The difference between follicle discharge and atrophy

If the follicle grows to a certain size, it should be ovulated. If it is not ovulated, the follicle will easily atrophy. Then the main difference between follicle discharge and atrophy lies in whether the follicle is discharged. Generally, follicular atrophy will affect women's fertility and needs to be diagnosed and treated in a timely manner. The causes and treatments of follicular atrophy are detailed below.

1. Causes of follicular atrophy

The menstrual cycle is generally 32 days, and the 13th day should not be the time of ovulation. Generally, the follicle will rupture when it grows to about 1.8-2.5. If the follicle does not rupture but atrophies, it is a manifestation of luteinized follicle, and an endocrine examination is needed to determine the cause. Because there are many endocrine factors that cause follicular atrophy. The main problem is that estrogen levels cannot be raised, and endometrial thickening also indicates problems with hormone levels. If the follicles are indeed unable to be discharged and have atrophied, an endocrine examination should be done to find the cause, and then treatment should be given according to the cause to achieve the best results.

II. Treatment

1. General treatment: For young patients who do not have an urgent desire to have children, conservative treatment should be tried first, such as taking oral Chinese medicine to promote blood circulation and remove blood stasis.

2. Induce ovulation treatment:

3. Assisted reproductive technology includes artificial insemination, in vitro fertilization-embryo transfer and its derivative technologies.

How to distinguish ovulation and follicular atrophy on B-ultrasound? Ultrasound monitoring of ovulation usually begins on the 10th day of the menstrual cycle to observe changes in the diameter of the follicles. The diameter of the follicles increases by an average of about 3mm per day in the 4 days before ovulation. The follicles mature to about 17 to 25mm before ovulation and disappear after ovulation. Continuous monitoring shows that the follicles continue to grow before ovulation. When the largest follicle disappears, ovulation is indicated. Ovulation test strips

The detection rate is about 75%. If your menstrual cycle is regular, ovulation usually occurs about 14 days before the next menstrual period, but the exact day of ovulation cannot be predicted.

When a woman's ovarian follicles are underdeveloped and she uses ovulation-stimulating drugs to force ovulation, the egg can be released, but because it is immature, it cannot lead to normal conception. Even if the sperm and egg combine, miscarriage, stillbirth, etc. may easily occur. In the treatment of ovulatory disorders, the main focus is on directly stimulating the ovaries and other reproductive systems, restoring the normal function of the ovaries, and promoting the development and maturation of follicles. Restoring normal ovulation and normal menstruation (including menstrual cycle, period, menstrual volume, menstrual color, and menstrual quality) can increase the possibility of normal fertility.