What does a 20 mm follicle signify on day five of menses?

Question

Hi doctor,

I am a female weighing 143 lbs, and my height is 5'6". A 20 mm follicle was found on day five of menstruation.

What does it mean?

I had a cramp from day four to day six. Last month, a 5.7 mm hemorrhagic cyst was found on the left ovary during day three, but this month it has disappeared, and now a 20 mm follicle has been found on the right ovary. Please help me understand what exactly this is.

Is this normal to find such a large follicle on day five?

Actually, I would like to get pregnant.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read and understood your problem.

Are your periods regular?

Thyroid-stimulating hormone (TSH), prolactin, hemoglobin (Hb), total count (TC), differential count (DC) levels, and cancer antigen (CA125) are all normal. Ultrasound of the pelvis suggests a follicular cyst, which is an unruptured follicle from the previous cycle and will disappear. It means there is a problem with ovulation; the follicle is maturing but not rupturing.

Did you take any infertility medicine?

You need to do your blood sugar fasting and testosterone level, too, and get your husband’s semen analysis. If all these are normal, then go for a hysterosalpingogram (HSG), an X-ray to see the tubes.

You can do this after six months of treatment if you have been trying for a baby only recently.

I hope it helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

A follicle can rupture on its own or may gradually dry up. No need to check size, but if the pain becomes severe, then you need to do an ultrasound in this cycle; otherwise, do it next cycle.

Yes, pregnancy is possible under such conditions.

I hope it helps.

Thank you.