Follicular Monitoring Test in Mumbai

What are Ovarian Follicles?

Ovarian follicles are small fluid-filled structures in the ovaries, each containing an immature egg. They are anatomical sacs comprising not just the egg, but also supporting cells that produce hormones like estrogen.

During a menstrual cycle, several follicles begin to grow, but usually only one (the dominant follicle) reaches full maturity and releases its egg (ovulation). After ovulation, the leftover structure forms the corpus luteum, which plays a role in hormone production to support early pregnancy if fertilization occurs.

Who Should Undergo a Follicular Monitoring Test?

At Aksigen IVF, our fertility specialists will conduct a thorough evaluation to determine if you are the right candidate for follicular study in Mumbai under our expert care. The test is generally recommended for the following people:

• Women less than 35 years of age who have been unsuccessful in getting pregnant, even after trying for more than one year.
• Women above 35 years of age who have not gotten pregnant after trying for 6 months.
• Women undergoing IVF or IUI, to understand the best time for egg retrieval or perform insemination.
• Women having irregular menstrual cycles, such as in cases of PCOS.
• Women who have had early menopause and want to check how many eggs are left.
• Women taking fertility medications who want to make sure the medications are working and adjust the dosage if required.
• Couples facing problems in conceiving may undergo the test to see if there are any problems related to ovulation.

When Should a Follicular Monitoring Test be Done?

At Aksigen IVF, scans for follicular monitoring in Mumbai are done at different times during the female’s menstrual cycle, including the following:

• The first scan, known as a baseline scan, is done on the second or third day of the menstrual period. This scan provides the doctor with a starting point to enable comparison with the rest of the scans.
• After that, scans are performed every 1 to 3 days to watch how the eggs grow and see when ovulation occurs.
• If the menstrual periods are regular, ultrasound scans are generally done around the 10th day 10 of the menstrual cycle. For shorter menstrual cycles, the scans may have to be started sooner.
• If medications like letrozole or clomiphene are being taken, an ultrasound scan is taken on the 3rd day to check the baseline scan. The scans will then continue until the woman ovulates.
• If the menstrual cycle is irregular, monitoring is usually started from the beginning of the menstrual period to check the follicular growth as soon as it happens.

Benefits of Follicular Monitoring Test

There are several benefits of undergoing a follicular monitoring test, including the following:

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  Increased chances of conception: An accurate tracking of follicle growth helps the doctor predict the right time for intercourse or insemination, improving the chances of getting pregnant.
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  Personalized treatment plans: Follicle tracking helps evaluate how well the ovaries respond to fertility medicines, allowing an adjustment in the medication dosages and treatment strategy to help make the treatment more effective.
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  Diagnosis of fertility problems: The test can help detect problems with the menstrual cycle, such as anovulation (absence of ovulation) or conditions such as Polycystic Ovary Syndrome (PCOS).
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  Assistance with assisted reproductive technologies (ARTs):Follicular monitoring is important for procedures like IVF and IUI, as it helps determine the best time for egg retrieval and insemination.
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  Monitoring follicle development: The test provides important information on how the ovarian follicles are developing, which can indicate underlying problems or the requirement for a different treatment approach.

Procedure for Follicular Monitoring Test at Aksigen IVF

Follicular tracking in Mumbai at Aksigen IVF is done using the following stepwise approach:

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  Damage to the embryo
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  Initial consultation and baseline scan: The first step is having a consultation appointment with our experienced fertility specialist, who will discuss your menstrual history and any fertility concerns. A baseline transvaginal ultrasound is done early in the menstrual cycle to assess the initial follicular status.
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  Serial scans: Depending on the menstrual cycle (natural or stimulated), the fertility team schedules follow-up scans every 1 to 3 days. These ultrasounds measure each follicle’s diameter and monitor their growth rate.
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  Hormone assessments (if needed): Along with ultrasound, blood tests (like estradiol levels) may be done to correlate the ultrasound findings with hormonal status.
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  Triggering ovulation: Once the follicles reach the desired maturity (around 18 to 20 mm in diameter), the doctor may administer a trigger injection, such as hCG, to stimulate ovulation at the optimal time.
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  Follow-up scan: A final scan may be done post-ovulation to confirm that the follicle has ruptured (indicating successful ovulation) and to check the endometrial condition.
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  Timing for conception / IUI / IVF: Based on the scan results, the fertility specialist will advise on when to have intercourse, perform IUI, or schedule egg retrieval for IVF.

Cost of Follicular Monitoring Test in Mumbai

The follicular monitoring cost in Mumbai varies based on several important factors, such as:

• The number of scans done
• Location and reputation of the clinic or hospital
• Technology and facilities used
• Doctor’s expertise and skills
• Need for additional tests or procedures

At Aksigen IVF, we offer transparent pricing without any hidden charges to make the follicular monitoring test affordable for all.

Risks of Follicular Monitoring Test

Follicular monitoring is generally safe and non-invasive, but a few minor risks exist, such as:

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  Discomfort during a transvaginal ultrasound
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  Bleeding or light spotting
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  Ovarian hyperstimulation syndrome (painful and swollen ovaries in medicated cycles)
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  Anxiety
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  No guarantee of pregnancy
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  Multiple scans can be costly and time-consuming

Success Rate of Follicular Monitoring Test in Mumbai

The follicular monitoring test success rate in Mumbai is not a single percentage, as it is a diagnostic tool, not a type of fertility treatment. Its success is measured by how well it improves the outcomes of other fertility methods.

For example, using follicular monitoring with timed intercourse or Intrauterine Insemination (IUI) can result in an approximate 10 to 20% success rate per cycle, while its success in preparing for In Vitro Fertilization (IVF) can be as high as 40 to 50% and in reputed centers like Aksigen IVF, it can be as high as more than 50%.

This success rate will vary depending on several factors, such as:

• Age of the woman (higher success rate seen at a younger age)
• The woman’s ovarian reserves
• Hormone levels of the woman
• General health of the woman
• Lifestyle factors
• Type of treatment offered
• Underlying fertility problems
• Effectiveness of the fertility medications
• Timing of interventions
• Quality of sperm used
• Expertise of the fertility doctor

At Aksigen IVF, we offer transparent pricing without any hidden charges to make the follicular monitoring test affordable for all.

FAQs

Is a follicular monitoring test painful?

No, the follicular monitoring test is not painful. Transvaginal ultrasounds may cause slight discomfort for some women, but they are generally quick and safe. The procedure does not involve needles or anesthesia, making it one of the most comfortable fertility evaluation methods.

Can the follicular monitoring test diagnose infertility?

Yes, a follicular monitoring test can help identify common ovulation issues, such as anovulation, delayed ovulation, thin endometrium, or poor follicle growth. While it does not diagnose every infertility cause, it provides key information that contributes to a complete fertility assessment.

How long does each scan for the follicular study take?

A single transvaginal ultrasound scan usually takes 5 to 10 minutes. It is a quick, outpatient procedure. The doctor or clinician views the ovaries, measures follicle size, and checks the endometrium. After the scan, the doctor provides guidance on the next steps for conception timing or treatment.

Is the follicular monitoring test safe?

Yes, the follicular monitoring test is a completely safe, non-invasive test with no radiation or side effects. Transvaginal ultrasound uses sound waves to capture images, making it suitable for repeated scans within the same menstrual cycle without any risk to the reproductive organs.

Does follicular monitoring help in a natural pregnancy?

Yes, by identifying the exact ovulation window, the follicular monitoring test guides couples on the best days for intercourse. It is especially useful for women with irregular cycles, PCOS, or inconsistent ovulation, helping improve natural conception chances without invasive treatments.

Is follicular monitoring needed every month?

No, some women may need follicular monitoring for just one or two menstrual cycles, while others undergoing fertility treatments may require monthly monitoring. The need depends on the cycle irregularity, medication response, and treatment goals. Your fertility specialist will give you the right advice based on your situation.

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