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An ovarian follicle is a roughly spheroid cellular aggregation set found in the ovaries.It secretes hormones that influence stages of the menstrual cycle.In humans, women have approximately 200,000 to 300,000 follicles at the time of puberty, [1] [2] each with the potential to release an egg cell (ovum) at ovulation for fertilization. [3]
Gynecologic ultrasonography or gynecologic sonography refers to the application of medical ultrasonography to the female pelvic organs (specifically the uterus, the ovaries, and the fallopian tubes) as well as the bladder, the adnexa, and the recto-uterine pouch. The procedure may lead to other medically relevant findings in the pelvis.This ...
The follicular phase, also known as the preovulatory phase or proliferative phase, [1] is the phase of the estrous cycle (or, in primates [2] for example, the menstrual cycle) during which follicles in the ovary mature from primary follicle to a fully mature Graafian follicle.
This can be done with either a blood test or another ultrasound exam to visually count the number of follicles (i.e., the small fluid-filled sacs that hold one mature egg) on the ovaries.
The follicle first forms a corpus hemorrhagicum before it becomes a corpus luteum, but the term refers to the visible collection of blood, left after rupture of the follicle, that secretes progesterone. While the oocyte (later the zygote if fertilization occurs) traverses the fallopian tube into the uterus, the corpus luteum remains in the ovary.
In the tertiary follicle, the basic structure of the mature follicle has formed and no novel cells are detectable. Granulosa and theca cells continue to undergo mitotis concomitant with an increase in antrum volume. Tertiary follicles can attain a tremendous size that is hampered only by the availability of FSH, which it is now dependent on.
In humans, when follicles mature, usually only one becomes dominant. [2] Only the dominant follicle(s) goes through ovulation, so there is usually only a single ovulation during each human menstrual cycle. The more mature follicles that are more sensitive to FSH, can use it to produce inhibin and estrogen through increasing aromatase activity ...
Under ultrasound guidance, the operator inserts a 16.5 gauge × 11.8″ (1.6 mm × 300 mm outer diameter) needle through the vaginal wall and into an ovarian follicle, taking care not to injure nearby organs and blood vessels. The other end of the needle is attached to a suction device.