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What do four good follicles indicate?

Answered by
Dr. Aarti Abraham


Practicing since :1998

Answered : 6011 Questions

Posted on Sat, 16 Aug 2014 in Pregnancy
Question: Hi Doc,
I took Siphene 100 mg from 9 - 13 July 14.
Today I went for scanning, and doctor gave the report as follows:
LO - 23x16(19.5mm)
18m, 19x12
RO 20x18, 16x22 (19mm)
EI - 8mm
Doc gave HCG 10000 injection also.
and asked to visit again after two days.
She said, 4 good sized folicles are there.
Is it a problem doctor?
Will there be pain during ovulation?
Is there any possiblity of ovulating more eggs together, and getting twins or more?
When is good date for intercourse.?
Doctor asked us to try all days in this week.
thank you XXXXXXX
Answered by Dr. Aarti Abraham 2 hours later
Brief Answer:

Detailed Answer:
Thanks for writing to us with your health concern.
Can you tell me when was your last menstrual period ?
As such, with 4 good follicles, chances of more than one follicle rupturing ( ovulating ) are high.
Ovulation is mildly painful, not such that you could not bear it, so do not worry.
Sometimes, if more than one follicle ruptures, excessive fluid collects in the pelvis, and it can get uncomfortable.
Painkillers mostly take care of it.
Yes, there is a chance of multiple pregnancy if more than one follicle ruptures.
After taking the HCG shot, you should remain sexually active for the next week , everyday or every alternate day.
That way chances of conception will be maximized.
First go for the scan after 2 days when you would know how many of the 4 follicles ruptured.
Then a fairly good idea would be had of what to expect.
Do not worry,as even in women who ovulate with more than 1 follicle, not 100 % of them have twins.
Just relax, do not stress out, as stress will impact this crucial time.
All the best
Please feel free to discuss anything further.
Wish you luck with this cycle.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
Follow up: Dr. Aarti Abraham 7 hours later
Thank you very much for this detailed answering.
My last period was on July 7.
Normally how many hours it will take to ovulate after the HCG injection?
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer:

Detailed Answer:
Hello again.
Thank you for the appreciation.
After a B HCG trigger shot, ovulation generally happens within 36 hours.
Take care, and please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Aarti Abraham 1 hour later
Thank you doctor for the answers.
Regarding to your question about last menstruation:
4-6 July: brown spotting
7: slight red bleeding
8-12 July : good bleeding.
We visited doctor on 8th and took medicine saphine : 9 - 13 July.
Now we really have tension about getting a triling or more.
We love to have twins.
But more than that is riskier...
Answered by Dr. Aarti Abraham 26 minutes later
Brief Answer:

Detailed Answer:
I think you are worrying too prematurely.
First, we do not know exactly how many follicles ruptured.
Secondly, triplets are very very rare.
Twins are more common, but then you are assuming that there is a 100 % guarantee that you will conceive in this cycle itself !
You are assuming too many things and worrying about many unnecessary ones.
The tension will negatively impact the results, so do not do that.
Please let me know how many follicles ruptured, before you know that, do not worry unnecessarily.
Twins and triplets are rare, and not every woman who conceives after clomiphene would have them.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Aarti Abraham 2 days later
Hai Doc,
Yesterday was my D11 Fscan.
Doctor told that All the eggs are ruptured and released.
From LO-No DF
All the three eggs released
RO- 15mm, 14mm
two eggs are released.
Free fluid in POD
I am very tensed.
Is it good ?
Chance of twins is high?
And prescribed progestrone tablet
Why progestrone tablet?

Answered by Dr. Aarti Abraham 4 hours later
Brief Answer:

Detailed Answer:
As such it is good because chances of pregnancy are high.
Since more than one egg has ruptured, chances of twins are also reasonably high.
But worrying about that now will affect your chances of conception, so relax, as I told you earlier.
Progesterone tablets are vital to support the growing pregnancy in case you conceive in this cycle.
So please take them, and do not stress out.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Aarti Abraham 4 minutes later
Thank u Doc,
We will keep in touch......
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer:

Detailed Answer:
Yes please do that.
Just relax, go for a leisurely holiday and take your mind off the results.
It will all work out for the good in the end.
Will be praying for you.
You have the direct link in case of any trouble, to write to me -
Take care.
Wish you luck.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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