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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Planning For A Child. Have Follicular Issues. Given Ovigyn D, Fertomid, Siphene. When Do We Expect Ovulation?

I have been planning for a child since four years ; all tests are fine, this cycle doctor gave me Ovigyn D . igot my follicular maturation test done till 17th day , still ovalution hasnt occured. will i ovulute this cycle .. the folical cycle size is 10.2*10.1... am i on to correct medicine. last three cycles i took fertomid/ siphene and had one/ two follicles 20mm*19mm on day 11
Mon, 28 Oct 2013
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OBGYN,  's  Response
Hello
Thanks for your query.
On day 17, obviously the follicle size is not adequate.
If your cycles are regular, then on day 14, the follicle should be around 18 - 20 mm, as has occurred in previous cycles with siphene.
This cycle you seem to be anovulatory.
there could be various reasons for this, commonest being PCOD ( polycystic ovarian disease )
If you do not conceive in response to oral medication for ovulation induction, injectable gonadotropins can be used in combination with IUI ( intra uterine insemination ) for best results.
This is best done after assessment of the fallopian tubes to check their patency.
take care.
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Planning For A Child. Have Follicular Issues. Given Ovigyn D, Fertomid, Siphene. When Do We Expect Ovulation?

Hello Thanks for your query. On day 17, obviously the follicle size is not adequate. If your cycles are regular, then on day 14, the follicle should be around 18 - 20 mm, as has occurred in previous cycles with siphene. This cycle you seem to be anovulatory. there could be various reasons for this, commonest being PCOD ( polycystic ovarian disease ) If you do not conceive in response to oral medication for ovulation induction, injectable gonadotropins can be used in combination with IUI ( intra uterine insemination ) for best results. This is best done after assessment of the fallopian tubes to check their patency. take care.