#166 CASE SUMMARY
Follicular Study
Fertility Ultrasound
Thin Endometrium
Fertility Report (Second Opinion)
IVF in Bangalore
Privacy Protected Case Summary
Ultrasound Follicular Study at Age 24 (Day 14) — What the Antral Follicle Counts and Endometrium Mean
About the Couple
Patient Age:
24
Location:
Bengaluru
Duration of Infertility:
<no_relevant_information>
Key Clinical Finding:
Ultrasound follicular study on 16-Aug-2025 (day 14) shows normal uterine echogenicity with regular endometrium (6.1 mm), bilateral ovaries with multiple small peripherally placed follicles, antral follicle counts of 8–10 (right) and 10–12 (left), and no free fluid in POD.
Report Type:
USG REPORT - FOLLICULAR STUDY (REPEAT)
Expert Interpretation
This USG follicular study (day 14, dated 16-Aug-2025) describes a uterus with normal echogenicity and a regular endometrium measuring 6.1 mm. Both ovaries show multiple small peripheral follicles, with antral follicle counts of about 8–10 on the right and 10–12 on the left. There is no free fluid in the pouch of Douglas. Limited information was available about your infertility duration and any treatment plan, so this interpretation focuses only on the ultrasound findings reported.
Previous Consultation
Treating Surgeon and Hospital
Dr CHAITANYA,
<no_relevant_information>
Key Findings From the Report
Uterus and endometrium:
PARAMETER
FINDING
Uterus
Measures 5.8 x 2.9 cms; Anteverted; Normal echogenicity; No focal lesion; Endometrium regular
Endometrial thickness
6.1 mm
Uterus measures 5.8 x 2.9 cm, anteverted; normal echogenicity; no focal lesion; endometrium regular.
Ovarian size and volume:
PARAMETER
FINDING
Right ovary volume
18.2 cc
Right ovary measurements
4.0 x 3.7 x 2.3 cm
Left ovary volume
21.7 cc
Left ovary measurements
4.1 x 3.4 x 2.8 cm
Ovary volumes and measurements are reported for both sides.
Follicle pattern and antral follicle count (AFC):
PARAMETER
FINDING
Ovaries appearance
Both ovaries show multiple small peripherally placed follicles of varying sizes with increased echogenicity of central stroma
Antral follicle count - Right
8 to 10
Antral follicle count - Left
10 to 12
Follicle in right ovary (>1 cm)
No DF largest follicle measuring ~8.1 x 6.2 mm
Follicle in left ovary (>1 cm)
No DF
Both ovaries show multiple small peripherally placed follicles; AFC is reported for right and left ovaries.
Free fluid in pelvis (POD):
PARAMETER
FINDING
Free fluid in POD
No free fluid in POD.
Assessment for free fluid in the pouch of Douglas.
Questions Patients Often Ask
What does the endometrial thickness (6.1 mm) mean on day 14?
Your report notes a regular endometrium measuring 6.1 mm on day 14. This describes the uterine lining thickness at that point in the cycle, but the report does not provide a direct clinical conclusion or comparison to a reference range.
What are antral follicle counts (AFC) of 8–10 (right) and 10–12 (left)?
AFC refers to the number of small follicles seen on ultrasound. Your report shows about 8–10 follicles on the right ovary and 10–12 on the left, along with a pattern of multiple small peripheral follicles.
Does the report mention a dominant follicle (>1 cm)?
For the right ovary, it states “No DF” with a largest follicle measuring approximately 8.1 x 6.2 mm; for the left ovary, it states “No DF.” The report does not explain the clinical significance of “No DF”.
Is there any free fluid in the pelvis?
No. The report states there is no free fluid in the pouch of Douglas (POD).
What does “USG REPORT - FOLLICULAR STUDY (REPEAT)” indicate?
It indicates this ultrasound was performed as a repeat follicular study, and your report specifies it was done on 16-Aug-2025 during day 14 of the cycle.
What This Means for the Patient
- Your uterus and endometrium were described as normal and regular, with endometrial thickness of 6.1 mm on day 14.
- Both ovaries show multiple small peripheral follicles, and your antral follicle counts are reported as 8–10 (right) and 10–12 (left).
- The report does not describe free fluid in the pouch of Douglas.
- Because details like infertility duration and treatment plan were not provided, the ultrasound findings are the main information available for interpretation.
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