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Regarding antral follicle count, with the GnRH antagonist protocol initial follicular recruitment and selection is undertaken by endogenous endocrine factors prior to starting the exogenous hyperstimulation. This results in a smaller number of growing follicles when compared with the standard long GnRH agonist protocol.
A physician may use a transvaginal ultrasound to visualize and count the number of antral follicles in each of a woman's ovaries in order to determine her ovarian reserve; however AFC is not predictive of embryo quality. [12] A higher number of antral follicles indicates a higher likelihood of pregnancy by IVF.
There are three categories when performing an ultrasound to cheek the antral follicle count: Low follicle count (1-3): low ovarian reserve and increased risk of menopause in the next 7 years. Normal follicle count (4-24): Normal follicle amount for women in reproductive age. High follicle count (>=): High risk of hyperandrogenism. It has been ...
[citation needed] Risk factors include polycystic ovary syndrome, young age, low BMI, high antral follicle count, the development of many ovarian follicles under stimulation, extreme elevated serum estradiol concentrations, the use of hCG for final oocyte maturation and/or release, the continued use of hCG for luteal support, and the occurrence ...
During ovulation, the follicle releases the egg, the fluid gets discharged, and the follicle shrinks. If the follicle does not release an egg or dispel the fluid, it can become swollen, forming a ...
During ovulation induction, it is recommended to start at a low dose and monitor the ovarian response with transvaginal ultrasound, including discernment of the number of developing follicles. Initial exam is most commonly started 4–6 days after last pill. Serial transvaginal ultrasound can reveal the size and number of developing follicles.
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The ovary is generally thought of as an egg bank from which the woman draws during her reproductive life. The human ovary contains a population of primordial follicles.At 18–22 weeks post-conception, the female ovary contains its peak number of follicles (about 300,000 in the average case, but individual peak populations range from 35,000 to 2.5 million [3]). p The size of the initial ...