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What does an emptying follicle on the right ovary mean when using Atywia tablets?
What does the emptying follicle on the right ovary of 17 mm in size 11 DC mean when using Atywia tablets? A follow-up after 2 weeks showed a trace of free fluid in Douglas Bay. Does this mean that ovulation has occurred? Endometrium 3.8 mm.
Tablets taken between 8 p.m. and 10 p.m.
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Anna Lewandowska Pharmacist, Editor
19 days ago
Yes, there is a possibility that it is a cyst and not an ovulatory follicle, especially given its persistence and irregular outline.
To accurately determine the nature of this structure and its effect on the cycle, it is recommended to consult a gynecologist, who may order additional tests such as serial ultrasound or hormonal tests. It is also worth discussing with your doctor the effectiveness of the contraceptive method used in the context of the observed changes.
If you have doubts about this situation, it is always worth consulting a doctor who can provide more personalized advice. If you are not able to make a face-to-face visit, I attach a link to the online teleconsultation:
Thank you for your reply. And after two weeks, could this follicle still be visible on the ultrasound? (defined in the ultrasound description as emptying, reduced in volume, echonegative, irregular outline). 26 DC - regular cycles 28 days.
Is there a chance that it was a cyst and not an ovulation follicle?
Anna Lewandowska Pharmacist, Editor
22 days ago
An emptying follicle on the right ovary of 17 mm on day 11 of the cycle (DC) may indicate impending ovulation. The dominant follicle usually grows about 2 mm per day and reaches a diameter of 20-25 mm at the time of ovulation, although it can vary between 18 and 30 mm.
The presence of a trace of free fluid in the Douglas sinus after 2 weeks may suggest that ovulation has occurred. During ovulation, the follicle ruptures, releasing follicular fluid, which may be seen on ultrasound as free fluid in the pelvis.
However, the 3.8 mm thick endometrium is relatively thin. In a typical menstrual cycle, the endometrium should be thicker during the luteal phase (after ovulation). Thin endometrium can be the result of using hormonal pills.
Taking into account this information, it is not possible to say unequivocally whether ovulation has occurred. The presence of an emptying follicle and a trace of free fluid suggest that ovulation may have occurred, but the thin endometrium complicates interpretation. It is recommended to consult a gynaecologist for a thorough assessment of the situation and possible adjustment of therapy. If you are not able to make a face-to-face visit, I attach a link to the online teleconsultation: