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

Trying To Conceive. Follicular Study States Multiple Peripherally Arranged Cysts Noted In Ovary. What Can Be Done?

Posted on Tue, 10 Jul 2012

Question: Hi doctor,

Me&My wife are trying to conceive for more than a year. Gynic doctor has suggested my wife to take Fertomid 50 mig tablets from day 2 to 6 of the menstrual cycle. She used these tables from day 2 to day 6. On day 9 she has gone through Follicular studay. The reports are as follows.

UTERUS: Anteverted meastures : 7.3X4.6X5.9 cms. normal

Ovaries: both ovaries appear normal in size and multiple peripherally arranged cysts noted in right ovary.

Right ovary measures: 2.5X1.8 cms
Left ovary measures : 3.8X1.9 cms
Evidence of tubular cystic lesion measuring 2.1X1.0 cms noted in the left adnexa-?
hydrosalpinx
OTHERS: minimal collection seen in the POD.

Please let us know if the above reports are normal. Also from these reports we are not able to understand whether the ovalution occurs or not. Also from these reports how to find when the ovalution occured.

Thanks & Regards, XXXXXXX

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Hello,
Thanks for posting your query.
The ultrasound done on day 9 does not show formation of any dominant follicle which is suggestive of egg formation or ovulation.
The peripherally arranged multiple cysts in right ovary may be suggestive of polycystic ovaries or one of the cysts might develop into a follicle. This can be differentiated by doing a follow up ultrasound scan on day 11 and day 13.
The tubular cystic lesion in left adnexa is suggestive of left fallopian tube pathology which needs to be further investigated with HSG or laproscopy.
Minimal fluid in POD might be a reactive fluid collection.
To find out if any follicle has formed, a follow up ultrasound scan is needed on alternate days.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (4 hours later)

Hi,

Thanks for the response.
As per the reports mentioned above i.e "Evidence of tubular cystic lesion measuring 2.1X1.0 cms noted in the left adnexa- ? hydrosalpinx",

Can this cuase infertility in women. Is it ok since it is only on one side. what is the significance of size 2.1X1.0 cms here. please suggest us.

Thanks&Regards, XXXXXXX

Answered by Dr. Dr. Rakhi Tayal (2 hours later)

Hello.
Thanks for writing again.
Hydrosalpinx can cause infertility in women. Since it is seen on one side on ultrasound, it must be further investigated to see if the other fallopian tube is normal.
The size in case of hydrosalpinx does not matter. It is the blocked fallopian tube which prevents the fertilisation.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (28 minutes later)

Hi ,

Since ultrasound showed Hydrosalpinx in one side, can we assume that other fallopian tube is normal.

Can you test what other scan we need to do to investigate other other fallopian tube .

Also From this can we conclude that only one fallopian tube is not working.

What are the chances of conceving with if only one fallopian tube is working normally.

Thanks, XXXXXXX

Answered by Dr. Dr. Rakhi Tayal (5 hours later)

Hello.
Since one tube has hydrosalpinx, the other tube may also be blocked. The best way of diagnosis is by getting HSG - Hysterosalpingography done.
Even if one fallopian tube is working and one ovary is ovulating, still chances of conception are the same as were there with both the tubes normal.
Please do not worry and get your wife further investigated under the guidance of an infertility specialist.
Take care.
Best regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar