Follicular Study

Everything You Need to Know About Follicular Study

What is follicular study?

A follicular study is basically a series of ultrasound scans done transvaginally ( through the vagina ) to determine the patient’s ovulation time. During the follicular study, the doctor scans the ovaries for developing follicles on a regular basis during the menstrual cycle and also monitors the follicular growth and its release.

It also helps to determine the total number of mature eggs that are likely to ovulate. Couples are informed about the study result and are told about the status of developing follicles; therefore, doctors advise for timed intercourse or Intrauterine Insemination (IUI) or proceed with IVF. During follicular monitoring, the doctors also scan the uterus to determine endometrial health by looking for its thickness, nature ( as trilaminar or hyperechoic), and blood flow. If endometrial thickness is at least more than 7.5 to 8.0mm and trilaminar in nature before ovulation with good blood flow chances of implantation and pregnancy are higher.

Everything You Need to Know About Follicular Study

Uses | When Necessary | Procedure | Follicle size | Side Effects | Success Rate | Costs | Advantages

Use of a follicular study

The use of this study is to determine the number and growth of active follicles in your ovaries. The active follicles are most likely to contain an egg and hence these studies can predict ovulation effectively. Ovulation the time of the release of an egg from the follicle in the ovary. Therefore your doctor can guide you regarding the fertile window for trying the natural conception. By doing a follicular study we can optimize the time for trial for natural conception also.

After the scan is completed, a couple can opt for planning pregnancy when the ovulation is likely to begin. In case the pregnancy is to take place with the help of fertility treatments, the reports of the study can help to know the presence of the active follicles. Doctors and couples can also know the appropriate time for extracting the egg that can help in fertilization.

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When is follicular monitoring or tracking necessary?

Any woman who is trying to conceive can opt for follicle tracking. It is generally advised as the first line of treatment for those who cannot conceive for more than a year. The age of the woman plays a significant role among those couples who cannot conceive. This is because women who are aged cannot produce good eggs.

If younger than thirty-five years of age but are not able to conceive for the past year. If older than thirty-five years and trying to conceive actively for the past six months without success.

If a woman has PCOS/PCOD( Polycystic Ovarian Syndrome/Disease) and is not aware of the time of ovulation or not sure if are ovulating at all.

Follicular monitoring helps in diagnosing whether the cycles are ovulatory or anovulatory that is whether the egg is maturing and releasing or not. Follicular monitoring is also important if you are on fertility drugs to initiate ovulation, it helps to assess the response to drugs and rule out any side effects as multiple follicles. If you are undergoing advanced fertility treatment like IUI or IVF, then also follicular monitoring plays an impeccable role.

How does Follicle Tracking Works?

Follicular monitoring is performed by a trained fertility specialist or ultrasound doctors. The ultrasound can be done by transvaginal or and abdominal ultrasound though It is preferred internally or transvaginally as it is more accurate and more informative. The timing of the same is decided by your cyclical pattern.

A baseline follicular scan is also preferred on Day 2 of the menstrual cycle at the start of fertility treatment. Follicular studies typically start around day nine or ten of the menstrual cycle and go on till the release of the developing follicle.

Follicle size for ovulation

Before ovulation, the average diameter of the dominant follicle is 22-24 mm. The dominant follicle grows fastest and has the largest volume. However, the growth of follicles does not mean that they contain mature eggs.

Side Effects of a Follicular Ultrasound Scan

There are no side effects of a follicular ultrasound scan.

The success rate of follicular study

The success rate of follicular study depends upon the age and medical history of a woman. But the research has an excellent success rate.

Follicular study cost

The cost of follicle tracking ranges between Rs.400 for one session Rs.2000 package.

Advantages of Folliculometry

There are many advantages to folliculometry. They are:

  • Sometimes follicles are unable to grow till their optimum size of rupturing can be diagnosed. It can be analyzed with folliculometry.
  • Can diagnose unruptured follicle syndrome that is follicle grows to optimal size but fails to release.
  • Sometimes some follicles remain undetected. Folliculometry helps to detect them.
  • It helps to detect the luteal phase of deficiency.
  • Helps to diagnose endometrial problems which can lead to failure of conception.
  • Complications can be detected very early and treated as well.
  • It also guides treatments with the help of injections and ovulation-inducing drugs.

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Hi, I and my wife Garima got married in 2013, and it's been 7.5 years since we had no children. We went to three-four doctors before visiting Gunjan IVF world. Then we went to Gunjan IVF center, where Doctor Gunjan ma’am guided us so friendly and she advised us to go for IVF. With their positive hands, we cracked in the first go and now we are blessed with twins. Especially, the team is too very cooperative they give you an environment which makes you feel very positive and comforting

Rohit Krishna Gupta

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We started the treatment with Dr. Gunjan in the year 2018 when my wife had an ectopic pregnancy. The key thing in this relationship was that we trusted the doctor blindly and the doctor also put their best efforts to help us in getting the good news. Hope everything will go positively. Thank you, doctor. Last but not least, Mr. Gaurav, the COO of Dr. Gunjan Hospital, is the biggest reason to have this long association with the doctor and the treatment. Always got positive thoughts and suggestions from him and they helped a lot. Thank you, Gaurav Ji.

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