What should I do if the follicle doesn't break after injecting human chorionic gonadotropin?

Patient's question:

The doctor told me to wait and see, and to return to the hospital for a check-up on the 5th day of my next menstrual period to rule out any issues. I have been pregnant once before, and have been trying to conceive for a year now. Last month, I had an ultrasound, and the fallopian tubes were found to be open. My menstrual cycle is usually 33-36 days long, and the amount of blood flow is also normal. I have tested ovulation using ovulation predictor kits and basal body temperature methods, and the results were normal.
On day 20 of my cycle, an ultrasound showed a 2115 mm follicle, and then the doctor prescribed me injections. On day 22, when I returned for monitoring, it was found that ovulation had not occurred. I was injected with 10,000 units. Could this be follicular atresia? This is my first time monitoring ovulation with an ultrasound—it’s a natural cycle, and I haven’t taken any fertility drugs. Should I go back to the hospital for further monitoring?

Doctor's answer:

Hello, based on your condition, it is related to low hormone levels. It is recommended to strengthen nutrition, drink more water, and use the method of injecting gonadotropin combined with oral Chinese medicine treatment. There are many factors that can cause follicle puncture, and patients need to be treated in a timely manner. It is suggested to go to a Grade III-A hospital for treatment. Pay attention to the development of the condition and avoid treating it recklessly. In daily life, it is essential to develop good living habits and maintain personal hygiene. I wish you a speedy recovery!

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