How to Manage Bloating and Fatigue During IVF

Bloating and fatigue are common side effects of IVF hormone treatments. You can manage them with gentle exercise, hydration, light meals, adequate sleep, and by following your doctor’s instructions carefully.

Bloating & Fatigue Management During IVF

Why Bloating Happens During IVF

Bloating is especially common during the stimulation phase of IVF. The fertility medications cause your ovaries to grow multiple follicles, which leads to:

• Fluid retention

• Abdominal pressure

• Enlarged ovaries

• Possible mild ovarian hyperstimulation

This makes your lower belly feel swollen, tight, or gassy—especially in the evening.

How to Relieve IVF Bloating

1. Drink More Water

Hydration helps reduce water retention and supports kidney and liver function.

• Aim for 2–3 liters of water daily

• Add a slice of lemon or cucumber to ease digestion

2. Eat Small, Frequent Meals

Avoid large, heavy meals that worsen the bloating.

• Choose low-sodium, nutrient-dense foods

• Avoid fried, processed, or carbonated items

3. Gentle Movement

Walking or light stretching can help reduce pressure and promote digestion.

• Short walks after meals

• Prenatal yoga or stretching

4. Limit Salt and Sugar

Salt causes water retention, while sugar increases inflammation.

• Avoid packaged snacks and fast food

• Cook at home with fresh ingredients

5. Wear Loose, Comfortable Clothing

Tight clothes around the belly can make bloating feel worse. Opt for soft waistbands and flowy fabrics.

Why IVF Causes Fatigue

Fatigue during IVF is due to:

• High hormone levels (estrogen, progesterone)

• Emotional stress and anticipation

• Side effects of medications

• Sleep disturbances

• Mild anemia or dehydration

Your body is working hard—and rest is essential.

How to Reduce IVF-Related Fatigue

1. Prioritize Rest and Sleep

• Aim for 7–9 hours of sleep per night

• Nap if needed during the day

• Create a calming bedtime routine

2. Manage Stress and Emotions

Fertility treatments can be emotionally draining.

• Try breathing exercises or meditation

• Talk to a counselor or IVF support group

• Avoid emotional triggers like pregnancy announcements online

3. Eat for Energy

• Balanced meals with protein, complex carbs, and healthy fats

• Avoid caffeine or sugar highs and crashes

4. Stay Lightly Active

Even short walks can reduce fatigue and improve mood.

• Avoid intense workouts during stimulation

• Focus on gentle, consistent movement

When to Call Your Doctor

While bloating and fatigue are common, you should contact your IVF clinic immediately if you experience:

• Severe bloating or abdominal pain

• Rapid weight gain (more than 2 kg in 24–48 hours)

• Shortness of breath

• Vomiting or dizziness

These could be signs of ovarian hyperstimulation syndrome (OHSS), which requires medical attention.

FAQs: Managing Bloating and Fatigue During IVF

1. Is bloating normal during IVF stimulation?

Yes, especially as your ovaries grow. It’s a common side effect and usually manageable with hydration and light meals.

2. Can I exercise if I feel bloated during IVF?

Light movement like walking is helpful. Avoid heavy lifting or high-impact workouts.

3. Why am I so tired during IVF?

Hormonal changes, emotional stress, and your body’s response to medications can all lead to fatigue.

4. Does bloating mean IVF is working?

Not necessarily. Bloating is a side effect of hormone stimulation, not an indicator of success or failure.

5. Can bloating and fatigue last after embryo transfer?

Yes. Many women feel bloated and tired until their pregnancy test, due to ongoing progesterone support.

Contact us if you’re experiencing discomfort during IVF. Our fertility team can guide you through every step of the process with care and support.