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Folliculometry

In order to successfully conceive, a good egg and sperm are necessary. Many women think that pregnancy can occur at any point in the menstrual cycle, but this is not true. Fertilization is not possible without ovulation, which occurs only once during the month. This occurs during the first phase of the menstrual cycle, when a follicle in the right or left ovary (or both) matures, from which an egg cell emerges. To ensure successful fertilization, follicle maturation monitoring is performed, called folliculometry.

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FOLLICULOMETRY PROCEDURE IN IVANO-FRANKIVSK

Observation is carried out using ultrasound in Ivano-Frankivsk, using a vaginal sensor during the first phase of the menstrual cycle from days 9 to 16, every 2-3 days. The bladder should be empty for this procedure. After removing the lower underwear, the woman lies on the couch with her knees bent, a disposable condom is placed on the sensor, which is then inserted into the vagina, and the ultrasound doctor can see:

the size of the ovaries;
the presence of follicles, their number and size;
the presence of a dominant follicle and its size;
changes in the structure and growth of follicles;
the presence of the corpus luteum;
the presence of fluid in the uterine cavity;
endometrial thickness.

HOW TO CORRECTLY INTERPRET THE CONCLUSION OF FOLLICULOMETRY:

Normal ovulation

1-2 dominant follicles are present in the ovaries (no less than 15 mm and no more than 24 mm)

The follicle ruptures, and a corpus luteum appears in its place

Free fluid is visualized behind the uterus

Follicle persistence means that the follicle has matured but ovulation has not occurred.

A follicle with a diameter of 18-24 mm is observed for a long time

There is no free fluid behind the uterus

No corpus luteum has formed

Follicular cyst occurs when the follicle grows larger than 25 mm and does not ovulate.

A follicle of 25 mm or more

There is no free fluid behind the uterus

No corpus luteum has formed

Luteinization of the follicle occurs when the follicle forms but does not ovulate, and a corpus luteum still forms in its place.

Follicles of various sizes

It gradually decreases in size

Free fluid is absent

No follicle development:

Small follicles that do not grow

No corpus luteum present

No dominant follicle

P.S. Folliculometry is one of the simplest and painless procedures that does not require special preparation. The only downside is that it should be done strictly according to a schedule and requires repeated application.

QUESTION-ANSWER

When is folliculometry necessary?

As prescribed by a doctor to dynamically assess the growth and development of follicles. This helps to assess ovarian function, calculate the day of ovulation, and is important for clarifying diagnoses and adjusting therapy, etc.

How is folliculometry performed?

Folliculometry is performed in the same way as pelvic ultrasound, the same principle.

Folliculometry – how often should I do it?

During one menstrual cycle, it is necessary to come several times for diagnostics: at least 3 times, a higher frequency of visits – as prescribed by a doctor.

PRICES FOR FOLLICULOMETRY SERVICES

Service	Price (UAH)
Ultrasound diagnostics
Ultrasound Examination “Preoperative Package” (abdominal organs, kidneys and bladder, mammary glands, thyroid gland) *designed for patients preparing for surgical intervention	950
Ultrasound Examination “Women’s Package” (transvaginal examination of pelvic organs with Doppler imaging, mammary glands, thyroid gland)	1100
Ultrasound Examination “Men’s Package” (abdominal organs, kidneys, prostate, urinary bladder)	950
Ultrasound Examination “Postoperative Package” (pelvic organs, abdominal organs, pleural sinuses, retroperitoneal space) For patients after surgical intervention at the clinic	800
Ultrasound Examination of Fetuses (Twins) up to 11 weeks of pregnancy	450
Doppler Ultrasound of Head Vessels (Duplex Scan)	300
Doppler Ultrasound of Neck Vessels (Duplex Scan)	300
Ultrasound Examination of the Thyroid Gland	350
Ultrasound Examination of the Mammary Glands	500
Ultrasound Examination of the Mammary Glands with Implants	600
Ultrasound Examination of a Single Mammary Gland	300
Echocardiography (ECHO) of the Heart	500
Ultrasound Examination of Abdominal Organs (AAO) (liver, gallbladder, pancreas, spleen)	450
Ultrasound Examination of the Anterior Abdominal Wall	450
Ultrasound Examination of the Kidneys and Urinary Bladder	300
Doppler Ultrasound of the Kidney Vessels	350
Ultrasound Examination of the Urinary Bladder	200
Ultrasound Examination of the Pelvic Organs (UPO) — Transabdominal Approach	350
Ultrasound Examination of the Pelvic Organs (UPO) — Transvaginal Approach	400
Sonohysterography	2000
Ultrasound Gynecological Transvaginal Examination + Doppler Imaging	500
Ultrasound Vaginal Gynecological 4D Examination (Reconstruction of the Uterus and Its Cavity)	500
4D Folliculometry (Automatic Counting of Follicles 3–4 Times per Cycle)	450
Transabdominal Ultrasound Examination of the Prostate	300
Transrectal Ultrasound Examination of the Prostate	450
Ultrasound Examination of the Scrotal Organs (Testicles, Epididymis)	350
Ultrasound Examination of the Penis	350
Ultrasound Examination of the Joints	350
Doppler Ultrasound of the Veins or Arteries of the Lower Limbs	400
Doppler Ultrasound of the Veins or Arteries of the Upper Limbs	400
Ultrasound Examination of Lymph Nodes (Single Group)	300
Ultrasound Examination of Soft Tissues	300
Ultrasound Examination of the Lungs	450
Folliculometry (Single Session)	200
Photograph (Black and White)	30
Elastography (Liver, Thyroid Gland, or Mammary Glands) + Photograph	550
Ultrasound Examination of the Adrenal Glands	200
Ultrasound Examination of the Pleural Sinuses	200
Ultrasound Examination of the Salivary Glands	250
Ultrasound Examination of the Vessels of the Aortic Arch	200
Ultrasound Examination of the Abdominal Cavity	450
Ultrasound Examination of the Kidneys	300
Ultrasound Examination of the Hip Joints / Ultrasound Examination of the Sternocleidomastoid Muscles	300
Neurosonography	350
Children’s Package (Ultrasound Examination of the Abdominal Cavity, Kidneys, Echocardiography (ECHO) of the Heart)	950
Ultrasound Examination of Pregnancy up to 11 Weeks	400
(FPP) Fetal Biophysical Profile (with Interpretation)	250
Fetal Biophysical Profile Recording (without Interpretation)	200
Dopplerometry (Umbilical Cord Vessels + Cerebral Arteries)	200
Dopplerometry of the Ophthalmic Artery	200
Dopplerometry of the Venous Duct	200
Echocardiography (ECHO) of the Heart	500
Dopplerometry of the Uterine Arteries with Calculation of Pre-eclampsia and Gestosis Risk.	200
Dopplerometry of the Umbilical Cord Vessels + MCA, Placental Status, Amniotic Fluid Status	300
Extended Dopplerometry (Umbilical Cord Vessels + Cerebral Arteries + Venous Duct + Cerebroplacental Ratio)	300
Cervicometry (Transvaginal)	350
Description of the Postoperative Scar (Transvaginal)	250
Ultrasound Examination of the Fetal Heart	400
Description of the Postoperative Scar / Symphysis (Transabdominal)	150
Ultrasound Examination of the Pelvic Floor (Transperineal or Translabial)	550
4D Photograph	80
Pregnancy Screening Examination (1st, 2nd, and 3rd Trimesters) with 3D/4D Scanning Function + Dopplerometry*	650
Elastography during Cervicometry	450
Pregnancy Screening Examination for Twins (1st, 2nd, and 3rd Trimesters) with 3D/4D Scanning Function + Dopplerometry	800
(FPP) Fetal Biophysical Profile with Interpretation (for Multiple Fetuses)	450
Dopplerometry of Fetuses (Umbilical Cord Vessels + Cerebral Arteries)	350
4D Photograph of Fetuses, without Examination	200
Fetal Weight without Examination / Envelope with Fetal Sex Information	150
Ultrasound Examination of the Ankle Joint and Small Joints of the Foot	400
Ultrasound Examination of the Ankle Joints and Small Joints of the Foot	700
Dopplerometry in the 3rd Trimester	400
Extended Dopplerometry in the 3rd Trimester	500
Complicated Pregnancy	200
Ultrasound Examination (Twins) up to 11 Weeks	450
*The price includes one examination; additional examinations are charged separately.