Multicystic ovaries should be stimulated by HMG only ::: Selection of Ovulogen (ovulation stimulation /Ovulation accelerating agent in cases of oligo ovulation ).
How to do that ??
An ultrasound assessment of ovarian volume and AFC in the early
follicular phase has been used as a predictor for ovarian response before IVF
treatment, even n letrozole tr if woman concerned ins elderly , because a low
AFC and with small-volume ovaries usually
indicate reduced ovarian reserve
With experience, one can recognise
in the ovary three distinct morphological appearances: A) normal, B) polycystic and C).. multicystic.
I am right my dear members ? Your opinion pl?
Type C: What is
Multicystic ovaries? Ans: Multicystic ovaries are characteristically observed in pubertal girls and women recovering
from weight-loss-related amenorrhoea. These multicystic (or multifollicular)
ovaries are A) normal in size or slightly
enlarged and
B) contain six or more cysts that are 4-10 mm in diameter
; in contrast to women with polycystic ovaries (PCOs),
C) the stroma
is not increased.
Etilogy & pathogensis of
multicystic ovaries?? The multicystic
ovary appears to develop as a consequence of reduced hypothalamic secretion of GnRH, resulting in subnormal stimulation of
the ovaries by the gonadotropins.
Treatment of multicystic
ovaries?? Ans: The multicystic ovary has a normal response to exogenous stimulation, by either pulsatile GnRH or gonadotropins, and the ultrasound
appearance of the ovary usually reverts to normal. As such t will not be wise
to go ahead with letrozole straightway without such basal scan .In this case of
multicystic ovaries Letrozole nor CC will work. Only HMG will work or else one
can add HMG on day3, day 5,& day 8 HMG 75 IU in addition to CC/Letrozole.
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