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Have PCOS and taking fertomid. Undergoing follicular study and egg is not ruptured. What are the findings from the report?

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Hi... I have PCOS and want to plan a family now. My doctor has put me on fertomid 100mg for the second month and have been undergoing follicular study. My LMP was 17th September and according to the ultrasound, the egg started forming on 12th day of my cycle. It is 17th day and the egg is not ruptured, the end thickness is 10.2 mm. Right ovary- 8mm and left ovary- 27mm. What do these figures suggest? Is it that if the egg doesnt rupture, it will be a waste for me to try this month?
Posted Tue, 22 Oct 2013 in Menstruation and Miscarriage
Answered by Dr. Arif N Khan 26 minutes later
Brief Answer:
Follicle will ruptures at 18-20mm size

Detailed Answer:
Thank you for choosing XXXXXXX I can understand your problem, fertomid is a Clomiphene citrate tablets used for follicular development, as the egg reaches 18-20mm size (mature follicle) then only the egg ruptures, as you have not mentioned anything regarding the egg sizes, so its difficult to predict whether its going to rupture or not.
Usually during follicular monitoring once the follicle(egg) reaches 18-20mm size, injection HCG(human chorionic gonadotrophin) is given for egg rupture.
Secondly if there are no follicular growth with clomiphene, then injection gonadotrophins can be tried. It depends on case to case.
So I advise you to speak with your doctor and get an idea what is your follicular growth with Clomiphene, you will come to know this by SERIAL FOLLICULAR MONITORING.
Your endometrial thickness is normal.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.
Thank you,
Wish you good health.
Dr Arif
You can consult me again directly through my profile
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