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What Does This Follicular Study Report Indicate?
Question: Hello sir,
I am 26 yrs old, from last 6 months taking treatment for PCOD .After 4 cycles of Dronis30 and Thyronorm 50mcg .Now 28 days cycle is maintained and TSH is also 1.50 from 4.72.This month doctor suggest F.S. on 9th day with Clomipure 50 from 3rd to 7th day of menses ,which I did yesterday.
L.M.P- 5/4/15 13/04/15 day 9th
Right ov.- Blank(-)
Lt.OV.- 11
Endometrium grde-8.1
On 11th day have to repeat F.S. again. Is there any chance to conceive in this month?
And why Right ovary is mentioned blank?
I am 26 yrs old, from last 6 months taking treatment for PCOD .After 4 cycles of Dronis30 and Thyronorm 50mcg .Now 28 days cycle is maintained and TSH is also 1.50 from 4.72.This month doctor suggest F.S. on 9th day with Clomipure 50 from 3rd to 7th day of menses ,which I did yesterday.
L.M.P- 5/4/15 13/04/15 day 9th
Right ov.- Blank(-)
Lt.OV.- 11
Endometrium grde-8.1
On 11th day have to repeat F.S. again. Is there any chance to conceive in this month?
And why Right ovary is mentioned blank?
Brief Answer:
Chances of conception are there
Detailed Answer:
Hi XXXXXXX I have gone through your question and understand your concerns. Since your cycles have become regular and thyroid hormones are within normal limit, the chances of conception are there.
After ovulation induction with clomiphene citrate, the chances are increased.
In follicular monitoring, no follicles might have been present in right ovary, hence mentioned as blank, while the dominant follicle in left ovary is11 mm, which is expected to grow over time. If it ruptures by 16-18 th day, then chances of conception are increased.
Endometrial thickness( ET) of 8.1 mm is ideal for conception.
I would suggest you to get your follicular monitoring till the follicle ruptures, and have unprotected intercourse within24 hours of the rupture to maximize the chances of conception.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
Chances of conception are there
Detailed Answer:
Hi XXXXXXX I have gone through your question and understand your concerns. Since your cycles have become regular and thyroid hormones are within normal limit, the chances of conception are there.
After ovulation induction with clomiphene citrate, the chances are increased.
In follicular monitoring, no follicles might have been present in right ovary, hence mentioned as blank, while the dominant follicle in left ovary is11 mm, which is expected to grow over time. If it ruptures by 16-18 th day, then chances of conception are increased.
Endometrial thickness( ET) of 8.1 mm is ideal for conception.
I would suggest you to get your follicular monitoring till the follicle ruptures, and have unprotected intercourse within24 hours of the rupture to maximize the chances of conception.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Shanthi.E
hi,
today again did F.S.on day 12th
observations are:
Rt OV.-(blank)
Lt.OV-14
Endometrium grade-9.8
Dgl puch fluid- blank
Queries:
Why there is no prominent follicle in Rt. Ov?
is Follicles growth is not normal?
Is any way to stimulate growth?
How much percent of chances are there if we try on day follicle rupture?
how many days will required for rupture?
and when I should do next F.S
today again did F.S.on day 12th
observations are:
Rt OV.-(blank)
Lt.OV-14
Endometrium grade-9.8
Dgl puch fluid- blank
Queries:
Why there is no prominent follicle in Rt. Ov?
is Follicles growth is not normal?
Is any way to stimulate growth?
How much percent of chances are there if we try on day follicle rupture?
how many days will required for rupture?
and when I should do next F.S
Brief Answer:
Normal follicular growth
Detailed Answer:
Hi XXXXXXX thanks for responding. Usually both ovaries do not respond similarly to ovulation induction and the dominant follicle is present in single ovary in each cycle.
Follicle in left ovary has grown by 3mm over a period of 2 days, which is normal. There is no need to do anything to stimulate follicular growth.
Chances of conception in an ovulation induction cycle is 30-35% when you have unprotected intercourse within 24 hours of follicular rupture.
The dominant follicle will rupture by day 14-16.
You should repeat your follicular study every alternate day till day 16 or till the follicle ruptures.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
Normal follicular growth
Detailed Answer:
Hi XXXXXXX thanks for responding. Usually both ovaries do not respond similarly to ovulation induction and the dominant follicle is present in single ovary in each cycle.
Follicle in left ovary has grown by 3mm over a period of 2 days, which is normal. There is no need to do anything to stimulate follicular growth.
Chances of conception in an ovulation induction cycle is 30-35% when you have unprotected intercourse within 24 hours of follicular rupture.
The dominant follicle will rupture by day 14-16.
You should repeat your follicular study every alternate day till day 16 or till the follicle ruptures.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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