HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does This Follicular Study Report Indicate?

Posted on Sat, 3 Sep 2016

Question: Hello, My wife is 29 years old. She has PCOS and hormone imbalance. Prolactin level was 28.8 so doctor has started Cabgolin 0.5mg weekly for 4 weeks.
She is undergoing Ovulation Induction with 5 days Clomiphene (fertomid) 50mg. Got 75IU HMG Injection on 4th, 6th and 8th day.
Follicular Study:
Day 9 Both ovaries had multiple small follicles.
Day 11 Right Ovary 11x10 mm Left 10x9 ET 6.8 HMG Injection 75IU again. Progynova 2mg for 5 days
Day 13 No change in follicle size and ET 7.8. FSH 150 IU Injection.
Day 15 Right Ovary 12x11 mm Left 10x10 ET 8.4 FSH 150IU
Day 18 Right Ovary 12.8x12 mm Left 10x10 ET 8.5.
Day 21 Right Ovary 14x14 mm Left 10x10 ET 8.9. AMH test 8.33
Day 25 Right Ovary 19x19mm (Haemorrhage within follicle observed by Sonologist) Left 9x9 ET 9.4

What we would like to know is what is Haemorrhage which was seen.
We were planning to go for IUI this cycle? is it advisable to go ahead with IUI or leave this cycle?
With AMH level high our doctor has also recommended to undergo ovarian drilling in next cycle if current cycle does not succeed.

Answered by Dr. Manisha Jain (2 hours later)

Brief Answer:
Yes she has advanced PCOD

Detailed Answer:
Hello Mr. XXXXXXX thanks for trusting health care magic.
Yes you should go ahead with IUI in this cycle itself as this hemorrhage is most likely due to ovulation only.
PCOD patients do have a problem in egg maturation and rupture so need high dose of ovulation induction.
Her AMH is very high and this implies PCOD is in full effect on ovaries thus ovarian drilling will help in combating it a little and will also tell about tubal patency other problems if any.
Wish you luck
Regards

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

Follow up: Dr. Manisha Jain (36 minutes later)

We went for Follicular examination today and unfortunately our Gynic was off so could not visit her. We will be going for Follicular again tomorrow. My Wife is currently feeling mild pain in lower abdomin. This symptom she usually feels near ovulation. Followup question is: If we go to follicular tomorrow and it is observed that ovulation has already occurred then will it be beneficial to go ahead with IUI tomorrow itself. What is correct ideal time to get IUI done?

Answered by Dr. Manisha Jain (4 hours later)

Brief Answer:
Yes still get IUI done

Detailed Answer:
Yes dear still get an IUI and do intercourse today also.
It is best if sperms are present within 24 hours of ovulation.
All the best

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