Patient's question:
Last month's hormone test indicated a possible diagnosis of polycystic ovary syndrome. On the 22nd of this month, I took Clomiphene for five consecutive days. Today is the 28th, and I had an ultrasound in the morning. There is one follicle in each ovary, with sizes of: right 1.91.5cm; left 1.81.1cm. Because last month's ultrasound revealed two overly large follicles that eventually burst but did not lead to pregnancy, on the 28th, following the doctor's advice, I received 5000 N.C.G and had sexual intercourse with my husband. On the 29th, I tested again, and the follicles were right 2.01.6, left none; however, today on the 30th, the ultrasound showed the follicles were right 1.51.1, left.Doctor's answer:
Hello! Ovulation induction is generally considered successful when the follicle size is greater than 18 millimeters, and human chorionic gonadotropin (HCG) can be used for this purpose. Typically, within 36 hours of using HCG, the egg is released. I don’t know whether you used a vaginal ultrasound or an abdominal ultrasound to monitor the follicle. There are some concerns about the follicle measurement you provided. In principle, any follicle measuring 5 millimeters or larger should be documented. I recommend you continue monitoring. Do not administer HCG injections anymore. In the coming days, increase the frequency of sexual intercourse. When you recheck, pay attention to the endometrial thickness and the three-line structure. Also, check for any fluid accumulation in the rectal pouch. Please wait for further observation before contacting me again.