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Even after medicine, why my follicles are not growing?

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Hello Dr,

I got my USG done twice. Results are as follows:

50 mg siphrene for 5 days.
Day#9: Left Ovary-11mm and Right-13.3mm; ET-6mm
Day#11: Same
Day#13: 13.4 mm and 13.6mm; ET-10.5mm (sfter evadiol for 3 days)
Day#15: 13.4 mm and 11.2mm; ET- 11.2mm

I lost that cycle.


100mg Good Ova from D4 till D9, D11, D12

D9: Left- 10mm, 9mm ; Right- 14.2mm; ET- 6mm
D10: Left- 11.8mm, 11mm; Right- 14.4mm; ET- 7.5mm
D11: Left- 12.9mm, 12mm; Right- 14.6mm; ET- 8mm
D13: Left- 14.2mm, 12.5mm; Right- ruptured follicle; ET- 9.5mm

Doctor asked me to try on D13, what are the chances?
Even after medicine, why my follicles are not growing upto 18-20mm.

Please tell me.

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replied September 2nd, 2013
Infertility Answer A44647
Welcome to ehealthforum,
If the follicle size is not growing upto 20 mm or more, ovulation will not result, and supplementation of progesterone or HCG depo and with Vit-B6 and Folic acid will help the follicle growth (zinc supplementation also ensures better maturation of eggs). Consider discussing this with your treating doctor/gynecologist or take second opinion from an infertility specialist and then proceed with further management. Endometrial thickness of 6mm or more around ovulation time is considered good for conception. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately.
Take care.

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