Archive for the ‘ovulation’ Category



Ek het so pas die slegte nuus gekry dat altwee my f-buise ‘toegegroei’ is, maar wat ek nie verstaan nie, is dat ek effense bloeding ervaar tydens ovulasie. Hoe is dit moontlik as altwee my buise toe is?

Friday, January 30th, 2009

Die effense bloeding is a.g.v ‘n effense daling in die estrogeen vlak tydens ovulasie. Die bloeding wat jy ervaar kom uit die uterus uit en nie die fallopiaanse buise nie. Die effek van die daling in estrogeen is op die binnewand van die baarmoeder en het absoluut niks met die buise te doen nie.

- Bi-Week 30 answers kindly provided by Dr. Stephan Volschenk -

A few weeks ago you answered the question on what level progesterone confirms ovulation. I quote: “It is suppose to confirm ovulation at a level of 10ng/ml or more”. Most of our test results are expressed in nmol/L, what would the confirmation level be in this unit?

Thursday, May 8th, 2008

You multiply by 3.18

10ng/ml x 3.18 = 31.8, a count of at least 30 nmol/L would therefore confirm ovulation

- Week 13 answers kindly provided by Dr. Stephan Volschenk -

Does the size of the follicle necessarily relate to the maturity of the oocyte? What is the minimum follicle size to render a sufficiently mature oocyte?

Thursday, May 8th, 2008

The answer to this question depends on whether it is a natural cycle or IVF.During a natural cycle some people will for instance ovulate at a mean diameter of 16mm. This is rare and usually an indication of ovarian dysfunction. During IVF however, one would ideally aim for at least 3 leading follicles at 17-18mm mean diameter. We also know that most follicles with a mean diameter of 15mm and more can potentially yield a mature oocyte.

- Week 13 answers kindly provided by Dr. Stephan Volschenk -

When starting out fertility treatment the first question that comes into play is follicle size. What are the ideal follicle sizes on the key sonar milestones firstly during IUI and secondly during IVF?

Thursday, May 8th, 2008

Whether doing AI or IVF, the optimum follicle size remains the same. The ideal size for AI is 18mm. During IVF the ideal time to trigger would be when the 3 leading follicles are between 17-18mm mean diameter.

- Week 13 answers kindly provided by Dr. Stephan Volschenk -

When monitoring progesterone post ovulation, what are you looking for? What types of counts on what days? And does progesterone levels indicate possible pregnancy at these early stages?

Wednesday, March 26th, 2008

The best way to monitor progesterone is to do serial levels at specific intervals. This is to diagnose possible luteal phase defects, meaning not enough progesterone production to support and stabilize the endometrium and a possible pregnancy. We look for the trend of the levels rather than specific values. Should the trend be upwards over an extended period of time, it usually is indicative of a pregnancy.

- Week 7 answers kindly provided by Dr. Stephan Volschenk -

How is ovulation determined with the use of a progesterone blood test? What is the count suppose to be post ovulation, what day is it tested? When does it confirm ovulation?

Wednesday, March 26th, 2008

Progesterone levels are usually done by gynaecologists to confirm ovulation. This is usually done half way between the midfollicular and luteal phase, usually on day 21. It is suppose to confirm ovulation at a level of 10ng/ml or more.

- Week 7 answers kindly provided by Dr. Stephan Volschenk -

Is it always a 100% sure thing that you will ovulate after a Ovidrel shot? Plus how long after the injection will you then ovulate? Does having PCOS affect the time in any way to ovulate?

Wednesday, March 26th, 2008

There is no 100% guarantee that ovulation will follow after the administration of Ovidrel or any other ovulation inducing agent. The best way to confirm ovulation would be to scan or do serial progesterone levels. Ovulation usually occurs 36 to 44 hours after the administration of the ovulating inducing agent.

- Week 2 answers kindly provided by Dr. Stephan Volschenk -

Is it possible to have a regular AF without actually ovulating. I have PCOS and would go months without AF. Now I’ve been pretty regular for the last2 years but still no pg

Wednesday, March 26th, 2008

It is highly unlikely to have a regular cycle without ovulating. The fact that you have a regular cycle does not guarantee a pregnancy as there are numerous other factors that might preclude you from conceiving.

- Week 2 answers kindly provided by Dr. Stephan Volschenk -

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