What causes no follicles

summary

No follicles for women means that this can not be pregnant, this blow is not big enough? Different follicles in different people will have different performance, women without follicles is anovulation, so it is difficult to get pregnant. Everyone's understanding is different, so what are the reasons for women's lack of follicles? Let's have a look!

What causes no follicles

First: hypothalamic dysfunction, pituitary dysfunction, ovarian dysfunction, thyroid and adrenal cortex dysfunction and polycystic ovary syndrome. In addition to the above common causes, the non follicular manifestations caused by luteinized unruptured syndrome and other endocrine systems other than gonads are also the reasons that must be excluded one by one in the treatment process.

Second: from the eighth day of menstruation, B-ultrasound should be carried out every two days. The size, volume and shape of bilateral ovaries should be observed, and the size, number and time of follicles should be recorded. Until the follicle diameter reached 17 mm, it was changed to B-ultrasound detection once a day. Until the diameter of follicle reaches 20-23mm, it should be measured twice a day. Until ovulation.

Third: during follicle monitoring, we should not stop monitoring as soon as we see the dominant follicle or mature follicle. We should continue monitoring until we confirm ovulation or follicular dysplasia or follicular luteinization. Causes: the dominant follicles with dysplasia may gradually shrink and become smaller; some follicles will grow up to more than 30-40mm and cannot be discharged, resulting in ovulation disorder, aging and luteinization of follicles in the ovary; at this time, B-ultrasound can prompt reticular flocculent echo and strong light spots in the follicles, at this time, the basal body temperature may have increased. Some patients who use clomiphene for ovulation induction should start follicular monitoring on the second day after taking clomiphene; some patients with poor ovarian function have no or slow response to clomiphene, so attention should be paid to follicular monitoring.

matters needing attention

For the patients with long menstrual cycle, such as polycystic ovary syndrome, they often have sparse menstruation, and they only have a menstruation for more than 30 days, more than 50 days or even more than 90 days. Follicle monitoring can start from the 10th day. If there are more than 12mm dominant follicles, they should be monitored once a day or every other day; If there is no dominant follicle, it can be monitored every 3 days until the dominant follicle appears, it can be monitored every day or every other day; (Note: it is generally 3-4 days from the monitoring to the mature ovulation of the dominant follicle, so if the interval is more than 5 days, you may miss the opportunity!)