ULTRASOUND MEASUREMENT OF OVARIAN VOLUME AND ANTRAL FOLLICULAR COUNT IN NORMAL (FERTILITY PROVEN) AND INFERTILE WOMEN(THIRUVARUR)

Abstract

Background: Infertility is a tragedy to the married woman and can be lead to marital upset,
personal disturbances and poor health. Development in assisted reproductive technology has
encouraged the use of newer techniques into routine practice reducing many investigatory
procedures and the time delay. Aim: Our aim is to do the ultrasound measurement of ovarian
volume and antral follicular count in normal (fertility proven) and infertile women(Thiruvarur). Materials and Methods: It is the Case-control study by using Transvaginal ultrasound. Transvaginal USG was carried out on the second or third day of the menstrual cycle. The basal ovarian volume and AFC were measured by endovaginal ultrasound. They were all compared to equal number of controls(fertility proven) in same age group(25-35yrs).
Results: My observation indicates that the number of antral follicles is lower in sub-fertile patients than in fertile group (25 -35 yrs), in view of the significantly lower median AFC in
women of the former group. The range of AFC in females presenting with complaints of
infertility was 4-12(median value of 8). Inter-group comparison of median values of ovarian
volume showed no significant difference in my study. This parameter however can be
routinely measured without any added effort along with AFC. Though my data reflects that
ovarian volume has no role as a bio marker of ovarian reserve Conclusion: The results of this
study indicate that AFC is a viable predictor of fecundity in South Indian women of child
bearing age in terms of capability to conceive on a two point scale (i.e. positive or negative). A cut off value of 8 may be used to prognosticate patients undergoing assessment for female
factor infertility. Ovarian volume has no role as a biomarker of ovarian reserve