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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Follicular Study Report Suggest?

I am in my day 17 of my cycle and my follicle is up to 28 in size, and there are some lining seen inside it, I was asked to meet a specialist as it might be dangerous. what must have caused the delay and have I ovulated. Nb:am taking some ovulation induction.
Fri, 23 Feb 2018
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OBGYN,  's  Response
Hi there, I have understood your concern and I will suggest you the best possible treatment options.

First of all do not panic.

As per your USG reports, you have not ovulated as yet.
Usually, with such reports, I will suggest you to stop follicle study.
Such situation usually is seen when ovaries do not respond to internal signal of ovulation and might need hormone support from outside in the form of HCG injection.

Please seek prescription support from your treating doctor for Tablet Micronized natural progesterone 200 mg twice a day for next 10 days.
You will will get your periods within 3 to 10 days after finishing the tablets.

Please get day 2 USG done to know about the previous cycle follicle of 28 mm, if has disappeared or is persistent. And also get information about ovarian volume and number of antral follicles.

Usually, I suggest to my patients to take injection HCG 5000 IU once the follicle reaches 18 mm size. This helps to egg formation in 24 to 36 hours after the injection.

Please opt for a healthy diet and regular exercise regimen.
Start on Folic acid and vitamin B 12 supplements regularly.
This helps to prevent various complications during conception, pregnancy and childbirth.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar.
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What Does The Following Follicular Study Report Suggest?

Hi there, I have understood your concern and I will suggest you the best possible treatment options. First of all do not panic. As per your USG reports, you have not ovulated as yet. Usually, with such reports, I will suggest you to stop follicle study. Such situation usually is seen when ovaries do not respond to internal signal of ovulation and might need hormone support from outside in the form of HCG injection. Please seek prescription support from your treating doctor for Tablet Micronized natural progesterone 200 mg twice a day for next 10 days. You will will get your periods within 3 to 10 days after finishing the tablets. Please get day 2 USG done to know about the previous cycle follicle of 28 mm, if has disappeared or is persistent. And also get information about ovarian volume and number of antral follicles. Usually, I suggest to my patients to take injection HCG 5000 IU once the follicle reaches 18 mm size. This helps to egg formation in 24 to 36 hours after the injection. Please opt for a healthy diet and regular exercise regimen. Start on Folic acid and vitamin B 12 supplements regularly. This helps to prevent various complications during conception, pregnancy and childbirth. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar.