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Scan shows no dominant follicle. Reason?

i did scan on 10th day, 12th day and 14th day, scan centre said that again i have to cme on 16th day of my period for scan. all the three days reports says: No dominant folicille on Right overy and Left overy and Endometrial thickness is now at 6.9 (mm) i have showd the three days report to my doctor, she said, i can stop the folicular study. I have doubt that why there is no dominant folicille on my right overy and left overy, what is the reason for that??
Asked On : Thu, 31 Jan 2013
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Diseases and Conditions
OBGYN 's  Response
Thanks for the query,

Many factors are responsible for selection of dominant follicle.
Interaction between extra-ovarian and intra-ovarian factors that determine the fate of the follicle and the quality of the oocyte.

Hormonal imbalance between LH and FSH results in atresia of follicle without it being dominant.
PCOS is another condition where there are many small follicles and none being dominant.

Treatment is to start gonadotrophins in first half of the cycle.
Followed by folliculometry.

Reduce weight if you are overweight,
Eat balanced diet,
Have a stress free life.

Hope i have succeeded in answering your query.
You could write to me for anytime for further clarifications,

Dr Nilofer
Answered: Fri, 1 Feb 2013
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