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What does 24mm follicle indicate? - Online Doctor Chats

Date : 03-Mar-2014
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1715 Questions
Doctor:Dr XXXXXXX here
User:Hi I have a question
Doctor:Please proceed
User:i was at my Obgyn today and did a ultrasound found out there was 24mm follicle
User:I recd a positive opk on cd13
User:I went in on cd14 she gave me a trigger shot
User:She said it's needed to rupture or it's not good for me next month
Doctor:Was it a HCG shot?
User:I'm not in clomid or anything
User:So is it too late for the trigger?
User:Will I still stand a chance this month?
Doctor:No, day 14th is very much ideal; fr the trigger shot
Doctor:also the size of the follicle is favorable
User:Ok so do I bed tonight?
User:Do I still have chance for pg this month?
Doctor:Was the bleeding heavy, as a usual period or just spotting ?
User:Also is it possible that the follicle contain no egg?
User:I have no bleeding
Doctor:Every mature follicle does contain an egg. Sometimes eggs may be defective which may disintegrate soon after rupture of the follicle
User:Why is it defective?
Doctor:Since it was mature enough and of good size , trigger shot would have surely worked
Doctor:It would be fruitful if you bed tonight and next two days
User:Ok so I still stand a chance this month?
User:I feel no side effect from the shot
User:Is it normal?
Doctor:rarely the DNA material of the egg may be damaged in such cases the egg may get disintegrated. Need not worry its a rare entity
User:Ok thanks
Doctor:Yes, it is normal. You may not experience side effect of the shot
User:But no side effect is that normal?
User:I heard people said they get pg symptoms
Doctor:also you do have chance this month
User:But I feel nothing
User:Thanks a lot!
Doctor:No, not always clinical effects can be experienced by one who took the shot
User:Once you have a trigger shot do you have to get it every month?
Doctor:Its only for a single cycle\
User:I'm surprise she said it's not good if it doesn't rupture
Doctor:If for the next cycle another shot may have to be given once the follicle is mature
Doctor:Every follicle after maturity does rupture for sure
User:is that correct? She said it needed or if will affect my next cucle
Doctor:only the life of the egg is decided by its health
Doctor:No, if there is a delay in rupture it may delay the periods
Doctor:no other problems would be faced
User:O she said it would do the same again next cycle if it doesn't rupture this cycle
Doctor:An extra of 15 minutes is given for your chat time as we faced a technical error
Doctor:You can login back for the same \
Doctor:after this chat closes
User:So will the shot for sure rupture my follicle?
Doctor:it will occur naturally otherwise
Doctor:sometimes it may get delayed by 3 to 7 days
User:Ok thanks she said 24 was too big
User:It should have already
Doctor:not at al
Doctor:24 is optimum
User:if it's delayed still a healthy egg?
User:ok she also put me on clomid 50 next cycle
User:And said to test opk starting cd9
Doctor:Its fine, you can take the same for better results
User:If cd12 does not show opk positive then go back in
Doctor:that's ok too, you can take test as advised
User:I'm not sure why clomid if already ovulating
Doctor:i too believe the same
Doctor:24 mm by 13th day is a healthy ovulation sign
User:but it's not rupture yet
User:And I went in on cd14
User:Still not so she triggered it
Doctor:No issues, as I said there can be a delay upto 7 days and still the egg can be healthy
User:She said that's probably why I'm not pg bc my egg never rupture
Doctor:Only in certain cases where there is defective genetic profile of the eggs such undeu delay can occur and can lead to no egg status
User:How do you ck if you have that case?
Doctor:I would say such occurrences is seen in women with very irregular cycles
User:Ok I have regular cycle
Doctor:if you have regular cycles, it itself indicated you have healthy maturation and ovulation
User:I'm not sure what's keeping me from getting pg
Doctor:well, there are many other factors on which pregnancy depends
Doctor:You may have to be evaluated well
User:How do you find out if ur egg is defective?
Doctor:Chromosomal analysis of the germ cells from the ovary
Doctor:would help to identify DNA defects
User:Sound so comicayex
Doctor:need not worry,
Doctor:With regular periods i do not suspect any problem with your ovualtion
User:Btw I to ok accutane before though
User:Will that defect my eggs?
User:im not sure if it was that making me infertile
Doctor:Why was acutane advised ?
User:what do you mean?
User:It was to help with acnes
User:I'm not sure if it's that was the readin
Doctor:Though there are no side effects of accutane on fertility. I would still consider not taking it now would be a better option
User:I stopped already
Doctor:Thats fine
User:but I took it before I TTC
User:So it's not going to hurt anything genetically?
Doctor:Ok, i do not think that would be the cause for your fertility issues
User:Ok great thanks for ur help!
Doctor:You are welcome\
User:It helps clear out my converns
User:I'll end this chat bos
Doctor:Thanks for using this service
User:Thanks again!
Doctor:Wish you good health
Doctor:and good luck
Doctor:Bye for now
Doctor:Take care
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