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What does this follicular study report indicate?

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Posted on Mon, 14 Sep 2015
Question: Hi,
I have gone thru Follicular Study (TVS Probe) this morning.
The report says
Uterus measures: 6.1 x 3.5 cms
Right Ovary measures: 3.2 x 1.8 cms
Left ovary measures: 2.3 x 1.3 cms

Follicles in right ovary: 2 DF noted
1.3 x 0.9 cms
1.5 x 0.9 cms

Follicles in left ovary : NoDF
Endometrial thickness: 7mm
Pouch of XXXXXXX : NoDF
Can you help understand these values and what are the normal range values expected in correspondence to my report.
Can I expect pregnency in this cycle or does it require any treatment for corrections.
doctor
Answered by Dr. Richa Agarwal (7 hours later)
Brief Answer:
Need more information.

Detailed Answer:
Hello dear,
Thanks for trusting me about your health care.
Sorry for the delay in my response.
I have gone through your history and understand your concerns.
Usually follicle size should be 16-22 mm in diameter to get rupture.
In one cycle their is only 20-25% chance of pregnancy.
In my opinion before going to any medical treatment one should try for atleast one year.
Your report is showing normal size of uterus and ovaries and follicle size is quite low and endometrial thickness is normal.
But before giving my opinion I would like to ask a few questions.
You had ultrasound scan on which day of menstrual cycle?
For how long you are trying to conceive?
Normal cycle length?
Are you having any medical condition or everything is normal?
What about your hormonal profile?
Please get back to me with your reports.
Hope to hear from you soon.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (1 hour later)
Hi,
Here are the answers to your questions.
You had ultrasound scan on which day of menstrual cycle?
Day 11.
For how long you are trying to conceive?
Its been 2 years to our marriage, trying if things work out normally with no luck.
Normal cycle length?
25 days and we used medication to correct if menstrual cycle is being early 5 days every month 6 months before. It was 30 days cycle while using tablets and again normal back to 25 days cycle from past 6 months once I left tablets.
Are you having any medical condition or everything is normal?
Normal.
What about your hormonal profile?
Not sure the answer for this question. suggest if you want me to get any investigation to know hormonal profile.
doctor
Answered by Dr. Richa Agarwal (4 hours later)
Brief Answer:
Everything is normal.

Detailed Answer:
Hello dear,
Sorry for the delay.
With your follicular study at day 11 every parameters are within normal limit but are you ovulating or not?
Because as you said in 25 days cycle usually ovulation occur around 11th -12th day.
If you had sex around your ovulation time and your follicle size increases upto 18-22 mm. than it may get rupture and chances of pregnancy is there.
As you are trying from last 2 yrs.with no success rate( with all normal reports) in my opinion you should check for whether you are ovulating or not.
You can go for hormonal profile( LH, FSH, prolactin, thyroid,testosterone, estrogen levels).
Can you please send your ultrasound report and husband semen analysis report?so I will be able to guide you better.
Are you overweight?
Hope to hear from you soon.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (10 hours later)
Hi
I am attaching the Follicular Study Report, Ultrasound and my husbands Semen Analysis reports, My weight is 58 Kgs.
Last time when I used medicines was in the month of Feb 2015.
Tablets All-9 for 3 months when I tried for pregnancy and left / not using from Feb 2015 after trying for 3 months. Appreciate your help on complete study on my reports and provide a good direction.

Thanks.

doctor
Answered by Dr. Richa Agarwal (6 hours later)
Brief Answer:
Need more information.

Detailed Answer:
Hello dear,
Sorry for the delay in my response and thanks for your kind word.
I have gone through your uploaded reports and in my opinion your husband semen analysis is not normal.
Is he taking something to improve his sperm motility?
Your report is fine but are you calculating your ovulation time and fertility period?
Have you done your hsg ( hysterosalpingography) test?
Your thyroid and prolactin levels are fine or not?
You can continue all day 9 tablets which are helpful to conceive fast.
Hope to hear from you soon.
Good luck.
Regards

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

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Practicing since :1999

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What does this follicular study report indicate?

Brief Answer: Need more information. Detailed Answer: Hello dear, Thanks for trusting me about your health care. Sorry for the delay in my response. I have gone through your history and understand your concerns. Usually follicle size should be 16-22 mm in diameter to get rupture. In one cycle their is only 20-25% chance of pregnancy. In my opinion before going to any medical treatment one should try for atleast one year. Your report is showing normal size of uterus and ovaries and follicle size is quite low and endometrial thickness is normal. But before giving my opinion I would like to ask a few questions. You had ultrasound scan on which day of menstrual cycle? For how long you are trying to conceive? Normal cycle length? Are you having any medical condition or everything is normal? What about your hormonal profile? Please get back to me with your reports. Hope to hear from you soon. Good luck. Regards