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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Get Pregnant, Have Regular Cycles. Prescribed Total Fertility. What Should I Do?

hi im 24 yrs old female i have regular cycle come every 25 days im not overwight i have been trying to get pregnant for 3m with no benfit i did midcycle at day 14 u.s size of my follicles is 16 and 12 my doctor told me its small and she suspect that it could be cystic and she do for me E2 level it was only 96.4 she gave total fertality pcos but i didnt take it and ask me to do full hormne ivs at the the next period plz what can i do should itake the medicine or not
Thu, 3 Jan 2013
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OBGYN,  's  Response
Hello
thanks for the query.
Yes, at midcycle around day 14, the size of the follicles should be atleast 20 mm.
Small follicles indicates failure of ovulation , pointing towards polycystic ovarian disease.
Your gynecologist would have the complete sonography report , and hence the diagnosis would have to be made.
In PCOS , alongwith sonography, various other investigations are required to decide the severity and the management.
So, please go for the full hormonal evaluation as advised by her in your next cycle, and then proceed with the treatment.
PCOS could be the reason for your inability to conceive inspite of trying, and if you do have PCOS, you will need extra medicines to help you ovulate/conceive.
Take care.
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Trying To Get Pregnant, Have Regular Cycles. Prescribed Total Fertility. What Should I Do?

Hello thanks for the query. Yes, at midcycle around day 14, the size of the follicles should be atleast 20 mm. Small follicles indicates failure of ovulation , pointing towards polycystic ovarian disease. Your gynecologist would have the complete sonography report , and hence the diagnosis would have to be made. In PCOS , alongwith sonography, various other investigations are required to decide the severity and the management. So, please go for the full hormonal evaluation as advised by her in your next cycle, and then proceed with the treatment. PCOS could be the reason for your inability to conceive inspite of trying, and if you do have PCOS, you will need extra medicines to help you ovulate/conceive. Take care.