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How Can One Conceive While Having Multiple Small Follicles When Diagnosed With PCOS?

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Posted on Fri, 9 Apr 2021
Question: 2 days back i did my follicular study & ROV showed 15mm, today 2 days later both ovaries are showing MSF. why does it happen and what does that mean/ will i conceive
doctor
Answered by Dr. Shinas Hussain (3 hours later)
Brief Answer:
Pregnancy is possible but bit challenging.

Detailed Answer:
Hello,
Thanks for the query.
Your results seems consistent with PCOS(poly cystic ovarian syndrome). MSF" stands for "multiple small follicles", which means you don't have a dominant follicle that grows and matures for ovulation. The biggest challenge with PCOS is that it affects the normal hormonal pathways and ovulation may get affected.
You can still get pregnant with help of various treatment options like ovulation induction with clomiphene and other IVF( in vitro fertelization) techniques.
Considering your age pregnancy is little bit risky too.
Consult an infertility specialist and he will guide you through various treatment options.
Wishing you good health.
Thanks
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Shinas Hussain (1 hour later)
Dear Dr, Thanks for your reply,
i dont have PCOS, i have a very regular 28 days cycle and i had all my 3 children normally without any medication(for ovulation or for conception).
i am trying for my 4th baby and i started to do an ovulation study so i could time my ovulation and know exactly the day .2 days back i was told at d ultrasound that my follicle on right is growing well( CD 10 -right ovary 15mm, Et 9.6mm) and today it has shrunk, (CD 12- Right ov Msf, Left Ov msf, Et 10mm)
i am called agn on monday for another ultrasound
doctor
Answered by Dr. Shinas Hussain (14 minutes later)
Brief Answer:
Serial ultrasound scans may be needed.

Detailed Answer:
Thanks for followup.
In the normal ovulatory cycle, pre-ovulatory mature follicle dimensions are between 17 and 25mm in diameter. Chances of a pregnancy are higher when the Dominant follicle has a diameter above 15mm. A follicle growing upto 18-20mm is considered to be ready for ovulation.
In your case, since the follicle size is still small. But depending on the length of your menstrual cycle, the chances of the follicle increasing in size is possible. So repeat ultrasound might be needed regularly.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Shinas Hussain

General Surgeon

Practicing since :2015

Answered : 23672 Questions

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How Can One Conceive While Having Multiple Small Follicles When Diagnosed With PCOS?

Brief Answer: Pregnancy is possible but bit challenging. Detailed Answer: Hello, Thanks for the query. Your results seems consistent with PCOS(poly cystic ovarian syndrome). MSF" stands for "multiple small follicles", which means you don't have a dominant follicle that grows and matures for ovulation. The biggest challenge with PCOS is that it affects the normal hormonal pathways and ovulation may get affected. You can still get pregnant with help of various treatment options like ovulation induction with clomiphene and other IVF( in vitro fertelization) techniques. Considering your age pregnancy is little bit risky too. Consult an infertility specialist and he will guide you through various treatment options. Wishing you good health. Thanks