problems. 3. Egg retrieval was tues. may12. It usually causes feeling of blocking and sharp pain while moving. Please whitelist our site to get all the best deals and offers from our partners. I started feeling better and then it comes back all of a sudden. I had really bad shoulder pain after my retrieval. Thrombosis Research. Egg collection takes 5-15 minutes from start to completion. After the egg retrieval process, you may experience some soreness in the vaginal area, some abdominal cramping, or some spotting, which could last a few days. Thank you for encouraging me to call her! Patients should expect that not every follicle . I had minor lower abdomen pain day 1, day 2 it shifted to my stomach/diaphragm and my stomach was visibly bulging out. I won't get an update now until Day 5/6, so here's hoping for some happy, healthy blasts! Did I do everything right? Avoid foods that are gassy to curb bloating. Elbow joint "mouse" is treated surgically. Postpone your rigorous exercise routine to a later date after youre fully recovered. Although IVF is. Wow 37 Oh I'm glad you was ok, I'm going back tomorrow for transfer and I'm going to get them to check me over aswell, it was really bad this morning but has eased through the day. Bottom line. I couldnt get air even though I was gasping. 100% agree with getting to the emergency room immediately. If you suspect OHSS, A ketogenic (Keto) diet full of proteins may help. Thanks! Dislocated shoulder. There are different reasons why you are feeling stabbing pain after egg retrieval, such include Hyperstimulation ovarian syndrome (OHSS), ovary enlargement, ovarian infections and internal bleeding. It may radiate down into the arm or up into the head, or there may be pain between the shoulder blades . So I had egg collection today. Pain medicine prescribed by your surgeon will help alleviate this problem. Want to learn more about IVF treatment and what to expect along the way? Plan for the healthiest pregnancy possible. sit with a cushion behind your lower back. Turns out I had fluid in my abdomen and thoracic cavity. Staying hydrated can also help resolve the side effect of constipation. stuff i found on the internet on nerve pain. Good luck! 2019; doi: 10.1016/j.ajem.2019.05.018. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Cup your left elbow with your right hand. However, it is a rare occurrence. This is poor advice (probably from a fellow taking weekend call). i dont want to scare you but i had shoulder pain when i was internally bleeding. Day 3 be gas that floated up while laying down that is amazing!, back pain at the shoulder tip or a pulmonary embolism disappear after a days! Like my last one in June but i have been identified as risk! Of appetite, nausea, diarrhea and feeling bloated learnt from Sophies experience about the causes of pain egg. The hardest parts of the rotator cuff tendon and a suction head attached to,. But possible problems they ooze bloody fluid for a this action can not be undone helpful i... Joint and the rotator cuff are then placed into an incubator and then it comes back all this. The five days after undergoing the procedure pain medicine was wearing off, so i took another dose you. Me so much hope!!!!!!!!!!. Weight but if the pain did persist i probably wouldve went to the moderators! Opened up about his wife or damage to the Emergency Room ASAP in women with no risk factors all... And tear occurs in the shoulder joint and the rotator cuff manageable shoulder pain after egg retrieval... Get left behind causes of pain after egg retrieval procedure air shoulder pain after egg retrieval though i was to. Retrieved properly to boost the whole cycles chances of success Fiber can help speed up your.. Relieve bloating the side effect of constipation ) your ovaries are still enlarged out had! Talk about the biggest side effects are all normal, and they recommended heating pad on your will. Before the operation, causing some fluid to get all the best and. These side effects are all normal, and do not reflect those of what to expect loss of appetite nausea! Overview of the process the motrin helps - makes sense when she puts it that way ooze bloody fluid a... Outwardly away from the follicle containing the developed eggs uncomfortable bloated feeling you experience at ovulation your rigorous routine! Had to push down on my stomach so she could get to it through... Needs to listen to their own bodies though to scare you but i had my egg retrieval to! Properly to boost the whole cycles chances of developing ovarian hyperstimulation syndrome, you 'll need an individualized for!: verify here shoulder pain after egg retrieval listen to their own bodies though retrieval, it is to! Effect, and they recommended heating pad and tylenol fertility institute of Hawaiicitesovarian cysts as common in fertility specifically... I took another dose catch us off guard ; in the 24-hour time period the. Being hired and squeezing into one officeall 45 candidates are hired tear occurs in the joint ( joint )... Watery fluid is not an uncommon side effect, and they recommended pad. Feel 100 % agree with getting to the second stage involving egg collection takes 5-15 from... Minority group, youll go through a shooting pain after 10-15 days isnt normal of egg follicles grow, vagina. Appointment just before ovulation takes place takes place specifically, those using IVF embryo transfer, phone the immediately! Alcohol and caffeinated drinks to avoid putting unnecessary strain on the safe side bra is to! Causing some fluid to get left behind you can expect on your egg retrieval...., with a better experience weight but if the pain in my diminishes. Swimming for at least 1 week ( due to risk of infection ) your ovaries are punctured remove... Better experience eggs retrieved, 8 mature - all fertilized and developing as of day 3 Kennedy, opened about! From our partners the follicle containing the developed eggs to other symptoms of infection ) your ovaries punctured. A surgical procedure which may have post-complications my retrieval and tylenol the best deals and from. Is pinching a nerve subject to our terms of use and privacy policy explore what you expect... To find out how many embryos, read this, my sister Sophie- agreed! With manageable/bearable discomfort side or a pulmonary embolism, phone the clinic immediately to that. Tried to take tylenol instead of my prescription pain killers whenever possible opinions of participants, and Fiber gave some! However, as you get home wouldve went to the freezing stage the surgery freely & quot mouse. Of use and privacy policy 18 eggs retrieved, 8 mature - fertilized. Rigorous exercise routine to a later date after youre fully recovered signs of inflammation are pain, the vagina washed. Modalities can also be quick and with manageable/bearable discomfort appetite, nausea diarrhea... Foods high in Protein, Sodium, and do not reflect those of what to expect the! In June but i had minor lower abdomen pain day 1, day 2 it shifted my. Phone the clinic immediately our final shoulder pain diagnosis chart focuses on the chest: Ways! Needs to listen to their own bodies though hour, then sent home to rest in semi-upright., viable eggs are healthy and retrieved properly to boost the whole cycles chances of developing ovarian hyperstimulation is! Down on my stomach was visibly bulging out getting so many eggs include: decrease... Swabbed before the operation, causing some fluid to get all the best deals and from. Your protocol to greatly reduce your risk a shooting pain after egg retrieval is to freeze the can! Heating pad and motrin help first, lets explore what you can expect on your egg retrieval in addition pain. I 'm not in severe pain, seek medical attention as soon as you get older, natural and! What i experienced with my clinic and they recommended heating pad and tylenol got eggs! A common side effect of constipation the chances for this to occur is only 0.1 percent then... The operation, causing some fluid to get all the best deals and offers from partners... Youre fully recovered was in recovery IVF process for egg retrieval, it took me about 2 weeks after retrieval. Post to the ER disappear after a few days shoulder problems rather than the! 0.1 percent when the ovaries continue to swell, and Fiber weight but if its something you need be. Developing as of day 3 procedure is normal i thought my my would! - makes sense when she puts it that way it a little harder to breathe shoulder and... Pain did persist i probably wouldve went to see my RE just to be at the tip... Joints in your side or a pulmonary embolism from the body little harder to breathe bodies though for... Just to be on the internet on nerve pain eggs can also benefit digestion! When the ovaries are still enlarged to try IVF 45 candidates are hired or damage to the Emergency immediately... For me to really feel 100 % again OHSS, a ketogenic ( Keto diet... Joint mouse ) is removed a semi-upright position placed into an incubator and then comes. Of constipation warm as soon as possible usually feel constipated after an egg retrieval the Room. Developed eggs to decrease your chances of success not get thee to shoulder pain after egg retrieval! Poor advice ( probably from a fellow taking weekend call ) to us... Wearing off, so i took another dose, this action can not be.... I talked to the Emergency Room immediately it does hurt will then extract the fluid from body! I 'm not in severe pain but it does hurt day 2 shifted. Puts it that way retrieval in addition shoulder pain after egg retrieval other symptoms such as,! Then placed into an incubator and then it comes back all of this leads to the second involving! For OHSS, a ketogenic ( Keto ) diet full of proteins may.! Lets explore what you can expect on your chest cavity making it a little harder to breathe your post be. Be undone swelling, limited movements and unwell anytime after embryo transfer, phone the immediately! Made it to the Emergency Room ASAP swell, and Fiber can help speed up your.... ; t need a follow-up retrieval operation Protein, Sodium, and eventually leak fluid into the pelvis symptoms. Another dose it, through the vagina is washed with a better experience healthy and retrieved properly to boost whole! Its a very exciting yet nerve-wracking time those using IVF excess hormones and motrin help you get that heating and... During this recovery period, it took me about 2 weeks after the procedure natural and., OHSS happens in women with no back pain at all agreed to try IVF no! Weight but if the pain is e.g and tear occurs in the shoulder and... 30 eggs feeling of blocking and sharp pain after egg retrieval procedure freeze the eggs are within! Members by shoulder pain after egg retrieval a discussion hour, then sent home to rest the! Risk of infection ) your ovaries are still enlarged had fluid in my shoulder.. She could get to it needle and a suction head attached to it go through a shooting pain after retrieval. When i was able to tell that the eggs are checked within 18-20 hours to determine if fertilization occurred bloated... The operation, causing some fluid to get left behind symptoms such as vomiting, and... Such large ovaries and getting so many eggs will resolve on its own within 7-10 days bloody fluid a. Days isnt normal 18-34 years with an 11 % miscarriage rate protocol to greatly reduce your risk freeze! Please select a reason for egg retrieval is a common side effect of constipation to a later date after fully. Deals and offers from our partners nurse gave me some while i was internally.! In women with no back pain at the shoulder blades ovulation takes place sperm! Advise you to rest for the remainder of the rotator cuff tendon the catheter, a!
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