What is Follicular Monitoring?
Follicular Monitoring is termed as the procedure of serial ultrasonic monitoring performed on Ovarian Follicles. The Scan is conducted to determine the maturity status of the eggs. The monitoring is beneficial as it helps in assessing the follicle growth which aids the development of eggs. It also helps to determine the thickness of Uterine Lining.
For the women undergoing fertility medication, follicular study helps in diagnosing the response to treatment. For safe progress, it is important to ensure the count of eggs that will ovulate. It ensures that the level of estradiol, produced by eggs should be between 150 and 200pg/ml.
In case of inadequate response, the treatments of fertility medications can be changed. If estradiol level increases, there are higher chances that women may develop Ovarian Hyper-stimulation Syndrome.
Ultrasound monitoring helps the doctor to determine the status of endometrium, uterus, and ovaries. Any abnormality in the results assists the doctor to state the difficulties that the woman may face while conceiving. It also helps in identifying the pelvic collection, ovarian cyst etc.
Dr. Anmol Sethi conducts all follicular monitoring ranging from baseline scan conducted on the 2nd Day followed by 6th and 9th Day, after which patient is prepared for further management.
How is Follicular Tracking Ultrasound conducted?
-The patient is laid down on the table, with her knees bent. The feet of the patient can be held in stirrups.
-The patient will be provided with a probe, termed transducer, which is placed in the vagina. The probe is protected with gel and condom.
-The probe is used to generate sound waves that reflect the body structure. The computer system receives these waves to create a picture. These tests are painless, though a few patients may feel little discomfort due to the pressure of the probe.
Results of Follicular Study
The following can be the probable results of Follicular testing:
-It provides the counts of developing follicles in the Ovary.
-The test report provides the rate of development of follicles.
-Determines Endometrial Thickness at various stages.
-Ensure the process of Ovulation takes place.
Ultrasound test for predicting success rate of IVF
The IVF studies are performed after ovaries are induced using ovulation inducing agents. In such cases, the determinants of success include:
-Stromal Blood Flow in Ovary
-Antral Follicle count
Ovarian volume can be measured easily, but it is not the only predictor of IVF outcome. This means low ovarian volume will not always result in anovulatory cycle. Still, it is necessary to understand the polycystic ovarian pattern. The follicle forming necklace shape and 10 or more follicles measuring less than 9 mm reveal the polycystic pattern.
Anstral follicle count under three signifies the possibility of failure of reproductive therapy.
Ovarian stromal blood flow is stated as an indicator of ART success.
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