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Follicular scan
I was in letrozole 2.5mg from 3nd day to 7th day..i did scanning on 12th day it mentioned as msf for both the ovaries..
Already i had 5 cycles of ovulation induction that time i have got good follicle but now why it is msf..what is the reason..will i get pregnant with this? Please suggest
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Hi good morning
Thnxs for your question
I need complete details regarding ur menes pattern and last menes date.
Need to review ur all reports so that I can advise u in better way.
Use my online consulting link so that we can discuss ur quary and advise you accordingly and guide u.
prac.to/drpanchani
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Dear don't get upset..
Your reproductive system made up of uterus, tubes, ovaries and under hormonal influences.. which work in rhythm and interact with each other...
In simple words this cycle, its not in rythum..
Nothing to worry ..
Consult your doctor again and ask all queries..
Next Steps
meet your doctor..
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U should take a break for atleast three mo the abd then with proper antagonist protocol u can conceive.
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Give a break of 2 cycles
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Continue follicular study till day 17, if still msf persists then its unlikely that u will get pregnant this cycle. This can happen sometime cause of some hormonal imbalance, dietary changes, weight gain or some illness. U may require higher dose of letrozole or injectables for ovulation induction next cycle. It is advisable that you go for next step of treatment or investigations after 5-6 cycles of failed ovulation induction like hysterolaparoscopy or IUI depending upon ur previous reports.
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Hello
Better u take a 3 month break before planning next follicular study
Next Steps
continue folic acid 5mg once daily
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Discuss with your gynaecologist regarding induction with injections for adequate response
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Hello, dear user thanks for consultation on Practo platform, msg means multiple small follicles, it is normal, as these are normal eggs in the ovarian cortex in various stages of development, if you have delayed periods, Hormonal imbalance, and ovaries in USG show multiple follicles at periphery with increased ovarian volume suggest pcoD, then for more details can consult with reports.
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It seems like you are either not responding to this particular medicine or the given dose...you can try planned relation from day12-18 in this cycle
But next cycle the dosage needs to be changed
Medications to be taken also depend on conditions like PCOD/ previous treatment etc
Next Steps
Start folic acid tablet
planned relation this cycle
next cycle change of dosage
contact if further query
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Reason for not forming a follicle in a particular cycle might mean that u are gonna have follicle follicle later if ovulation induction drugs are used
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Its possible you are resistant to the present protocol
I suggest the hormonal treatment and close usg monitor.
Unless you complete one cycle with hormones cannot predict next.
Prior to this get hormonal assay to ascertain PCOS.
GOOD LUCK
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Follicular response this time is not there however if no response this time probably the tablet or the dose needs to be changed
Your gynaecologist will decide on that
Next Steps
Maintain active lifestyle and healthy diet
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Dr. Arockia Virgin Fernando
Infertility Specialist
17 yrs exp
Bangalore
Hi,
Either it is no ovulation or you have ovulated already. Should have tried naturally that time. Try for iui next cycle.
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Dr. Anshika Jain
Gynecologist
6 yrs exp
Gurgaon
.
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Dr. Aseemita Debata
Social Obstetrics and Gynecologist
19 yrs exp
Gurgaon
Looks like this cycle you have very less probability of conception. So better you take a break from ovulation induction and then retry
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Dr. Padmapriya G V
Gynecologist
15 yrs exp
Bangalore
Hello ,
It is unlikely that you will conceive in this cycle . I would suggest you take a break from induction for a couple of months . Please visit your gynaecologist after that to decide on the further course of action ( change of medicines or increasing dose ) .
The good news is that you have been responding well to induction in your previous cycles , so hopefully you are pregnant soon !
Take care
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Dr. Himani Gupta
Gynecologist
25 yrs exp
Navi Mumbai
Pregnancy in this cycle unlikely. You must take a break from ovulation induction and give your body sufficient time to heal before opting for another cycle with GnRH analogue ( injectable medicine for ovulation induction)
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Dr. Manjusha Yetalkar
Gynecologist
26 yrs exp
Pune
As u did scan on 12 th day directly.u must have missed .it might have already ovulated on day 11 or day12 . .fs scan to be done day 3,9,11,and so on tobtracr growth.
Maintain Contact with husband today .and wait forv2 weeks for the results.
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Dr. Sumeetkaur Mehta
Gynecologist
14 yrs exp
Nagpur
Msf means your follicles didn't grow. You will need an increase in the dose. But only under supervision. These medications can be dangerous. Also you can take them only for 6 cycles
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Dr. Dipti Mulay
Gynecologist
13 yrs exp
Navi Mumbai
Every cycle is not the same. You have had good follicular development in the past. So maybe this is just one of those cycles where ovary took a break from responding to medication. That is okay. But considering the fact that you have already had 5 such cycles in the past, maybe it is time to evaluate further regarding the problem why you have not conceived yet. Consult the Gynaecologist for further studies for both you and your partner.
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