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What Does My Follicular Study Report Indicate?

Posted on Fri, 30 Sep 2016

Question: I have been trying to conceive for last 6 months. I had my last period started on 29th Aug.I got follicular test done today (10th Sep i.e. 13th day) and my results are - Right Follicle -9.6*6.6mm, Left Follicle- 9.4*8.6mm, ET-10.5mm, Free fluid-NIL. I also see a comment- Bilateral ovaries show polycystic appearance.

I am a little tensed.Can you please advise?

Answered by Dr. Deepti Verma (10 minutes later)

Brief Answer:
Polycystic ovaries

Detailed Answer:
Hi dear,
I have gone through your question and the image and understand your concerns.
The follicular monitoring shows small size of the follicle as per the day of the cycle.
There is no dominant follicle in either ovary, which should be more than 16-18 mm.
Endometrial thickness is normal.

Bilateral ovaries showing small follicles is suggestive of polycystic ovaries, and it is one of the common cause of anovulation and inability to conceive.

I will suggest you to get your follicular monitoring till day 18. If there is no ovulation till that day, then you should get ovulation induction drugs in next cycle to assist ovulation and hence conception.

Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepti Verma (17 minutes later)

Thanks doctor. How long does the follicle take to grow? Is it normal to have it grown to 18mm by day 18 in spite of having a cycle of (on an average) of 28 days? Also, does appearance of polycystic ovaries necessarily suggest Polycystic ovary syndrome?

Answered by Dr. Deepti Verma (1 hour later)

Brief Answer:
Can be Polycystic ovarian syndrome

Detailed Answer:
Hi dear, in a 28 days cycle, the follicle should grow to 18-20 mm in size by day 14-15 followed by ovulation.

Polycystic ovaries, if associated with anovulation ( absence of ovulation), suggests polycystic ovarian syndrome.

Hope you found the answer helpful.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Arnab Banerjee