Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, i have PCOS problem and i am planning for pregnancy, right  now i am using APCOD and simultaneously  planning for children and recently i had follicular study after menses which states that Retroverted. Uterus measures 5.7 x 3.0 x 3.7 cm, Normal size and shows multiple nobothian cysts seen in cervix. Endometrial echo thickness is measures 4.9mm. Ovaries: Right ovary: 3.4 x 2.1 x 2.0 cm (Volume 8cc)Left ovary: 3.6 x 2.4 x 1.6 cm (Volume 7cc)Multiple small follicles seen in both ovaries.No evidence of free fluid noted in pouch of douglas.10 th day  Right ovary follicle : 11 x 7 mm , Left ovary follicle 11 x 6 mm and Endometrial 4.9 mm12 th day Right ovary follicle : 11 x 7 mm, Left ovary follicle 11 x 6 mm and Endometrial 5.4 mmI request you to please suggest as doctor suggested to take injection.Is there any development in my folicullar study. I request you to please suggest to conceive.Thanks you and waiting for you reply
[|AI|]  Hi, I guess you concern is about follicular development and about the injection. Usually a scan to assess follicular size is done from the 10th day of menstrual cycle. This scan is done consecutively for 4 to 5 days. It is difficult to comment on the follicular size based on 2 days scanning. So it is difficult for me to comment on your follicular size query. Still, 11.7 mm on two different scan days may tell inadequate follicular development. However, your follicle may increase in size in next few days and in the scan report it may show that your follicles are developing. So it is difficult to comment on these two scan findings. Your next concern about the injection. Usually the standard protocol is to give injection 16-20 mm sized follicle to rupture. Though, based on the treating doctor practical experience, he may decide the timing of injection. My advice:1. Get consecutive 4 to 5 days scan done to comment on the follicular development.2. Request your treating doctor to discuss freely about the timing of injection. I hope this information is useful, informative and helpful. Let me know if I can assist you further.