Hi, Am 26 years old and trying to concieve for 1.5 years now. I had a follicular study done this week with clomipure 50 on day 2 to day 7. On 14th day have MSF on both the ovaries. Is there a chance of geting pregnant this month?Also I have done 2 follicular studies earliar, and had a rupture on day 14 and day 18 with dominant follicles of size 21mm. why am i not having any dominant follicle this cycle.. am worried but my doc says its a kinda normal..
Hi, Absence of a dominant follicle indicates failed induction to complete maturation. This can happen if the dosage is insufficient or if insulin resistance is an associated factor which can easily be corrected through Metformin; hyper-prolactinemia if present should be corrected. Proper monitoring and follow up should be done while under treatment and standard protocol followed before planning induction. This includes complete hormonal profile, glucose tolerance test, tubal patency check and male factor assessment apart from a complete physical evaluation and trans-vaginal sonogram. Hope this helps.