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What Does My Follicular Study Report Indicate?
Question: i am doing follicular study as suggested by my gynac.. and now the count is left ovary 16.5 on 18 day crenated outlines and endometrial thickness is 9.5.. please let me know is it the right sign to get pregnate..even my XXXXXXX has suggested to take emfolic.. sine 10 days am having the same...
Brief Answer:
PLEASE PROVIDE FEW MORE DETAILS.
Detailed Answer:
Hello
THanks for writing to us with your health concern.
Before answering your question, I would like to request for a few more details -
1. Since how long are you trying to conceive ?
2. What all tests and investigations have been done so far for this problem ?
3. When was your last menstrual period.
4. Before this, when was the last scan for follicular monitoring done and what were the findings on that day ?
5. What is normal length and duration of your menstrual cycle ?
Please let me know these details so that I can guide you accordingly.
Looking forward to hearing from you.
Take care.
PLEASE PROVIDE FEW MORE DETAILS.
Detailed Answer:
Hello
THanks for writing to us with your health concern.
Before answering your question, I would like to request for a few more details -
1. Since how long are you trying to conceive ?
2. What all tests and investigations have been done so far for this problem ?
3. When was your last menstrual period.
4. Before this, when was the last scan for follicular monitoring done and what were the findings on that day ?
5. What is normal length and duration of your menstrual cycle ?
Please let me know these details so that I can guide you accordingly.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
hi doctor.
1. Since how long are you trying to conceive ? almost from 11 mths
2. What all tests and investigations have been done so far for this problem ? blood test and songraphy has done in mth of dec 2013and not first time dotor suggetsed for follicular study and TSH - TSH is about to done/
3. When was your last menstrual period. it was started on 31st aug 2014
4. Before this, when was the last scan for follicular monitoring done and what were the findings on that day ?this is the first time
5. What is normal length and duration of your menstrual cycle ? 3 or 3 and half day....
please let us know why ma doctor has suggested to take EMFOLIC and according to size of overt.. is there is chnnce to get pregnant.
1. Since how long are you trying to conceive ? almost from 11 mths
2. What all tests and investigations have been done so far for this problem ? blood test and songraphy has done in mth of dec 2013and not first time dotor suggetsed for follicular study and TSH - TSH is about to done/
3. When was your last menstrual period. it was started on 31st aug 2014
4. Before this, when was the last scan for follicular monitoring done and what were the findings on that day ?this is the first time
5. What is normal length and duration of your menstrual cycle ? 3 or 3 and half day....
please let us know why ma doctor has suggested to take EMFOLIC and according to size of overt.. is there is chnnce to get pregnant.
Brief Answer:
THIS IS NOT PROPER FOLLICULAR MONITORING.
Detailed Answer:
Hello dear.
First let me explain what is follicular monitoring.
It is normally started on day 9 of a cycle, then scans are done every alternate day till the follicle size reaches 18 - 22 mm.
That is when it is likely to rupture.
Then a repeat scan is done to confirm that the follicle ruptured ( ovulation occurred ).
In this manner, atleast 6 - 7 scans are done throughout the fertile period of the cycle to check and track ovulation, thus helping you to target days for possible conception after intercourse.
In your case, you have straightaway mentioned day 18 findings.
Normally, if you have 28 - 30 day cycle, ovulation would occur on day 14 - day 15.
Crenated outlines suggest that the follicle might have ruptured or has already ruptured.
Get a repeat scan done after 48 hours to see the progress.
IDeally, next month, get the monitoring started serially from day 9 every alternate day, that is the correct method.
Just a random scan anytime in the cycle will provide you with no information, and will confuse you.
Emfolic is folic acid which should be taken daily by any woman planning to have a baby, it is essential for good development of the fetus in case you conceive.
How many days cycle do you have ?
ALso, if you have failed to conceive after 1 year of trying, the following should be done -
1. Semen analysis of husband.
2. COmplete blood count, viral markers , AMH, TSH, Lipid Profile, OGTT, FSH, LH - blood tests for you.
3. Proper cycle of follicular monitoring to check for ovulation.
ONce this much is done, please revert with the results of the workup so that I can suggest further line of management.
Take care.
THIS IS NOT PROPER FOLLICULAR MONITORING.
Detailed Answer:
Hello dear.
First let me explain what is follicular monitoring.
It is normally started on day 9 of a cycle, then scans are done every alternate day till the follicle size reaches 18 - 22 mm.
That is when it is likely to rupture.
Then a repeat scan is done to confirm that the follicle ruptured ( ovulation occurred ).
In this manner, atleast 6 - 7 scans are done throughout the fertile period of the cycle to check and track ovulation, thus helping you to target days for possible conception after intercourse.
In your case, you have straightaway mentioned day 18 findings.
Normally, if you have 28 - 30 day cycle, ovulation would occur on day 14 - day 15.
Crenated outlines suggest that the follicle might have ruptured or has already ruptured.
Get a repeat scan done after 48 hours to see the progress.
IDeally, next month, get the monitoring started serially from day 9 every alternate day, that is the correct method.
Just a random scan anytime in the cycle will provide you with no information, and will confuse you.
Emfolic is folic acid which should be taken daily by any woman planning to have a baby, it is essential for good development of the fetus in case you conceive.
How many days cycle do you have ?
ALso, if you have failed to conceive after 1 year of trying, the following should be done -
1. Semen analysis of husband.
2. COmplete blood count, viral markers , AMH, TSH, Lipid Profile, OGTT, FSH, LH - blood tests for you.
3. Proper cycle of follicular monitoring to check for ovulation.
ONce this much is done, please revert with the results of the workup so that I can suggest further line of management.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
THANK YOU SO MUCH DOCTOR.
my LMP was on 31st aug 2014 then as you said from 9th sep i.e 10 day monitering , and today i complete my 19 day. till 14 day (13th sep) i was doing scan alternate day then docotr suggetsed to do the sacn every day... today on my 19 day left oveary doctor has not mentioned anything and endometrial thick XXXXXXX iis 10. however on 18 day that was yesterday my left ovary was 16.5 and endometrial thickness was 9.5
i had RBS in mth od dec, and now m going to do TSH.
my LMP was on 31st aug 2014 then as you said from 9th sep i.e 10 day monitering , and today i complete my 19 day. till 14 day (13th sep) i was doing scan alternate day then docotr suggetsed to do the sacn every day... today on my 19 day left oveary doctor has not mentioned anything and endometrial thick XXXXXXX iis 10. however on 18 day that was yesterday my left ovary was 16.5 and endometrial thickness was 9.5
i had RBS in mth od dec, and now m going to do TSH.
Brief Answer:
NEED MORE INFO FROM THE FOLLICULAR MONITORING
Detailed Answer:
I need to know the complete findings of the scans that were done throughout the month.
Your doctor must certainly have told you whether you have ovulated or not this month.
The scans must have clarified that.
Also, she must have mentioned about today's findings.
I am sorry to say but the follicular monitoring is very incomplete and provides no information.
Your doctor needs to fill in the blanks.
NEED MORE INFO FROM THE FOLLICULAR MONITORING
Detailed Answer:
I need to know the complete findings of the scans that were done throughout the month.
Your doctor must certainly have told you whether you have ovulated or not this month.
The scans must have clarified that.
Also, she must have mentioned about today's findings.
I am sorry to say but the follicular monitoring is very incomplete and provides no information.
Your doctor needs to fill in the blanks.
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. Chakravarthy Mazumdar
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