#166 CASE SUMMARY

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 years

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)

Comparison of Treatment Recommendations

What you were told

<no_relevant_information>

What we recommend

<no_relevant_information>

What you were told

<no_relevant_information>

What we recommend

<no_relevant_information>

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>

Medical Background

The Patien's records document the following relevant history:

  • No specific existing conditions, menstrual history, pregnancy history, or surgical history were provided (<no_relevant_information> where applicable).

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.

Treatment and Procedures Performed

<no_relevant_information>

<no_relevant_information>

<no_relevant_information>

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.

Get a Second Opinion From IVF Pulse

If you have been advised laparoscopy, ovarian drilling, IUI, or IVF and want to understand whether the recommended treatment is appropriate for your case, share your reports with IVF Pulse for a free review by our fertility specialists.

  • Upload your reports at ivfpulse.com
  • No consultation fee for a second opinion
  • Response from a fertility specialist within 48 hours

Informational only - Not a substitute for medical advice

© 2026 IVF Pulse. All rights reserved.