Does follicular size affect pregnancy?

Hello,

Welcome to icliniq.com.

I can understand your concern.

Thanks for sharing all the details. Here is a helpful summary of your situation and what steps you can take next.

Your Situation:

1. You are 25 years old, trying to conceive for five months.

2. Irregular periods (delayed last month by one and a half months).

3. Took Primolut N (a hormone to induce periods).

4. Now, your period is five days late, again.

5. You are taking folic acid (Q-Folic), which is great when trying for a baby.

What could be happening:

1. Irregular ovulation – If you are not ovulating regularly, it is harder to conceive.

2. Hormonal imbalance – Conditions like PCOS (polycystic ovarian syndrome) or thyroid issues can cause delayed periods.

3. Stress or weight changes – These can affect your cycle, too.

4. You could be pregnant this month – Consider doing a pregnancy test now.

Next steps:

1. Take a urine pregnancy test now. You are five-plus days late, so it is the right time to test.

2. Check your follicle size and ovulation. Ask your gynecologist for a follicular study (ultrasound monitoring) between days 10 and 16 of your cycle. It shows if your ovaries are releasing eggs properly and what the follicle size is. A mature follicle ready to ovulate is usually 18 to 24 mm.

3. Blood tests may help, too. Ask your doctor about: AMH (anti-mullerian hormone), FSH (follicle-stimulating hormone), LH (luteinizing hormone) for ovarian function, TSH (thyroid-stimulating hormone), and prolactin.

4. PCOS screening if you have irregular cycles and other signs like acne or facial hair.

5. Keep taking folic acid. That is good for both fertility and a healthy pregnancy start.

Would you like help writing a message to your gynecologist or understanding what a follicular scan report means? I can also help you track ovulation naturally if you are not doing follicle scans yet.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.