What does the following follicular study report suggest?
Patient: Hello, My periods are regular ( 27-30 days cycle usually) and i have PCOS/2nd cycle with clomiphene- In last month my first cycle follicle got ruptured after 2.0X1.1cm (right ovary: day 17th). But didn t concieved after that this month s cycle again with clomiphene 50mg and follicle size is 1.3×1.1 & 1.6×1.4cm (RO: day 12th) and on 2nd scan 1.4X1.5 & 1.4X1.6cm (right ovary: day 15th) but my gynecologist told me it s not growing significantly this time and suggest me to see a infirtility specialist. Please suggest what might be the reason for advicing this? And why my Dr. Suggested me directly to visit infirtility specialist instead of further treatment ?? Also is it so ovaries function in alternations? Because in my case it is Right ovary since last 3 months which is showing maturing follicle!! Doctor: Hello,thanks for choosing healthcare magic for your query...first of all I want to tell you that generally ovulation happens on alternate side but it's not a rule so for now relax about that.This is your second cycle with clomephene 50 mg. We can wait until 20-22 days of cycle for ovum to get fully mature. Your egg is not growing enough but we can wait.As your Gynaecologist has advised you to visit infertologist, so there are many factors which needs to be considered in Patients trying to conceive. If your doctor is advising you for more expert opinion then that doesn't always mean that there is something which is worrisome.You may need to take some injections ideally which should be given in particular facilities.So relax and take infertologist's opinion.I hope this helps. Feel free to contact if any further queries.Regards,DR TEJASHREE BHORGYNAECOLOGIST, DHANORI, PUNE