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  1. #1
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    Default Confusing Ultrasound- Dominant 3.3cm Follicle day before Period HELP!!

    Please help. I am a newby and this is my first ever post.

    Been TTC for 11 months, I had an ultrasound the day before my period (I didn't know it was coming as I have such an irregular cycle). The report says I have a 3.3cm dominant follicle in one ovary. Usually this would be exciting as it means I am about to ovulate right? However I'm confused as my period came the next day which would mean I ovulated either the day before my period or ??? I am soooo confused!

    My GP has been hopeless so I am currently searching for a new one. Any advice as to whether it means I may not be ovulating or just have a VERY short luteal Phase.

    My cycle varies between 31-40 days and I requested the ultrasound due to PCOS diagnosis 2 years ago. Although this ultrasound stated there were no cysts. Could the person doing it have mistook a 3.3cm cyst for a dominant follicle?

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    Hi, there is generally a dominant follicle ready to go for your next cycle. If you got your period, that follicle will still be waiting for the hormone signal to be released next cycle. That's my take on it. I would be confirming that you are indeed ovulating through the ovulation kits. As you have a longer cycle 35 days you are probably ovulating on day 20 or thereabouts
    Edit: sorry just realized it said 3.3cm. That is quite large and is probably a cyst
    Last edited by bluemarlin; 09-08-2014 at 07:06.

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    Teg44  (09-08-2014)

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    Yeah, a mature follicle is between around 18 - 26 mm. Sounds like you've got a cyst not a follicle. You need to be seeing a fertility specialist and not really a GP. Good luck!

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    Thank you both for your help. I thought it was too large to be a dominant follicle, I will see if I can get in to see a fertility specialist. Thanks

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    Good plan. If the GP says no for some reason then just got an see another GP. Sometimes you need to be a bit pushy as they may just tell you to 'wait a little longer' which can be amazingly frustrating so don't be afraid to keep pushing until you get what you want. That may sound a little forth right but fertility is an emotional thing as well as physical thing and you need to do what is best for you and not necessarily what a GP says is best.

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    Teg44  (02-10-2014)

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    3.3cm really should have been called a cyst not a follicle. (Anything over 3cm is supposed to be classified as a cyst even though a follicle and cyst are essentially the same thing) My guess considering that it was there the day before your period (and you have irregular cycles) is that you didn't ovulate that cycle and the extra big follicle / small cyst was the un-ruptured dominant egg follicle. I've been told small cysts like that usually resolve within 6wks. Is your GP sending you for a follow up scan or for blood tests to check for ovulation or PCOS?

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    Teg44  (02-10-2014)

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    No she didn't order any blood tests or follow ups. She has just said to keep charting. The last 2 cycles have been irregular and pinpointing O has been difficult. I only get a small amount of fertile cm if any at all and my temperatures are all over the place. Very frustrating and hard to tell if I'm ovulating or not. I will chart for another month or two and then I may go to a fertility specialist. I just don't know where or who in Melbourne to see.

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    i had this with one of my ovaries when being checked out due to miscarriage - one ovary was 5 times the size of the other. Turns out I had multiple cysts on it. They checked me again 6 weeks later (when I was ovulating) and there were no cysts, and two perfectly normal ovaries. This for me was considered to be part of my normal ovary function. I hope that's all it is for you too. cysts can resolve themselves sometimes and some people's ovaries enlarge more than others throughout their cycle.


 

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