Cancel IUI for Premature rupture of follicle in PCOS
Dr.Anita mani
anitadane@gmail.com
It was confusing that the ULH was positive, but follicles are small in today's scan for this patient. So went through records to see the reason , she was having PCOS , and was on low dose injections to stimulate ovary , what happened is that , she developed 6 follicles each side and premature surge of LH happened because of high level of oestrogen.
The chances of fertilisation are poor , so we cancelled IUI .
Many times , this gets missed if , ULH test is not combined with follicular study and if scans are not repeated during IUI .
To avoid this, antagonistic injections can be given , which was not given in this particular patient , as i underestimated her PCOS .
Scan report
Left - 15,14,14,14, 12, 12
Right - 14, 12, 12,12 ,10,10
EL - TL+ 9mm
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