9'th,11'th and 13'th day in a 28 day menstrual period. The purpose of the ultrasound is to find a leading follicle and to identify ovulation. Ovulation is reported when follicular size reaches 21-23 mm and is characterized by decrease in follicular size and fluid accumulation in the Douglas pouch. Progesterone level is an indirect evidence of ovulation and measurement is done on the middle of the luteal phase, day 20-23 . PCT is conducted and is normal.
Ovulation is identified by serial sonography.
4 three courses of clomiphene citrate. 1 Bilateral hydrosalpinx. 2 Unilateral hydrosalpinx. 3 Endometriosis 4 Pelvic abscess. 4 Non of the above.