Follicular Study

Follicular Study or Monitoring is a process of assessing the ovarian follicles at regular intervals to document the path to ovulation. It is a vital component in assessing and timing the in-vitro fertilization (IVF).

Follicular-Study The journey to ovulation can be listed in the following steps:

  • Dominant follicles from the prior menstrual cycle are selected for the next cycle. There may be about 3-11 follicles of about 2-5mm in size. This process is called “recruitment”.
  • Of the recruited follicles, certain follicles are selected (size about 5-10 mm) during day 1-5 of the menstrual cycle. This is called “follicular selection”.
  • Of the selected follicles one of them dominates the others during day 5-7 of the menstrual cycle. This process is called “dominance”. It reaches a size of 17-27mm.
  • Rapid follicle growth takes place on nearing ovulation . The follicle starts protruding from the ovarian cortex and explodes to release the ovum along with some antral fluid.

 Transvaginal ultrasound beginning from Day 3 of the cycle helps monitor the follicles

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