Folliculometry is an ultrasound observation of ovarian activity, namely the degree of follicle maturation from the day the menstrual cycle begins. It is carried out to calculate auspicious days for conceiving a child.
When is the procedure needed?
The study is used in several cases:
- if the planned pregnancy does not occur for unknown reasons;
- with an irregular menstrual cycle;
- in preparation for in vitro fertilization (IVF).
- confirm the presence of ovulation and its period in order to correctly plan a pregnancy;
- evaluate the luteal phase of the cycle based on the characteristics of the corpus luteum;
- to establish the reasons for the violation of the cycle, maturation of the follicle and the work of the ovaries;
- control previously done folliculometry during IVF;
- monitor the general hormonal background and the state of the reproductive system.
How is folliculometry done?
The procedure is performed using a dual transducer ultrasound examination . A common question among patients – on what day of the cycle is folliculometry done? Usually – for 8-10 days, but if the cycle is irregular, the study begins earlier. Then repeat it several times as directed by the attending physician. shilajit
How to Prepare?
When preparing for folliculometry, it is worth adjusting the diet in a few days by excluding foods that cause increased gas production, for example, cabbage, legumes, black bread and carbonated drinks.
This is a necessary measure that allows you to get reliable results of folliculometry. After all, if gases are formed in the intestines, it is much more difficult to see the follicles.
It is important to check with your doctor about the method of examination. If transabdominal, then an hour and a half before the procedure, you need to drink about a liter of water. If transvaginal then the bladder should be empty.
According to the results of the study, the degree of probability of successful conception and the birth of a healthy child is determined, as well as the disorders that may prevent this. Shilajit
In the conclusion, the level of hormones is indicated, which indicates how successful ovulation is. Based on the data obtained, the doctor makes a decision on further observation and treatment.
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Folliculometry is a method of ultrasound diagnostics, with the help of which the doctor can observe folliculogenesis during the entire menstrual cycle. That is, with the help of such a study, it is possible to monitor the process of follicle maturation, as well as how the dominant one develops. Through such monitoring, the doctor can receive information about each phase of the menstrual cycle. The main task of folliculometry is to determine a suitable day for conception. With its help, they determine the date of ovulation, the presence of pathologies, find out whether artificial stimulation is needed, and observe the development of the endometrium.
In “SM-Clinic” folliculometry is carried out using modern high-tech equipment of the latest generation, which guarantees accurate and informative results.
Folliculometry is prescribed by a gynecologist in order to confirm or exclude pathologies and monitor the ovulation process.
Among the main indications for diagnostics are the following:
- Lack of pregnancy for a long time.
- Determining the most suitable time for conception.
- Ovarian assessment.
- The need to stimulate ovulation.
- Hormonal disruptions.
- Determination of the structure of the ovaries.
- Counting “spare” eggs.
- Insemination planning.
- IVF protocol planning.
- Diagnosis of pathologies of the genital organs: fibroids, cysts, hypoplasia.
- Determination of the usefulness of the menstrual cycle.
- Hypomenorrhea or oligomenorrhea.
- Dysfunction of the sex glands.
- Lack of ovulation.
Contraindications to ultrasound folliculometry
There are no contraindications to ultrasound diagnostics, since the method is absolutely safe for the human body.
Preparing for folliculometry
No special training required. A woman needs to follow a few simple guidelines, in particular, adhere to a special diet. Also, before the procedure, you should not eat foods that cause gas formation. These products include:
- flour products;
- carbonated drinks.
An hour before the transabdominal folliculometry, it is recommended to drink 1 liter of water and not go to the toilet. On the other hand, before a transvaginal procedure, the bladder must be emptied.
When folliculometry is performed
The specific date is determined by the gynecologist through simple calculations. The study dates depend on the length of the cycle. Moreover, in each case, the doctor individually selects the number of procedures and the interval between them.
How is the procedure carried out at the “CM-Clinic”
Folliculometry is performed in two ways: transabdominal and transvaginal.
With the transabdominal method, the patient lies on her back, frees her stomach from clothes to open the area from the pubis to the chest for diagnostic manipulations. Then the doctor applies a special gel and starts moving the sensor over the abdomen. As mentioned above, the patient must first drink a large amount of water so that the bladder is filled.
With the transvaginal method of examination, the patient takes off her underwear, lies down on her back and bends her knees. The diagnostician takes a vaginal probe, puts a condom on it and slowly inserts it into the vagina. During the procedure, the patient does not experience any painful sensations, only slight discomfort is possible. Before the examination, it is recommended to carry out hygiene of the genitals, as well as empty the bladder.
Decoding the results
The results obtained with folliculometry may vary. With their help, the doctor can immediately establish a diagnosis or determine the need for further research. For example, if a persistent follicle is detected, drugs are prescribed that restore the second phase of the cycle. If the egg is needed for IVF, diagnostics identify the day suitable for sampling.
The study also makes it possible to understand whether a woman needs additional stimulation of ovulation and how it should be carried out.
With the help of folliculometry, not only folliculogenesis is monitored, but also hormonal levels are monitored. Based on the results obtained, the doctor can issue a conclusion about the presence of deviations or about normal ovulation.
Normal ovulation is a condition in which the mature dominant follicle reaches 15-24 mm in size, then the egg breaks it and goes into the fallopian tube. A corpus luteum forms at the site of the follicle, and a small amount of fluid may appear behind the uterus. During this period, the amount of progesterone increases.
There is a peculiarity: when an infertile woman has a normal ovulation pattern, this indicates that the cause of infertility lies in the obstruction of the fallopian tubes or other factors.
What deviations the study reveals
Sometimes ovulation does not happen. This happens either once or it happens systematically. With the help of folliculometry, the following pathologies can be identified:
- This is a condition in which the follicle first grows and then begins to regress. Sometimes it grows up to 18 mm, but then it stops developing, decreases and disappears. The corpus luteum does not appear, the fluid behind the uterus.
- The follicle in this case develops normally, reaches the required size, but does not rupture. As a result, there is no ovulation, since there was no release of the egg. This condition can persist throughout the entire menstrual cycle, and sometimes several. The corpus luteum, fluid is also absent.
- Follicular cyst. Due to persistence, a cyst may develop. This occurs when the follicle continues to grow and grows larger than 25 mm. Since he does not ovulate, the volume is gained, as a result, a cyst appears.
- Luteinization occurs when a follicle formed, but did not ovulate, and a corpus luteum still appeared in its place. This deviation occurs due to the high content of luteinizing hormone during a period of time when the follicle is not yet ripe. This diagnosis may indicate pathology in the ovaries.
- Lack of development. In this case, the woman has follicles, but they do not grow. This often occurs due to polycystic disease or before menopause.