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What Are The Findings From The Follicular Study?

Posted on Sat, 25 Jan 2014

Question: Hi I need help to understand what the below follicular study results indicate and what is the next actionable ? Day- Right Ovary Dominant Follicle- Left ovary dominant follicle- Endometrial Thickness- Remark 11th day-8*8 mm- MSF- 6.8mm- No free fluid in POD 15th day-9*8mm- 14*13mm- 7.8mm- No free fluid in POD 17th day-9*8.5mm- 14*16mm- 8 mm- No free fluid in POD 19th day-same- 16*16mm- 9 mm- No free fluid in POD 21st day-same- 21*18mm- 9.6mm- No free fluid in POD 22nd day-same- Ruptured- Thick- Mild free fluid in POD

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer: Ovum is released on 22nd day of cycle. Detailed Answer: Hello XXXX Thanks for writing to XXXXXXX Follicular study is done to study the development of follicles in each ovary with endometrial changes in the uterus. Ultrasonography is done usually on alternate days from the mid days of the cycle up to the rupture of ovum from ovary. In your case,ovum is released on 22nd day of cycle from the left ovary.ovulation is confirmed by presence of mild free fluid in POD.Right ovary didn't ruptured and it was same after attaining its maximum size. There is no problem even if right ovum is not released.Only one ovum is needed for fertilization and this time it is released from left ovary. You can plan for unprotected intercourse during next the two days from 22nd day(day on which ovum is released) as chances of pregnancy is maximum in these two days.Man on top is the preferable position for the best chances of pregnancy.Also female partner should lie down for 15-20 minutes after intercourse so that sperms can ascend inside easily. Wish you all the best. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (41 hours later)

Hi doctor Tks fr d response.. Does these results also indicate that every month this cycle will repeat at the same time interval frm the day of menses . If not do I need repeat the follicular study next month as well or are there any other tests which needs to be done to provide better picture. To give a background of the patient , they are trying for conceiving fr last 5-6 months .. All other test results viz blood test, psh, thyroid, sonography , sperm count etc are all normal .. Tks

Answered by Dr. Indu Kumar (4 hours later)

Brief Answer: There may be some variation. Detailed Answer: Hello XXXX Thanks for writing back It is not fixed.There may be some variation. For best results,follicular study should be done to confirm ovulation so that couple can act during maximum fertile period. Follicular study is also needed for clinician so that timely intervention can be done if needed. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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