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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abortion With A Normal Follicular Study?

i am 28 yrs old..married for 3 yrs...2 yrs before missed abortion.getting treatment to conceive for 1yr....2 iui,s done.Follicular study normal.hormone(fsh,tsh,prolactin) levels normal.no tube blocks found...husbans semen analysis normal..should i continue the treatment since no problem found????...this month also going to do 2 iui's....
Tue, 5 Apr 2016
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OBGYN 's  Response
Hallow Dear,

Hormonal levels is one of parameters that suggest that the follicles are maturing normally and they are releasing eggs (ovulating). However, the size of the follicle and the thickness of the endometrium do play important role in successful implantation and pregnancy. These two parameters can be studied by ovulation monitoring by ultrasonography.

Follicles of size between 18 mm and 21 mm size release healthiest eggs and these eggs after fertilization are known to have good pregnancy success rate. Follicles which ovulate at a smaller size or larger size do not have good successful pregnancy rate.

Similarly the endometrial thickness is also very important. Endometrium of thickness between 9 mm and 14 mm is highly conducive for successful implantation of the fertilized ovum (blastocyst).

Hence, I would suggest you to study these two factors before undergoing IUI. In fact, IUI should be monitored and guided by ultrasonography directed ovulation monitoring.

I hope this helps you.

Dr. Nishikant Shrotri

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What Causes Abortion With A Normal Follicular Study?

Hallow Dear, Hormonal levels is one of parameters that suggest that the follicles are maturing normally and they are releasing eggs (ovulating). However, the size of the follicle and the thickness of the endometrium do play important role in successful implantation and pregnancy. These two parameters can be studied by ovulation monitoring by ultrasonography. Follicles of size between 18 mm and 21 mm size release healthiest eggs and these eggs after fertilization are known to have good pregnancy success rate. Follicles which ovulate at a smaller size or larger size do not have good successful pregnancy rate. Similarly the endometrial thickness is also very important. Endometrium of thickness between 9 mm and 14 mm is highly conducive for successful implantation of the fertilized ovum (blastocyst). Hence, I would suggest you to study these two factors before undergoing IUI. In fact, IUI should be monitored and guided by ultrasonography directed ovulation monitoring. I hope this helps you. Dr. Nishikant Shrotri