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Follicular Imaging in Bhubaneswar

Follicular Imaging in Assisted Reproduction

Follicular Imaging in Bhubaneswar

Follicular imaging, also known as follicular studies or follicular monitoring, is an important part of determining the timing and effectiveness of in vitro fertilisation. Follicular Imaging in Bhubaneswar is an essential component of IVF assessment and timing. It employs a simple technique for measuring ovarian follicles regularly and investigating the ovulation process. Medical specialists analyse follicle development in the ovaries to determine when the next egg will be produced. Follicular monitoring can assist in determining when one will ovulate. It aids in the planning of intercourse during that time, increasing the likelihood of pregnancy significantly. It is also useful in identifying ovulation-related disorders. Some of these issues may be affecting your pregnancy as well. However, follicular imaging plays a crucial role in assisted reproduction. Manipal Hospitals, Bhubaneswar, has a dedicated fetal medicine centre, providing assisted reproduction procedures and techniques through a team of experienced doctors. 

 

FAQ's

Women with the following conditions need to have follicular tracking:

  • It is frequently recommended for women who don't know when they're ovulating, have had miscarriages, or are taking clomid or FSH. 

  • If a woman does not know when she is ovulating despite using prediction kits, she may need follicle tracking. 

  • Women who have experienced miscarriages in the early stages of pregnancy can use these scans to determine why they occurred. 

  • Women who have been taking medications to promote ovulation or to treat other conception-related issues.

A follicle scan is performed multiple times during a woman's menstrual cycle, typically between days 9 and 20. The scan detects when a follicle ruptures, releasing the egg. Follicle scans can also be used for a variety of other purposes, including: 

  • Follicles that do not develop until the time of rupture can be diagnosed. Certain follicles do not develop at all. The scans help detect them. 

  • Certain dominant follicles do not rupture. The endometrial lining may be insufficiently thick or of poor quality. 

  • Scans can be used to determine the time of ovulation for assisted pregnancy. 

  • They aid in the planning of therapies with ovulation-inducing medications or injections.

  • Finally, follicular scans can reveal luteal phase insufficiency. 

  • Doctors and medical specialists closely monitor these issues to ensure that any problems are identified and corrected as soon as possible.

Follicle tracking is a series of vaginal ultrasound scans that take approximately 5–10 minutes to complete. Follicle development begins on the ninth day of the cycle. The scans will continue until the follicles have vanished and ovulation has begun. The couples are then encouraged to have intercourse. It aids in conception by optimising the time of the sperm and egg encounter. The doctor checks the size of the follicles. He also measures the thickness of the uterine wall, or endometrium. A Doppler scan may also be used to monitor blood flow to the follicle and endometrium.

A mature follicle measuring between 18 and 25 mm and an endometrium measuring more than 10 mm are typically regarded as normal for a healthy pregnancy. 

A woman is born with millions of immature eggs in her ovary, waiting to be released. During ovulation, a developed egg is expelled through the fallopian tube and is ready for fertilisation. Since an egg and a sperm combine to make a baby, the uterine walls thicken in preparation. If there is no fertilisation, the body will lose both the uterine lining and blood as part of the monthly menstrual cycle.

A follicular study is performed using a transvaginal ultrasound to evaluate the ovarian follicles and acquire photos of the internal organs for further analysis. Scans are performed by inserting a tiny plastic probe into the vagina. The doctor will be able to estimate the moment when the egg will be released, allowing a couple to plan intercourse at that time to increase their chances of conception. The tissues carrying eggs and the thickness of the endometrial lining are examined to identify when the patient is likely to ovulate.

In addition to detecting when the follicle ruptures and releases the egg, a follicle scan can also show: 

  • Follicles that don't grow 

  • Follicles that burst prematurely 

  • Implantation of the egg into the womb's lining 

Tracking these difficulties allows the patient and medical team to keep an eye on everything and detect problems early on. 

If you have a lot of follicles, you have the ability to release more eggs, increasing the likelihood that one of them will be healthy enough to result in a successful pregnancy. The quality of your eggs is impacted by both age and lifestyle.

When discussing the role of hCG (human chorionic gonadotropin) injection in follicular studies, once the dominant follicle, approximately 20 mm in size, has been monitored, an hCG shot is administered to trigger the mature follicle to rupture and release eggs, leading to ovulation.

A transvaginal ultrasound is not usually painful, but it can be uncomfortable or embarrassing. When the scan is performed externally on the belly, it is comparable to any other ultrasound, with the gel being chilly but not unpleasant. 

In general, no preparation is required before a follicular examination. Unless your doctor says otherwise, you can eat and drink regularly, as well as take your medications.

Many hormonal changes occur during the preovulatory or follicular period, preparing the body for ovulation. FSH (follicular stimulating hormone) levels rise, resulting in the release of oestrogen and inhibin. LH (luteinizing hormone) levels rise during this time, causing a positive feedback loop with oestrogen, resulting in a spike.

The next steps after a follicular study are based on the results of the procedure.

  • If the research confirms normal ovulation, doctors may suggest timed intercourse or intrauterine insemination (IUI). 

  • Fertility medicines may be provided to women who have irregular ovulation to boost egg production. 

Gonadotropins, including luteinizing hormone (LH) and FSH, are important endocrine hormones that influence follicular development by increasing enzymes involved in androgen production in theca cells (LH), oestrogen production, and granulosa cell proliferation and differentiation (FSH).

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