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Doctor insights on: Empty Follicles In Ivf

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IVF egg removal. 32 follicles only 7 eggs retrieved. Did Lupron (leuprolide) trigger and Hcg. Why so few?

IVF egg removal. 32 follicles only 7 eggs retrieved. Did Lupron (leuprolide) trigger and Hcg. Why so few?

Ask your doc: Many possibilities: incorrect timing (too early OR too late) or administration of hCG, bad batch of hCG, surgeon had difficulty with TVA, maybe only 7 mature follicles and the others were mid-to-small...your doctor and your embryology team are only ones who can answer what happened. Good luck with the 7, sounds good! ...Read more

Dr. Sandra Lora Cremers
3 doctors shared insights

Ivf (Definition)

In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more


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3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

Cervical cryo?: In the same cycle as an fet? That would not be acceptable in the United States is all i can say. Or are you asking about another form of cryo? ...Read more

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Hello doc Multiples small follicles of less than 0.6cms seen in both ovaries with echogenic stoma resembling morphologically polycystic ovaries means?

Hello doc
Multiples small follicles of less than 0.6cms seen in both ovaries with echogenic stoma resembling morphologically polycystic ovaries means?

Polycystic ovarian: syndrome is a complex disease involving many hormonal pathways in your body, thereby affecting your weight, your metabolism, your reproductive cycle, your hair growth, your mood/ psychological well being, and your skin. Here is a link to learn more: https://www.womenshealth.gov/publications/our-publications/fact-sheet/polycystic-ovary-syndrome.html ...Read more

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Is immature follicles same as cysts in ovaries?

Is immature follicles same as cysts in ovaries?

No: Immature follicles have not matured to the point that they are functional. Cysts occur once they have matured but are the result of improper function. They can result from other hormone imbalances in the body such as with high androgens (testosterone/DHEA) levels or low Progesterone levels. They can also form after an egg leaves properly from the ovary and are the result of bleeding/ inflammation. ...Read more

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What is the IUI success rate with 2 follicles and donor sperm? 2 IUIs performed, one Sat. right before eggs released and one Sun. after eggs released

What is the IUI success rate with 2 follicles and donor sperm? 2 IUIs performed, one Sat. right before eggs released and one Sun. after eggs released

Lots of factors: There are a lot of factors that go into IUI success. The sperm quality, the egg quality, the age of the patient, the lining of the uterus, medical issues and others. Your doctor must have felt you were a good candidate. In about 10-14 days you are likely scheduled for a pregnancy test to determine if it was successful. Until then you have the challenge of waiting patiently. ...Read more

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My ICSI doc said they could retreive only 02 eggs out of 09 follicles(>16mm) grown by super ovulation.can follicle be empty? AMH & other hormones r ok

My ICSI doc said they could retreive only 02 eggs out of 09 follicles(>16mm) grown by super ovulation.can follicle be empty? AMH & other hormones r ok

Controversial: This happens infrequently and the idea of "empty follicles" is controversial, but it may explain some cases. The worst case I ever had we got 2 eggs out of 22 follicles. there are other reason for not recovering eggs, mainly if the egg retrieval is too soon or too late after the trigger shot. ...Read more

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During hormones therapy for IVF left ovary produced 5 follicles, only 1 survived, the right ovary did not produce good ones although its healthy. Why?

Age: Age is most likely the factor in poor ovarian response to stimulation. The amount of antral follicles decrease as one gets older. No matter how much medication you use the number of follicles that can grow each month is predetermined. This occurs almost a year prior to the stimulated cycle. ...Read more

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Had failed IVF cycle today, as Dr. says only 02 eggs were retrieved from 9 follicles grown & those two failed to fertilize with ICSI. is it possible?

Yes: Normal women have a cycle every month but only a few pregnancies in her life. The careful success of a pregnancy requires a host of issues to successfully line up. probably 60% of impregantions are still not successful and even in the face of many sperm many eggs are never impregnanted. Much is still a mystery. ...Read more

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Do both ovaries produce follicles at the same time in their follicular phase? or one ovary produces follicles and the other , the next month?

Do both ovaries produce follicles at the same time in their follicular phase? or one ovary produces follicles and the other , the next month?

Can vary: This can vary from month to month and from person to person. This is not really something Obgyns track and it is not very clinically useful. ...Read more

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PELVIC U/S: LEFT OVARIAN 1.4 CM CYST OR FOLLICLE, RIGHT OVARY CONTAINS FEW SMALL FOLLICLES THE LARGEST 8MM, IS THIS NORMAL? UNABLE TO CONCEIVE 7+ YRS.

PELVIC U/S: LEFT OVARIAN 1.4 CM CYST OR FOLLICLE, RIGHT OVARY CONTAINS FEW SMALL FOLLICLES THE LARGEST 8MM, IS THIS NORMAL? UNABLE TO CONCEIVE 7+ YRS.

Fertility : No need to yell at us. An ultrasound is not, in any way, an infertility work up. There are a dozen physical and chemical processes in conception. A fertility specialist will test each one to determine why you can't conceive. You will not find the answer to your question on the internet. Go to a real infertility specialist. ...Read more

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Can you use both ovaries in IVF if one fallopian tube is removed?

Can you use both ovaries in IVF if one fallopian tube is removed?

Absolutely: The tubes and ovaries are completely separate embryologic structures and therefore are independent of each other when it comes to ivf. For ivf, all you need is functioning ovaries. It also makes the point that unless absolutely necessary, you should never remove an ovary because you are removing half the number of eggs that are available for ivf recovery. Hope this helps. ...Read more

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Why fertilization only takes place in fallopian tube?

Why fertilization only takes place in fallopian tube?

Other places too: Normal pregnancies start with conception in fallopian tube. Then the embryo develops over a few days to mature enough to stick to the endometrium in the uterine cavity. If mature enough then it will attach and grow. If fertilization occured in the uterine cavity, then the embryo would fall out of the uterus. Ivf allows for outside fertilization. Fertilization outside tube yields ectopic pregnancy. ...Read more

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How are embryos eggs monitored in the IVF treatment?

How are embryos eggs monitored in the IVF treatment?

In an embryology lab: The eggs go from the body directly into the IVF lab. Today, the lab is specially designed for air handling, lighting and temperature to support embryo growth. The embryos are cultured for 3-6 days before transfer into the uterus. Embryos receive a score for implantation potential. Sometimes checked for the number of chromosomes and even time-lapse photography. # transferred based on age&quality ...Read more

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Is the mens sperm collected in the IVF treatment?

Semen determines: Sperm can be collected obtaining fresh semen by masturbation providing there is sperm in semen. Can be obtained by needle aspiration from epididymis if vas deferens or epididymal tubules blocked. Or directly from testis by needle aspiration or open surgery on testis. Least invasive method is always preferable. ...Read more

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Anteverted uterus measures :6.6×3.3×3.4cm .No dominant follicles seen in both ovaries . both ovaries show multiple small follicles measuring 3-8mm.

Anteverted uterus measures :6.6×3.3×3.4cm .No dominant follicles seen in both ovaries . both ovaries show multiple small follicles measuring 3-8mm.

Why: are you getting an US at 17 yrs old? US sounds normal. Depending on where you are on cycle would determine what your ovaries should look like. I really need more information to help you better ...Read more

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Can excessive stroma in ovaries hinder in pregnancy? Both ovaries normal in volume; no cyst found; menses normal. Trying to conceive for past 2 mths!

Can excessive stroma in ovaries hinder in pregnancy? Both ovaries normal in volume; no cyst found; menses normal. Trying to conceive for past 2 mths!

Premature: Its premature to answer your question. Attempting pregnancy for only 2 months without success is nothing to worry about. It can take up to 12 months to achieve a pregnancy. At your age i would expect pregnancy within 6 months. If you don't achieve a pregnancy in that time frame, then go see your gyn. ...Read more

Follicle (Definition)

An ovarian follicle contains a hollow ball of cells with an immature egg in the center. It is a structure within the ovary containing the egg that ...Read more