Dominant follicle

Every year, doctors record more cases of women's inability to have children. The development of medicine and technology, unfortunately, does not yet fully cure all disorders of the human genitourinary system. More and more couples face the need for artificial insemination or surrogate motherhood, and more and more often physicians talk about the importance and necessity of family planning.

In this article, we will talk about ovulation and the dominant follicle: what does the "dominant follicle" mean, are there two dominant follicles (in both ovaries), as indicated by the size or absence of the dominant follicle.

Ovulation and dominant follicle

The follicle is the receptacle of the egg. In the middle of the development phase, the dominant follicle is quite noticeable - it is the largest and well-developed of all. Every month the egg ripens and prepares for fertilization - the follicle increases 15-20 times, is filled with fluid and bursts (approximately on the 14th day of the menstrual cycle). In this case, only one of the set (10-15) of follicles completely ripens and bursts - the rest stop development at different stages and die. This is what is called ovulation. In the case when the dominant follicles develop in both ovaries, the likelihood of conception of twins increases manyfold. Very often, as a result of hormonal stimulation, several dominant follicles grow, which are ovulated and fertilized simultaneously. This explains the large number of twins and triplets, born as a result of artificial insemination or after stimulation of ovulation.

Ultrasound to determine the dominant follicle and monitor it allows physicians to assess the health status of women (their ability to conceive a child) and predict the likelihood of pregnancy, indicating the days of maximum likelihood of conception.

How to grow a dominant follicle?

The most common modern method of stimulating ovulation is hormonal therapy, in particular, the appointment of clostilbegite. But, despite the general popularity, its use is not always justified. Moreover, some women can not use it categorically. That is why it is so important to be confident in the qualification of the attending physician and to have sufficient arguments for prescribing potent drugs. It is known that the higher the effectiveness of the drug, the higher the probability of undesirable side effects and the more diverse and serious they are.

Remember that the selection of funds for stimulation of ovulation and the dosage of the selected drugs is strictly individual, in no case can it be used to stimulate hormones without the supervision of a doctor.

Many women note the positive dynamics after the appointment of a course of vitamin therapy and folic acid intake.

Why is there no dominant follicle?

The reasons for which the dominant follicle does not ripen and there is no ovulation can be several:

The main condition for successful recovery of ovulation is an adequate definition of the cause of its violation. If this cause has not been identified and eliminated, even multiple stimulation does not always bring results.

Diagnosis of causes of ovulation failure can not be based solely on the analysis of basal temperature charts (even if several cycles are available). Diagnosis should be comprehensive - medical examination, analysis of the hormonal background, ultrasound diagnosis of follicular development for a number of cycles (and not as a result of a one-time visit to the doctor).