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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Cyst Formation Due To Ovulation Induction Medication Cause Any Problem?

I have been trying to get pregnant since the last 5 months but everything in vain. Met a gynecologist and she suggested ultrasound follicular study.

But when ultrasound scan was done the dominant follicle was 26 mm on 17th day and so my doc was worried.

Another ultrasound on 26th day showed ovulation had occured. But inbetween this cycle we had relations. And the next cycle actually was

delayed by some 5 days which had never previously occured in my case. But unfortunately I got my periods some 5 days later.

(As I get my periods regularly and get it exactly on the 29th or 30th day). But during that time i was really stressed and had a heavey workload.

Does that mean may be i was about to concieve but something happend? Can you explain this?

All the tests including TSH,FSH,Hb,Fasting sugar,prolactin and LH have been done and all the results are very normal.

Only that the follicle doesnt ovulate in the normal size. So doctor advised for induced ovulation in the next cycle and i started taking fertyl

from the 5th day of my cycle and continued till the 9th day. When an ultra sound was done on the 12th day,

it revealed 2 big follicles one 33mm and the other 27 mm. The 33 mm one she categorised as cyst,

but she told me to do an ultra sound the very next day to make sure if ovulation will occur or if the induced ovulation injection can be given.

The next day the cyst measuring 33 mm had increased to 38 mm but ther was not much of a change in the 27 mm follicle. So doctor advised me

not to take the injection as it looked like some hyper-activity. And wait for another 2 cycles till this subsides. I am worried

because of this cyst formation due to the induced ovulution drug that she administered. Will it be a serious problem in future?

And is the cyst size of 27mm too large or ripe to even ovulate? should I get into some other medication, or wait and try for another 3 months?
Mon, 27 Feb 2017
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Infertility Specialist 's  Response
Hi, the cysts is not much of a problem. They resolve in 2 to 3 months. But I think in your case it is better to start the ultrasound from 2nd day of your periods. It will tell exactly regarding the status of your follicles. You can monitor your cycles every 2 to 3 days. Don't take any medicines. When follicles size reaches 18 to 20 mm, take injection for rupturing the follicles. It will make sure your follicles rupture at a normal size. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question.
Regards
Dr khushboo
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Will Cyst Formation Due To Ovulation Induction Medication Cause Any Problem?

Hi, the cysts is not much of a problem. They resolve in 2 to 3 months. But I think in your case it is better to start the ultrasound from 2nd day of your periods. It will tell exactly regarding the status of your follicles. You can monitor your cycles every 2 to 3 days. Don t take any medicines. When follicles size reaches 18 to 20 mm, take injection for rupturing the follicles. It will make sure your follicles rupture at a normal size. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo