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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Irregular Period, Taking Medicine To Conceive. Can Any Online Doctor Help Me To Read My Follicular Study Report?

Hello doctor, my periods were irregular for which i was taking medicine for past 4 months and now i have started with new medication for getting pregnant. My doctor has suggested me follicular study and on 10 day of my period the readings of Left, right and endo were respectively: 15mm, 8mm, 7mm and on 11th day my readings were 17mm, 8mm, 7.5mm. so can you please suggest me the status of my condition and which other steps do i need to take so that i can concive as soon as possible
posted on Mon, 25 Feb 2013
Twitter Mon, 25 Feb 2013 Answered on
Twitter Mon, 25 Feb 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi,
thank you for query madam,
The follicle needs to reach a size of 18-24mms in order for ovulation to occur. Anything less than that will not lead to ovulation. Without ovulation, pregnancy cannot occur. So, based on the CD#11 ultrasound, your right follicle has not reached an appropriate size and may indicate that it is not growing, which in turn, indicates that the medication you used is not working. My recommendation would be to repeat the ultrasound at CD#14 and CD#16. If there is not ovulatory sized follicle at those points, then the cycle should be cancelled due to lack of response, you should be given provera for 10 days to induce a period, then start a new cycle using Clomid at 150 mg per day.
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Have Irregular Period, Taking Medicine To Conceive. Can Any Online Doctor Help Me To Read My Follicular Study Report?

Hi, thank you for query madam, The follicle needs to reach a size of 18-24mms in order for ovulation to occur. Anything less than that will not lead to ovulation. Without ovulation, pregnancy cannot occur. So, based on the CD#11 ultrasound, your right follicle has not reached an appropriate size and may indicate that it is not growing, which in turn, indicates that the medication you used is not working. My recommendation would be to repeat the ultrasound at CD#14 and CD#16. If there is not ovulatory sized follicle at those points, then the cycle should be cancelled due to lack of response, you should be given provera for 10 days to induce a period, then start a new cycle using Clomid at 150 mg per day.