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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Less Follicular Size. Can I Be Pregnant With Lower Follicular Size?. Cause Of Lower Follicular Size?

Hi my doctor put me on 50mg of clomid and also metformin
today is day 10 of my cycle today i had my ultrasound
And the ultrasound nurse told me I don't have any follicles measuring more than 1cm
Is that normal? And can I still get pregnant if my follicles don't measure bigger?
And what is the cause of it not getting bigger?
Mon, 17 Jun 2013
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General & Family Physician 's  Response
Hello,
Follicle size and ovulation are not as related as we may want. 
One can have an LH surge causing ovulation, but your follicles may not be mature enough to release an egg. And the opposite is true - you can have a mature follicle but without an LH surge, it won't release the egg. 
Ideally one must have both for a successful ovulation. So it is the LH surge that determines when the ovulation occurs, not the size of the follicle. The size of the follicle does determine the viability of the egg, however. Usually it must be at least 18 mm or larger to be able to produce a viable egg. Any smaller it may still release an egg, but it may not be mature enough, so if it is fertilized it may not survive and so it may result in miscarriage.
Thanks
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Less Follicular Size. Can I Be Pregnant With Lower Follicular Size?. Cause Of Lower Follicular Size?

Hello, Follicle size and ovulation are not as related as we may want.  One can have an LH surge causing ovulation, but your follicles may not be mature enough to release an egg. And the opposite is true - you can have a mature follicle but without an LH surge, it won t release the egg.  Ideally one must have both for a successful ovulation. So it is the LH surge that determines when the ovulation occurs, not the size of the follicle. The size of the follicle does determine the viability of the egg, however. Usually it must be at least 18 mm or larger to be able to produce a viable egg. Any smaller it may still release an egg, but it may not be mature enough, so if it is fertilized it may not survive and so it may result in miscarriage. Thanks