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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Correct Follicular Growth Level For Pregnancy?

Hi, I am Ritu 31 years old,have PCOD.I am tring to get pregnant but no success.I was in birth control pills for several years,now my doctor gave me SIPHNE 100 and EVADIOL now my folicular study is going on and my results are 9th day RT Ovary 09*08, LT Ovary 10*10 ENDO.THICK 6.5 11th day RT Ovary 09*08 LT Ovary 12*12 ENDO.THICK 6.6 13th day RT Ovary 09*08 LT Ovary 14*14(echos?) ENDO.THICK 6.8 15th day RT Ovary 09*08 LT Ovary 16*16(echos?) ENDO.THICK 6.8 I am going tomorrow for my 17th dat study.I want to know my is folicle growing good, is there any damege?my doctor says there should not be echo and earlier she said when folicle size will be 19*19 then she give me a injection then i will hopefuly able to concive now what will happen?
Tue, 24 Feb 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question. Adequate follicular size is 18-20 mm for the ovulation to occur. The follicle should be clear with no internal echoes. Your doctor is right in her/ his counselling. They hCG injection which is given for follicular rupture is given when the follicle is approximately18-20 mm of size. You can wait for the 17 th day study and see if the follicle is growing in size.
If the follicle doesn't reach 18 mm size and the internal echoes remain, then I would suggest you to repeat ultrasound after 2 weeks to assess the size and nature of follicle. echoes can be a little haemorrhage only, which can be resolved with time.
If echoes are still there, then do get further investigations to rule out any other pathology.
Hope you found the answer helpful.
Wishing you good health.
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What Is The Correct Follicular Growth Level For Pregnancy?

Hi, I have gone through your question. Adequate follicular size is 18-20 mm for the ovulation to occur. The follicle should be clear with no internal echoes. Your doctor is right in her/ his counselling. They hCG injection which is given for follicular rupture is given when the follicle is approximately18-20 mm of size. You can wait for the 17 th day study and see if the follicle is growing in size. If the follicle doesn t reach 18 mm size and the internal echoes remain, then I would suggest you to repeat ultrasound after 2 weeks to assess the size and nature of follicle. echoes can be a little haemorrhage only, which can be resolved with time. If echoes are still there, then do get further investigations to rule out any other pathology. Hope you found the answer helpful. Wishing you good health.