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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Conceive. Taking Clomid. Irregular Follicular Size Every Cycle. Any Chance To Conceive?

Hi,
I am trying to conceive for second child after 5 years. My age is 36 yrs. I am on clomid from day 2 and when the scan was taken on day 9 only one follicle of size 8mm was found. Also last cycle, there was one follicle of size 22 mm on day 9. Why the follicles are irregular every cycle and is thee any chance to conceive this month?

Sat, 26 Oct 2013
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OBGYN 's  Response
Hello
Thanks for your query.
Just one monitoring scan on day 9 is totally insufficient to tell you about chances of conception.
Follicular monitoring includes serial ultrasound scans throughout the cycle.
the follicle is followed atleast upto day 14 - 15, when normally ovulation occurs.
On day 9, follicle size of 8 mm is normal, but size of 22 mm is too big.
22 mm on day 9 indicates a follicular cyst, maybe remnant of previous cycle.
Track the entire cycle to know whether cycle is ovulatory or not, if ovulation is not observed, you can go for further testing of ovarian reserve, hormonal assessment of PCOD etc.
take care.
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Trying To Conceive. Taking Clomid. Irregular Follicular Size Every Cycle. Any Chance To Conceive?

Hello Thanks for your query. Just one monitoring scan on day 9 is totally insufficient to tell you about chances of conception. Follicular monitoring includes serial ultrasound scans throughout the cycle. the follicle is followed atleast upto day 14 - 15, when normally ovulation occurs. On day 9, follicle size of 8 mm is normal, but size of 22 mm is too big. 22 mm on day 9 indicates a follicular cyst, maybe remnant of previous cycle. Track the entire cycle to know whether cycle is ovulatory or not, if ovulation is not observed, you can go for further testing of ovarian reserve, hormonal assessment of PCOD etc. take care.