Is Conception Possible When Follicle Size Is Small?

Posted on Mon, 12 Oct 2015

Question: My wife undergoes MTP in Nov'14 due to consumption of Isoretinoin during pregnancy period (for 7 days)

After 6 months when we were planning to conceive again, then we came to know that the follicles size is less for my wife. Cycle for my wife lasts for 3 days only.

Treatment for 3 months as follows:-
2nd day after period, Letrozole for 5 days
Then a injection in the belly (triggering the follicle), dont remember right now...

Now the Dr has given
Tamoxifen on 2nd day for 7 days

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Gonadotropin injections can be taken

Detailed Answer:
Hi,

I understand your concerns about small follicles.

It is possible to have small follicles in some women though letrozole or tamoxifen. It is advisable to add gonadotrophin injection in them.

Hence request your doctor to add 2 or 3 doses of gonadotrophin injections like HMG which will definitely increase follicle size.

After attaining follicle size of 18 mm or more trigger injection can be given.

Let me know if you need any more clarification.

Regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Mahesh Koregol (10 hours later)

Thanks for the prompt reply
However I have few concerns

Prior to Nov14 my wife was normal i.e. she was having normal periods of 5-6 days...following which she got pregnant on Nov14.
But after MTP, her 5 days periods has reduced to 3 days, with small follicle size?

Why has this happened?
Was there any complications in MTP?

When will she have normal periods of 5-6 days that is missing since 8 months

Is this whole case a normal one i.e. will she be able to become pregnant again...

Answered by Dr. Mahesh Koregol (10 hours later)

Brief Answer:
Everything is normal

Detailed Answer:
Hi,

Having bleeding for 3 days is absolutely normal. Bleeding for 5 to 6 days is not normal. I don't see any reason to worry about 3 days bleeding. She can get pregnant again easily.

Follicles also become large bit late though. That is not a problem. Overall I see everything is normal.

This is not MTP complication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (3 days later)

Today my wife again visited the Dr
After 5 days of Tamoxifen, Dr has asked her to take 3 doses of Persinal, 1 day each for 3 days...Thursday will be the follow up visit

Hope all going fine...

Answered by Dr. Mahesh Koregol (28 minutes later)

Brief Answer:
Everything is going on well

Detailed Answer:
Hi,

Persinal is given to increase egg size. This is normal. Dont worry about it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Thanks for your reply

I trust your words and my Dr's procedures
Being a layman, concerns will be there.

Just to update, two eggs have been identified, one one is 13 mm and 2nd is 10 mm

Hope all is going on well till now...

What is the possibility of my wife getting pregnant this time..??
I guess the above all is called IUC

Hope my Dr does'nt ask us to go for artificial insemination..?

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Good development

Detailed Answer:
Hi,

Good to see 2 eggs coming up.

With persinal being given these both or at least one good follicle is likely to develop.

You can try naturally after this. Just ask your doctor if she is thinking about doing IUI ( artificial insemination).

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar