If you want to be fertile and eugenic, the egg must be powerful, and the egg grows in the follicle. Follicle development is stunted, egg quality is poor, it is easy to be infertile, or even if the sperm and egg are successfully combined, it is also prone to premature birth, fetal stoppage and other accidents.
If the quality of the eggs released is not good or no ovulation, then, want to get pregnant is very difficult, and even lead to infertility, the current follicle dysplasia has become more and more a problem that plagues pregnant couples, today, we have a good understanding of the problem about follicle development.
The most common misconceptions about ovulation recognition
1. Is the ovulation period 14 days before the next menstrual period?
If the menstrual cycle is regular, we can use this method to estimate the time of ovulation; if the menstrual cycle is disordered, earlier or more than 7 days later, this method does not apply! We need to first find the cause of menstrual disorders and give corresponding treatment to adjust menstrual regularity.
2. Is it normal for B ultrasound to indicate that there are follicles?
It is not necessarily true that the B ultrasound suggests that there are follicles, but only proves that there was follicle development at that time, and does not represent a follicle with a normal development process and normal discharge. This requires dynamic monitoring until the follicle is considered to be mature, at which point it cannot be said to be without failure, it may also be: excretion, atrophy, or flavinization. The specific frequency of monitoring can be arranged by the clinician on a case-by-case basis. At present, B ultrasound is the most intuitive way to understand follicle development and discharge.
3. Does menstrual regularity necessarily have ovulation?
Menstruation is a cyclical uterine bleeding that occurs due to cyclical changes in the endometrium, which is affected by the cyclical changes in the endocrine of the ovaries, regulated by the hypothalamic-pituitary-ovarian axis, and clinically anovulatory menstruation may occur. In this type of menstrual state, there is no formation of mature follicles, no formation of the corpus luteum, so there is no progesterone secretion, estrogen secretion increases or decreases, and estrogen levels suddenly decrease, menstruation can occur.
4. Is there bound to be ovulation if the fallopian tubes are unobstructed?
The ovaries and fallopian tubes are two different organs that are very closely related to a woman's pregnancy, and the fallopian tubes are not passable, and the ovulation is the ovary thing. The smooth fallopian tubes can only mean that the path through which the egg passes is no problem, and it does not mean that the ovulation is normal; on the contrary, if the fallopian tubes are not passed, it can only indicate that the road is obstructed, and it does not mean that the ovulation is not normal. So, don't equate blocking the fallopian tubes with non-ovulation, because that's a problem of two different organs.
5. The more follicles, the higher the chance of pregnancy?
Follicles are not as many as possible, under normal circumstances, having a healthy and mature follicle is enough. Patients with POLYCYST OVS have many follicles, but they are immature follicles. Patients with POLYCYS have low follicle-stimulating hormone levels and high levels of luteinizing hormone, causing the small follicles within the ovaries to stop developing and failing to produce "dominant follicles". Moreover, large amounts of androgens inhibit follicle maturation, and too many follicles in the ovaries can thicken and harden the ovarian membrane, which in turn leads to the inability to ovulate. Therefore, it is not that there are many follicles, and the chance of pregnancy will be large.
6. Can the follicle develop mature to conceive?
Not necessarily, we believe that the size has reached maturity, and whether the quality is excreted is not determined, and it needs to be determined in combination with blood hormone levels. In addition, whether the fallopian tubes are unobstructed, whether the state of the endometrium is suitable for the fertilized egg to take root and grow, and whether the quality of the man's sperm is of high quality are all key factors in successful conception. So it's not ovulating to get pregnant!
Why can't the dominant follicles be excreted?
Many women can see the presence of dominant follicles under B ultrasound, but they cannot be discharged, the main reason is that the follicles cannot rupture, or some factors such as follicle development and non-ovulation.
1. Premature ovarian failure
Patients may become more and more rare with age, the amount of menstruation is becoming more and more rare, until complete amenorrhea, the number of follicles has been exhausted, it is impossible to develop with ovulation-stimulating drugs, even if there is the presence of primitive follicles, but there is no response to hormonal stimulation; or the dominant follicles seen do not rule out the possibility of empty follicles.
2. Polycystic ovary syndrome
Is the most common factor in women's non-ovulation. In general, there are more than 10 follicles in the ovaries, but they cannot mature, and there is no ovulation or occasional ovulation clinically, and the dominant follicles seen under B ultrasound are only relatively dominant follicles, and cannot reach maturity, rupture and release of eggs.
3. Endocrine abnormalities
The ratio of LH to FSH released by the hypothalamic-pituitary cell wall is out of balance, resulting in an imbalance in the body's internal environment and inhibition of ovulation.
Conception itself is a complex process, first of all, there must be normal ovulation, and then the fallopian tubes, uterus, cervix, vagina are normal, the follicle immature will not become pregnant, only mature follicles can be combined with sperm to conceive into an embryo.
A thorough examination is recommended to understand the function of the ovaries and the specific causes, and only treatment for the cause, rather than blind induction, can make the situation better.