HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Does The Scan Indicate About The Chances Of Getting Pregnancy?

I am 30yrs old and have had two miscarriages in the past. currently i am on obimet 500mg BD, folic acid, ecosprin, evalon forte, fertyl super, wyselon and undergoing follicular study. On day 15th endometrial thickness is 5.5mm, left ovary follicle 20X16mm,rt ovary follicle 12X9mm. Are these good for conception or not?
Thu, 7 Jul 2016
Report Abuse
OBGYN 's  Response
Hallow Dear,

I believe your cycle is regular and between 28 to 30 days. Then, your egg release (ovulation) day would be somewhere between 14 to 16 day. The egg is released 14 days prior to the next expected menses. However, since you are on Clomiphene for induction of ovulation, this calculation is invalid.

Your ultrasonography scan also suggests that you are quite close to ovulation.

Usually, a healthy egg is released by follicle between the size of 18 mm to 21 mm. Though right ovarian follicle is smaller in diameter, your left ovary has got a good sized (20mm x 16mm) follicle. It may rupture any time to ovulate. May be you would be given Injection of hCG hormne for bringing about ovulation. Eggs released from follicle of size between 18 mm and 21 mm release the best quality eggs who have potency for successful pregnancy.

However, your endometrial thickness is not up to the mark; it is just 5.5 mm thick. For successful implantation of fertilized ovum, endometrial thickness between 9 mm to 13 mm is most conducive. I do not feel this endometrium can give you a successful pregnancy. You are on Fertyl which is Clomiphene citrate. This medicine is used for induction of ovulation. However, due to its anti-oestrogenic action, it affects the endometrial growth adversely.

According to my opinion, you should let this cycle pass without pregnancy. Since there is a problem in endometrial thickness, you should work on it by oestrogen preparations. Further more, colour Doppler study of endometrium will be more informative about the deeper layers of the endometrium.

You should attempt the pregnancy when the follicle is between 18 mm to 21 mm in size and the endometrium is between 9 mm to 13 mm in thickness at the time of ovulation. May be, if endometrial growth is adversely affected by Clomiphene, you would require HMG/HCG protocol for ovulation if you cannot ovulate naturally.

You have been put on Obimet, which is Metformin. It was (and is still) a belief that this medicine helps the ovulation better with Clomiphene citrate. However, the recent studies have shown that there is not much of a difference with or without Metformin; instead the use of Myo inositol has proved to be more successful with Clomiphene citrate.

Please take the opinion of your infertility specialist before you attempt the pregnancy to avoid unsuccessful pregnancies or conceptions.

I hope this helps you.

Dr. Nishikant Shrotri


I find this answer helpful
Infertility Specialist Dr. Ashwini Talpe's  Response
hi healthcare magic user, your sonography shows endometrium thickness is 5.5mm on day 15which is very thin needs evaluation to know cause for it.
considering your medical history of previous abortions it is better to rule out infection of the uterus.
hope you have done other tests to know cause of previous abortions.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Folic acid


Loading Online Doctors....
What Does The Scan Indicate About The Chances Of Getting Pregnancy?

Hallow Dear, I believe your cycle is regular and between 28 to 30 days. Then, your egg release (ovulation) day would be somewhere between 14 to 16 day. The egg is released 14 days prior to the next expected menses. However, since you are on Clomiphene for induction of ovulation, this calculation is invalid. Your ultrasonography scan also suggests that you are quite close to ovulation. Usually, a healthy egg is released by follicle between the size of 18 mm to 21 mm. Though right ovarian follicle is smaller in diameter, your left ovary has got a good sized (20mm x 16mm) follicle. It may rupture any time to ovulate. May be you would be given Injection of hCG hormne for bringing about ovulation. Eggs released from follicle of size between 18 mm and 21 mm release the best quality eggs who have potency for successful pregnancy. However, your endometrial thickness is not up to the mark; it is just 5.5 mm thick. For successful implantation of fertilized ovum, endometrial thickness between 9 mm to 13 mm is most conducive. I do not feel this endometrium can give you a successful pregnancy. You are on Fertyl which is Clomiphene citrate. This medicine is used for induction of ovulation. However, due to its anti-oestrogenic action, it affects the endometrial growth adversely. According to my opinion, you should let this cycle pass without pregnancy. Since there is a problem in endometrial thickness, you should work on it by oestrogen preparations. Further more, colour Doppler study of endometrium will be more informative about the deeper layers of the endometrium. You should attempt the pregnancy when the follicle is between 18 mm to 21 mm in size and the endometrium is between 9 mm to 13 mm in thickness at the time of ovulation. May be, if endometrial growth is adversely affected by Clomiphene, you would require HMG/HCG protocol for ovulation if you cannot ovulate naturally. You have been put on Obimet, which is Metformin. It was (and is still) a belief that this medicine helps the ovulation better with Clomiphene citrate. However, the recent studies have shown that there is not much of a difference with or without Metformin; instead the use of Myo inositol has proved to be more successful with Clomiphene citrate. Please take the opinion of your infertility specialist before you attempt the pregnancy to avoid unsuccessful pregnancies or conceptions. I hope this helps you. Dr. Nishikant Shrotri