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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Follicular Study Report Suggest?

Hello Doctor, I m under follicular study since my day9 I.e Monday. On day 11 my follicle size was 19mm so as prescribed I took hcg 5000 inj. Since then The follicle size has been increasing but has not ruptured yet. i took another HCG inj on Saturday. Today I.e Monday I again had USG and the size of all my follicles has increased. One of the follicles has reached to size 40mm and today fluid was seen. But it has not ruptured yet. What are the chances of rupturing and ovulation ??
Thu, 1 Feb 2018
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OBGYN,  's  Response
Hi there,
After going through your question, I am of the opinion that you are having an unruptured follicle.
1)The size of 40 mm is too big and it should have ovulated by now. Normally, a follicle ruptures when it is around 28 to 30 mm.
2) This means that the body is not responding to HCG injection. So, either the brand or the dosage must be changed.
3) Even if the follicle does rupture, chances of pregnancy is less as there is a possibility that the egg might have perished. The egg stays alive for 24 hours only.
4) Having said that, however, you need to keep trying for pregnancy.
5)Do not lose hope and wish for the very best.

Regards,
Dr. Shikha S
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What Does The Following Follicular Study Report Suggest?

Hi there, After going through your question, I am of the opinion that you are having an unruptured follicle. 1)The size of 40 mm is too big and it should have ovulated by now. Normally, a follicle ruptures when it is around 28 to 30 mm. 2) This means that the body is not responding to HCG injection. So, either the brand or the dosage must be changed. 3) Even if the follicle does rupture, chances of pregnancy is less as there is a possibility that the egg might have perished. The egg stays alive for 24 hours only. 4) Having said that, however, you need to keep trying for pregnancy. 5)Do not lose hope and wish for the very best. Regards, Dr. Shikha S