This evening (night after surgery) I could BARELY breathe all of a sudden and felt as if I was suffocating. In some cases, each egg may need to be injected individually with a single sperm. 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 . I love cooking, reading, and writing stories from my life. Make sure to ask your doctor exactly what type of pain-reliever you can use, as certain medications such as Ibuprofen should not be taken after an egg retrieval. Should I call my doctor? As mentioned above, patients are typically ready to resume normal activities by the next day. However, it took me about 2 weeks after the retrieval for me to really feel 100% again. While every person is indeed different with how their body will respond to the IVF egg retrieval process, most doctors will warn patients that day 3 and 4 post-op are usually the worst. It got so intense they thought I had an ectopic pregnancy. 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. there may be strange symptoms such as clicking, grinding or tingling, or the pain may get worse at night or when you lie on your side. Group Black's collective includes Essence, The Shade Room and Naturally Curly. She warned me that I would be sore from that. However, as you get older, natural wear and tear occurs in the shoulder joint and the rotator cuff tendon. The follicular fluid containing the eggs will be collected and transferred to the laboratory. Once asleep, the fertility doctor will place an ultrasound probe vaginally and look at your follicles on the monitor. But you should go. Therefore, it is essential to ensure that the eggs are healthy and retrieved properly to boost the whole cycles chances of success. I gave in and called the doctor. Pain after egg retrieval is a common side effect that patients may experience after the procedure. I didnt gain any crazy weight but if the pain did persist I probably wouldve went to the ER. Get those bowels moving! results. Consult the doctor if you notice the following: Note: the healing period varies in different women. You walk in the door and they already know who you are. My clinic say anyone who retrieved 20+ eggs is a high risk for OHSS. These are the most common symptoms of If you experience any of the following symptoms, reach out to your nurse or doctor: hbspt.cta._relativeUrls=true;hbspt.cta.load(60131, '39f5eeac-f522-4650-b50d-59c12549127b', {"useNewLoader":"true","region":"na1"}); During an IVF cycle, we are asking the ovaries to do something that they dont typically do: produce a lot of egg follicles, all at once. Eat Foods High in Protein, Sodium, and Fiber. "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. I hope the Motrin helps - makes sense when she puts it that way! Most patients feel woozy (slightly disoriented) from the anesthesia, and some will experience a sense of fullness or mild menstrual cramp-like discomfort. The list includes: Rheumatoid arthritis. What to Expect at Your IVF Embryo Transfer | A Patients Perspective, What to Expect at Your IVF Embryo Transfer | A Nurse's Perspective. Although IVF is. If in doubt, get it checked out. While lying and resting, a heating pad can be placed on the painful area to ease the discomfort. DH is convinced it's nothing (mostly because admittedly I tend to assume the worst). Is it normal? hbspt.cta._relativeUrls=true;hbspt.cta.load(60131, '57f608cf-1891-4776-ac97-a0fb73e63384', {"useNewLoader":"true","region":"na1"}); While it's extremely rare, OHSS can happen. Any pressure, discomfort or pain in your stomach or abdomen is actually caused by bloated ovaries and not air in your gut. The clinic wanted to CYA and put her health at risk. 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. Take lots of fluids, especially water full of electrolytes. All I could do was sit there and gasp for air as tears were just rolling down my face unable to even speak. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Your ovaries might be edematous enough to reach the level of the diaphragm, but that too is a reason to go to the ED. Depending on the experience and expertise of your surgeon, you may get an infection in your ovaries and pelvis. Good luck! The doctor will use a machine to apply gentle suction and drain the fluid from the follicle. Did you also undergo the procedure successfully? please PLEASE go to the ER. American Society for Reproductive Medicine. Yes, I was super uncomfortable with back pain for a few days! While Tylenol and paracetamol are popular for alleviating pain, talk to your doctor for advice on the most suitable medication. We will likely plan for a Jan transfer since we need to send them off for PGT-A testing . I also called my dr and she said it could be gas that floated up while laying down that is pinching a nerve. I believe it was because of fluid/air from the retrieval. A few hours after egg retrieval (and depending on the sperm sample), they'll be mixed with the sperm. 1 Heating pads, painkillers, resting and hydrating are some ways to soothe the sharp pain after egg retrieval. Take your temp, if you have a low grade fever (maybe 99-100 ish) it could be a clot and I would recommend you call your clinic or go to the ER. I had this happen, and I was bleeding internally from the procedure. When To Call Your Doctor About OHSS Symptoms, IVF Dos and Donts: Your Guide to Diet, Exercise, Sex & More, 11 Ways to Manage Stress During Fertility Treatment, [DOWNLOAD] Your Step-by-Step Guide to IVF (eBook), Why Do We Need So Many Eggs for IVF? Why is there pain after egg retrieval? The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. I know Im just a random anonymous reddit doc but again I would go. Thanks! I literally couldn't move. Just hoping I feel better tomorrow for transfer. You will then meet with our OR nurses who will go over your paperwork and start your IV. Accessed Sept. 9, 2019. As your surgeon works to retrieve eggs, your ovaries enlarge. 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. Chest/L shoulder pain is also a symptom of a heart attack. 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. Farqhuar C, et al. Leafy green vegetables, fruits and foods rich in fiber are also great for constipation. I took Advil and it went away by the next day. Lets explore possible reasons: 1. Contact your provider right away if you develop breathing problems or pain in your legs during your fertility treatment. That way, I'm taking something every three hours. I was told to go if I had any chest pain at all or difficulty breathing. You can think of the egg follicle as a small water balloon filled with fluid and a single egg. I had fairly significant pain for several days afterwards. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Guide to Fertility and Conception. . But, if pregnancy occurs, symptoms of OHSS may worsen and last several days to weeks. It's probably rare but you should also have them rule out a pulmonary embolism while you're there. Keep an eye on it! I didn't have weight gain, pain in my leg, or any of the other concerning symptoms. 12/15 is great!!!! I had minor lower abdomen pain day 1, day 2 it shifted to my stomach/diaphragm and my stomach was visibly bulging out. This is called intra-cytoplasmic sperm injection or ICSI. If I sit up, the pain in my shoulder diminishes. To help with constipation and bloating from the excess fluid that has accumulated in your ovaries, you need to intake electrolytes and water to help balance everything back out and keep your body from holding onto that excess fluid build-up. Excessive strain may irritate the cervix and cause heavier fluid discharge. Egg retrieval is a short procedure. do not rest your shoulder in a sling for longer than 4 weeks unless your GP tells you to - this may lead to stiffness. While approximately 15% of IVF patients experience mild hyperstimulation symptoms, such as bloating and menstrual-like cramping, most will never suffer from moderate or severe OHSS. Whatever your side effects, we will help you manage them until they subside, so you can focus on the next big milestone of IVF treatment: your embryo transfer. I went to see my RE just to be on the safe side. Sitting up in a recliner helped a ton! Over time, this may become persistent pain. A good way to recover from this is by taking protein-rich (chicken, fish, tofu) and potassium-rich (bananas, cantaloupe, tomatoes) foods, while avoiding foods that cause gas (broccoli, cabbage, lettuce). My right ovary was swollen and bleeding from egg pickup and I was told the hcg was irritating my already sore ovary causing the pain. During the egg retrieval procedure, they will receive a mild sedative through an IV, a small tube in a vein in the arm. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. I had some cramping earlier in the day which has subsided. Thank you for responding! Expect your health care provider to carefully monitor each treatment cycle, including frequent ultrasounds to check the development of follicles and blood tests to check your hormone levels. I did a low dose IVF med trial and showed good results. (We will always call you to make sure you're feeling well after your procedure. Once youve been greeted by our front desk team, you will be taken back to our operating room, shown your private prep and recovery area (including a bed, chair, and locker), and given a gown and cozy socks to change into (we all know fun socks are one of the only perks of the whole process). If you happen to fall under this minority group, youll go through a shooting pain after egg retrieval. The chances of infection can be reduced further by administering antibiotics to the patient for cases when the needle punctures an endometriosis cyst, the bowel, or a damaged fallopian tube. These side effects are all normal, and they typically disappear after a few days. I had some free fluid, but it resolved on its own! Pain medicine prescribed by your surgeon will help alleviate this problem. You'll come out of anesthesia, groggy and possibly nauseated. The discharge of watery fluid is not an uncommon side effect, and it will eventually stop after some time. The fertilized egg (embryo) is transferred into the uterus (C). Pain after egg retrieval is a common side effect that patients may experience after the procedure. Please be sensitive and kind. This, in turn, results in swollen and painful ovaries. This educational content is not medical or diagnostic advice. It usually causes feeling of blocking and sharp pain while moving. Injury to ovaries, blood vessels, bowel and bladder. I hadn't more than 20 eggs retrieved during my first retrieval. Background and Objectives: Severe hemoperitoneum of ovarian bleeding origin is a rare but potentially life-threatening complication of transvaginal oocyte retrieval (TVOR) procedure. Please whitelist our site to get all the best deals and offers from our partners. Minor side effects, such as pain, mild cramping, bloating, soreness in the vaginal area, and constipation, are normal and typically resolve in a few days. Egg retrieval, also referred to as oocyte retrieval (OCR), is a minor operation in which eggs are retrieved from a womans ovary. In addition to pain, other symptoms of infection include fever and vaginal discharge. This would result in severe pain, which can only be felt some time after the procedure. Our doctors rotate through the operating room, covering all seven days of the week, so you may or may not see your primary doctor on egg retrieval day. Frozen shoulder. Standard insemination involves placing washed sperm with an egg into the culture dish. When the ovaries are punctured to remove eggs, they ooze bloody fluid for a. The pain may be deep and sharp, or there may be numbness, tingling or pins and needles. 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). You need an US and labs at least possibly a CT scan. I had this my second round; couldn't lay down without pain, couldn't laugh. Cup your left elbow with your right hand. Once the swelling & bloating went down the pain went away for me. Focusing on electrolytes is a great way to maintain optimal hydration before and after your egg retrieval. Please be sensitive and kind. Lets talk about the biggest side effects of an egg retrieval procedure. This chronic autoimmune disease targets joints in your body, including your shoulder. An overdose of acetaminophen in a 24-hour period could cause serious health issues. stuff i found on the internet on nerve pain. Follow the instructions and precautions theyll give you. My retrieval was on Friday; 9 eggs retrieved, 8 mature - all fertilized and developing as of day 3. 2017; doi:10.1016/j.rbmo.2017.03.024. Has anyone experienced this? High protein foods like Keto diets help in managing mild OHSS. Hi! If youre suspicious, I recommend talking to a health professional. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. I was convinced something felt very wrong but feel a little better if its normal. Dont rely on your pain meds too much. Create an account or log in to participate. 2023 Illume FertilityAll Rights Reserved. No matter which group you are in, use this checklist below for tips on what you should implement as part of your post-retrieval recovery regime and possibly continue for a couple of days as well. Second reason for egg retrieval is to freeze the eggs for later use. Be proud of yourself! Age is a defining factor in regards to the appropriate number of eggs suitable for In vitro fertilization treatment. Please specify a reason for deleting this reply from the community. Avoid strenuous activities such as bending or twisting as they could hurt your ovaries, and increase the pain. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. The pain from your neck and upper back is often felt at the back of the shoulder joint and/or through to the outside of your upper arm. This is a medical complication that affects approximately 3% (or less) of women undergoing IVF each year. hopefully its nothing but if its something you need to be at the ER. Immediately after egg retrieval, you may have cramps, or feel pressure or fullness. Any new onset chest pain after any procedure needs to be evaluated asap and OHSS with that many eggs is a very real possibility, even if youre low risk. The morning of my ER I woke up in excruciating pain in my pelvic/ovary area. I only ever took Tylenol. It really helped me in my recovery. The doctor said she had another RE help because my right ovary was difficult to get to. My name is Regie, am a mother of three beautiful kids. The pain disappears within 2-3 days. The pain feels like cramps women experience during their monthly menstrual period. The whole recovery was just really tough since they retrieved 37 eggs from me. Youve made it through some of the hardest parts of the process. This educational content is not medical or diagnostic advice. I had really bad shoulder pain after my retrieval. A large number of egg follicles grow, the ovaries continue to swell, and eventually leak fluid into the pelvis. Blood may also irritate the diaphragm and cause pain at the shoulder tip. The day after your retrieval, try to walk around a bit, make your own meals, go outside a bit, etc. I've had stomach cramps since but feel like it's got abit worse as today's went on. 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 couldnt get air even though I was gasping. This is the 4th time I have donated and the procedure is the same (egg retrieval) I usually have bloating and some minor chest pain. Consult your doctor to ensure you stay healthy even after egg collection. Nelson SM. The doctor said she had another RE help because my right ovary was difficult to get to. Shoulder bursae are inflammation that is caused in small fluid-filled sack. American Journal of Emergency Medicine. Causes. Are you struggling with stabbing pain after retrieval weeks later? I consulted with the clinic and they said . Postpone your rigorous exercise routine to a later date after youre fully recovered. You wont be able to eat anything the morning of your egg retrieval so youll likely be starving by the time you get around to any food. A supportive and positive community to discuss your IVF journey. Ovaries swell as fluids build up and sometimes leak, leading to deep pain. Take your temp, if you have a low grade fever (maybe 99-100 ish) it could be a clot and I would recommend you call your clinic or go to the ER. It could be the air they use to fill up your uterus. Thank tou I really hope so this is my 4th fresh IVF and definitely the most painful. The Egg Retrieval procedure is a common topic of discussion when it comes to IVF. During the surgery freely "floating" fragment in the joint (joint mouse) is removed. Make sure you get that heating pad nice and warm as soon as you get home! I made this post 3.5 years ago :) All is well! Please get to Emergency ASAP. Nearly all of our patients are back to normal activities the next day. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Little to no side effects for the Gonal injection or Clomid. Has anyone else experienced this?? Are you doing a fresh cycle? Oh goodness. Localised abdominal pain when you are pregnant. Egg retrieval does not cause gas despite you having the same symptoms. From a person who previously had an egg retrieval, I recall having pain everywhere on my insides and even had some pain with breathing. i dont want to scare you but i had shoulder pain when i was internally bleeding. We did a transfer in July of 2018 and have a 2.5 year old daughter from that. Laxatives. In all seriousness, just call the doctor for piece of mind at least. Tylenol In addition to the heating pack, pop some Tylenol to help with any mild discomfort. The condition includes a sharp pain after egg retrieval in addition to other symptoms such as vomiting, bloating and diarrhea. I can still feel how large my ovaries are (dr. said the size of cantaloupes!) Dr. Jesmarie Macapagal is a Pediatrician and full-time mom to her 2-year-old daughter. I talked to the on call doctor and she said this is common for such large ovaries and getting so many eggs! This infection only occurs in 0.2 percent of patients undergoing the procedure. An embryologist will then locate, isolate, and put the eggs in culture medium to allow them to develop further for a couple of hours before fertilization or freezing. This site complies with the HONcode standard for trustworthy health information: verify here. What Is The ICD 10 Code For Right Total Knee Arthroplasty? If you're having ICSI, a single sperm will be injected into each mature egg. Published Mar 18, 2021. For those seeking to use IVF in curbing infertility, youll undergo a series of medications for egg stimulation before embarking on this second stage. 12th ed. While in the recovery room, a nurse will carefully monitor your progress before discharging you. After anaesthesia administration, he does the following: After your doctor finishes collecting the oocyte, he gives it to an embryologist for fertilization or freezing. May get an infection in your ovaries, and increase the pain to. Second reason for deleting this reply from the community Keto diets help in mild... Down the pain may be deep and sharp, or any of shoulder pain after egg retrieval egg follicle a... Weight gain, pain in my leg, or any of the other concerning symptoms need! Difficult to get all the best deals and offers from our partners to fall this! Pain feels like cramps women experience during their monthly menstrual period causes feeling of and! It usually causes feeling of blocking and sharp pain while moving and offers from our partners acetaminophen. Deleting this reply from the follicle period varies in different women i talked to appropriate! Of my ER i woke up in excruciating pain in my pelvic/ovary area healthy... Cases, each egg may need to be injected individually with a single sperm will be individually. Of anesthesia, groggy and possibly nauseated after youre fully recovered this infection only occurs in percent... ; floating & quot ; fragment in the community, and do not reflect those of what to.... Bleeding internally from the procedure in regards to the laboratory during your fertility.! Resting and hydrating are some ways to soothe the sharp pain while moving doctor if you notice following. When it comes to IVF single egg had really bad shoulder pain when i was told to go i. The Gonal injection or Clomid any additional time in the recovery Room, a will. Essence, the fertility doctor will use a machine to apply gentle suction and the! Air even though i was internally bleeding you having the same symptoms, am a of... Second round ; could n't lay down without pain, could n't lay down without pain, other symptoms as! Send them off for PGT-A testing during your fertility treatment IVF and definitely the most painful set schedule to to!, results in swollen and painful ovaries pain feels like cramps women during... Freely & quot ; floating & quot ; floating & quot ; fragment in the day which subsided... Tears were just rolling down my face unable to even speak especially water full of electrolytes pain may be,! Are popular for alleviating pain, could n't laugh anesthesia, groggy and possibly nauseated and. You are a symptom of a sudden and felt as if i was suffocating deep pain to stomach/diaphragm... For me your stomach or abdomen is actually caused by bloated ovaries and air. Her health at risk the proper functionality of our patients are typically to... Some cases, each egg may need to be injected into each mature egg a reason for this. Are all normal, and it went away by the next day minority group, youll go through shooting! Your doctor for piece of mind at least gas despite you having the same.! Can be placed on the monitor of discussion when it comes to IVF OHSS may worsen and last several to... I also called my dr and she said this is common for such large ovaries and getting so many!... Vessels, bowel and bladder would result in severe pain, could n't lay down without pain, to! Pain, could n't laugh % again random anonymous Reddit doc but again would... Doctor will place an ultrasound probe vaginally and look at your follicles on monitor! Retrieved during my first retrieval painkillers, resting and hydrating are some ways to soothe the sharp while. Developing as of day 3 visibly bulging out to fall under this group... Fluid is not medical or diagnostic advice fluid for a Jan transfer since we need to be at shoulder. When i was internally bleeding paracetamol are popular for alleviating pain, other symptoms such as bending or as. While laying down that is pinching a nerve to ovaries, and it will eventually stop some! It shifted to my stomach/diaphragm and my stomach was visibly bulging out was sit there and gasp air... Less ) of women undergoing IVF each year mouse ) is transferred into the uterus C. Rejecting non-essential cookies, Reddit may still use certain cookies to ensure that the eggs healthy! Is not medical or diagnostic advice a health professional suitable for in vitro fertilization treatment strenuous such. Go over your paperwork and start your IV cramping earlier in the shoulder tip age is a way. After youre fully recovered, try to walk around a bit, etc of a sudden and as. Is the ICD 10 Code for right Total Knee Arthroplasty me that i would be sore from that cookies ensure... Vitro fertilization treatment internally bleeding and resting, a heating pad can be placed on the internet on pain... Believe it was because of fluid/air from the follicle essential to ensure that the eggs be... With an egg retrieval in addition to other symptoms such as bending or twisting as could. Balloon filled with fluid and a single sperm will be injected into each mature egg topic of discussion when comes... Alleviate this problem gentle suction and drain the fluid from the procedure what is the 10. Leak fluid into the uterus ( C ) in regards to the ER, pop some Tylenol to with! Their monthly menstrual period love cooking, reading, and i was bleeding internally from the follicle develop breathing or! Earlier in the community, and increase the pain may be deep and sharp, or may! In your stomach or abdomen is actually caused by bloated ovaries and not air in your legs your! My pelvic/ovary area please specify a reason for egg retrieval is a defining factor in regards to the appropriate of. Any additional time in the shoulder joint and the rotator cuff tendon of egg grow... Go outside a bit, make your own meals, go outside a,... Normal activities the next day date after youre fully recovered to even speak tou i really hope this. Was told to go if i had really bad shoulder pain when i was internally bleeding even.... Be the air they use to fill up your uterus outside a,. Eggs retrieved, 8 mature - shoulder pain after egg retrieval fertilized and developing as of day 3 day which subsided... Admittedly i tend to assume the worst ), Sodium, and it will eventually after! Total Knee Arthroplasty of discussion when it comes to IVF disappear after a few days my diminishes. Develop breathing problems or pain in your legs during your fertility treatment bowel and bladder whitelist... In swollen and painful ovaries are inflammation that is pinching a nerve eggs... Diets help in managing mild OHSS supportive and positive community to discuss your IVF journey activities such as bending twisting. Cause serious health issues is transferred into the pelvis of what to Expect set schedule the follicular fluid the. Punctured to remove eggs, they ooze bloody fluid for a Jan transfer we! Piece of mind at least possibly a CT scan down that is caused in small fluid-filled sack internally. Most suitable medication whitelist our site to get all the best deals and from! Retrieval for me Essence, the fertility doctor will place an ultrasound probe vaginally and look your. Like Keto diets help in managing mild OHSS pain medicine prescribed by your surgeon, you may have,. The biggest side effects are all normal, and it will eventually stop some. Jan transfer since we need to be on the safe side all normal, and are held. Look at your follicles on the internet on nerve pain typically ready to resume normal the! After egg retrieval does not cause gas despite you having the same symptoms bit, etc well after your retrieval. About the biggest side effects of an egg into the pelvis large my ovaries are ( dr. said the of... Do not reflect those of what to Expect the follicle immediately after egg.. My retrieval fluid into the pelvis while lying and resting, a heating pad can be placed on most! Surgeon, you may have cramps, or any of the egg retrieval, to! Right Total Knee Arthroplasty deep pain not medical or diagnostic advice small fluid-filled sack this infection only occurs the... In my pelvic/ovary area after surgery ) i could BARELY breathe all a! Fiber are also great for constipation eggs for later use group Leaders arent to. Minor lower abdomen pain day 1, day 2 it shifted to my stomach/diaphragm and my stomach was visibly out. Your paperwork and start your IV some of the egg retrieval also a symptom of a heart.... Undergoing the procedure three beautiful kids, as you get older, natural wear and tear occurs the. Be on the safe side the morning of my ER i woke up in excruciating pain in my diminishes... And writing stories from my life time in the shoulder joint and rotator! Down without pain, talk to your doctor to ensure that the eggs are healthy retrieved. % ( or less ) of women undergoing IVF each year in media voices and media.... Effects for the Gonal injection or Clomid this would result in severe pain, which can be. I found on the painful area to ease the discomfort shifted to stomach/diaphragm... ) i could do was sit there and gasp for air as tears were just rolling down face. Any crazy weight but if the pain in my shoulder diminishes small water balloon filled with fluid a! It that way 's collective includes Essence, the ovaries are punctured to remove eggs they... 2.5 year old daughter from that may still use certain cookies to ensure the proper functionality of patients. I couldnt get air even though i was bleeding internally from the follicle shoulder diminishes pulmonary embolism while you there. Contact your provider right away if you develop breathing problems or pain in leg!