Any medical treatment, including assisted reproduction treatments, requires a certain amount of organisation before, during and after the process. This may involve planning medication, medical check-ups and follow-up appointments. It is also important to consider in advance whether the treatment may affect your working life, so that any necessary time off can be arranged and everything can be planned before the procedure.
When it comes to fertility treatments, extended sick leave is usually not required. However, it is advisable to plan the key moments of the process and adapt medical recommendations to each patient, the type of work they do and how the treatment progresses. Below, we answer some of the most common questions patients ask when they come to our clinic.
During in vitro fertilisation, the patient needs to attend several medical appointments, including ultrasound scans and blood tests, to assess how the ovaries are responding to hormonal stimulation. These visits are usually short, but they may take place several times over one or two weeks. For this reason, rather than needing sick leave, what is usually required is some flexibility in working hours in order to attend the appointments.
The moment when rest is usually recommended is the day of the egg retrieval. This is a procedure performed under sedation, so patients should not drive or return to work afterwards on the same day. Some patients are able to go back to work the day after the procedure, while others may need an additional 24 to 48 hours if they experience abdominal discomfort, bloating or fatigue.
Embryo transfer is a simple, quick and generally painless procedure. It does not require anaesthesia or hospital admission, and the patient can go home shortly after it is performed. For this reason, under normal circumstances, there is no need to request sick leave solely because of the embryo transfer.
In general, complete bed rest is not recommended after this procedure, as the embryo will not move or be lost as a result of walking, working or carrying out normal daily activities. The uterus is naturally prepared to receive and protect the embryo, and everyday activities do not interfere with this process.
Regarding returning to work, many patients can do so the day after the embryo transfer, provided they feel well and there is no specific medical indication to rest.

The general recommendation is to maintain a calm routine, avoiding intense physical effort, heavy lifting or high-impact activities during the first few days. If the job is office-based or does not involve significant physical exertion, returning to work is usually not a problem. However, if the job involves very long shifts, high levels of stress, intense repetitive movements or physical effort, it may be advisable to adapt the activity or consider taking a few days to rest.
Working after IVF does not, in itself, reduce the chances of pregnancy. The factors that truly influence implantation are: embryo quality, endometrial receptivity, hormonal synchronisation and other medical aspects specific to each case.
In some situations, the medical team may recommend taking additional precautions. This may be the case when there is:
In these cases, recommendations should always be individualised.
After the embryo transfer, the two-week wait begins — the period leading up to the pregnancy test. For many patients, these days are among the most emotionally challenging stages of treatment. Some prefer to continue working because maintaining their routine helps them cope with the wait. Others, however, feel they need to slow down.
There is no single right option for everyone. What matters is being able to distinguish between what the body needs and what fear imposes. Working does not harm implantation, but if anxiety is very intense or the work environment is particularly stressful, it may be reasonable to organise a few lighter days or seek emotional support.
Although it is not usually necessary, there are some cases in which sick leave or relative rest may be recommended. This may occur after egg retrieval if the patient experiences significant discomfort, if there is a risk of ovarian hyperstimulation, if medical complications arise or if the patient’s job involves intense physical effort that cannot be temporarily adapted.
It may also be recommended in patients with specific clinical backgrounds or when the medical team considers that reducing activity may improve the safety of the process, although not necessarily the chances of implantation.
Although assisted reproduction requires a certain degree of planning, in most cases it is compatible with maintaining a relatively normal life. Having clear information, discussing any doubts with the medical team and adapting your pace when necessary can help patients experience the process with greater peace of mind.
Every treatment and every person are different. Therefore, recommendations should always be individualised according to the type of work, medical progress and each patient’s physical and emotional wellbeing.
ESHRE Guideline Group on Ovarian Stimulation.
ESHRE guideline: ovarian stimulation for IVF/ICSI.
European Society of Human Reproduction and Embryology (ESHRE).
2020;
hoaa009
ESHRE Clinical Guidelines on Ovarian Stimulation in IVF and ICSI Treatments:
https://doi.org/10.1093/hropen/hoaa009
Sofia Gameiro, Jacky Boivin, Elisabeth Dancet, Cécile de Klerk, M. Emery, C. Lewis-Jones.
ESHRE guideline: routine psychosocial care in infertility and medically assisted reproduction—a guide for fertility staff.
European Society of Human Reproduction and Embryology (ESHRE).
2015;
2476-2485
ESHRE Guide to Routine Psychosocial Care in Infertility and Assisted Reproduction for Fertility Professionals:
https://academic.oup.com/humrep/article/30/11/2476/2384614?login=false
Ministerio de la Presidencia, Relaciones con las Cortes e Igualdad.
Resolución de 28 de febrero de 2019, de la Secretaría de Estado de Función Pública.
Boletín Oficial del Estado (BOE).
2019;
19974-19981
Official document from the Official State Gazette related to the regulation of permits and work-life balance measures applicable to public employees:
https://www.boe.es/boe/dias/2019/03/01/pdfs/BOE-A-2019-2861.pdf
Service-Public.fr.
Une salariée a-t-elle droit à des absences en cas de grossesse ou d’assistance médicale à la procréation ?.
Service-Public.fr / République Française.
2025;
Official information on work leave and permitted absences during pregnancy or assisted reproduction treatments in France:
https://www.service-public.gouv.fr/particuliers/vosdroits/F2330
Advisory, Conciliation and Arbitration Service (ACAS).
IVF treatment.
Advisory, Conciliation and Arbitration Service (ACAS).
2026;
Official information on employment rights and support for employees performing in vitro fertilization treatments in the United Kingdom:
https://www.acas.org.uk/pregnancy-at-work/ivf-treatment