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Ultrasound
Ultrasounds
are performed to assess ovarian activity and endometrial thickness
during specific cycle days. The baseline scan is performed on cycle
days 1 through 3. The purpose is to check the ovaries for residual
follicles and endometrial thickness. Residual follicles are cysts
on the ovaries which frequently develop after ovulation induction
with medications such as Clomiphene citrate, Repronex, Follistim,
Gonal F, etc. The desired size of follicles on these days is less
than 15mm with an endometrium of 6mm or less to proceed with a treatment
cycle.
In
addition, a mid-cycle, day 11 through 13, scan is performed to assess
preovulatory follicles as well as the endometrium for thickness.
The normal size of a preovulatory follicle is 20 mm or greater if
the patient is on Clomiphene and 18 mm or greater if the patient
is on gonadotropin therapy. We like to see an endometrial thickness
of 7mm or greater. The results of these scans will allow the physician
to determine your next treatment step. Additional scans may be performed
during the cycle if ordered by your physician.

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