ULTRASOUND FOLLICLE MONITORING | TEJASHREE PATEKAR | DOPPLER IN FOLLICLE RUPTURE | UTERINE ARTERY PI

[@susana426]

Million dollars Lecture free of cost. Millions thanks😊

[@drnpawar]

This is the most informative and simplified video on follicular study . The delivery is engaging and each word is clear . Thank you doctor for simplifying the difficult topic .

[@drzubair6489]

Best lecture..So much information so concisely

[@raveeshroy]

2:21 FOLLICULAR SELECTION DAY1-5 5:00 PROTOCOL CONSISTS OF THREE SCANS STARTING FROM BASE LINE SCAN 5:48 BASE LINE SCAN 6:11 IMPORTANCE OF BASELINE SCAN 6:54 CLASSIFICATION OF OVARIES 7:09 OVARIAN VOLUME 7:44 ANTRAL FOLLICULAR COUNT (AFC IS SURROGATE MARKER OF OVARIAN RESERVE) 8:21 POLYCYSTIC OVARY 8:25 INACTIVE OVARY 9:03 NORMAL OVARIES 9:59 NORMAL RESERVE OVARIES, LOW RESERVE OVARIES, POLYCYSTIC OVARY 10:10 ASSESSING THE FOLLICULAR MATURITY 10:53 FEATURES OF MATURE FOLLICLE 11:45 OVULATION TRIGGER 12:11 FOLLICULAR DOPPLER FLOW STUDIES 12:40 DOPPLER CORRELATION WITH PHYSIOLOGY OF OVULATION 14:00 TIMING OF INTRAUTERINE INSEMINATION 14:23 FOLLICLE IS CLOSE TO RUPTURE 14:39 LUTEINIZED UNRUPTURED FOLLICLE 14:46 CUMULUS 14:55 FEATURES OF OVULATION 15:04 POORLY RESPONDING OVARIES 15:14 HYPER RESPONSIVE OVARIES ( OVARIAN HYPER STIMULATION SYNDROME ) 15:44 SECRETORY SCAN ( CORPUS LUTEUM FORMATION ) 16:11 LUTEAL PHASE DEFECT 16:55 ASSESSMENT OF CORPUS LUTEUM 17:39 USUALLY FOLLICLE RUPTURES WITHIN 48 HOURS OF HCG INJECTION 17:54 LUTEINIZED UNRUPTURED FOLLICLE (LUF) 18:45 TAKE HOME MESSAGE

[@Anjumsaher909]

I had ovulation induction ovulation happed after 5 days i got server pain i doctor told me that i have multiple follicle more eggs still im 20th day and i need to wait 15 days more to do pregnancy test and any chances of pregnancy and with twins???? Rply me

[@waniraqib5244]

Wow! One of the best lectures on the topic. Respect ❤

[@NeazMahmud]

Fully Agreed

[@mohammedyusufmohammed1436]

Very explicit and wonderful presentation 👏

[@deeptyagrawal1729]

One of the best explained crisp video on follicular monitoring with Dopplers.

[@IndianRadiologist]

Thank you 🙏

[@kalyaniborkar2833]

One of the best lecture mam

[@shamimmalik646]

Tha analysis of the size of the follicle and vascular flow is useful indeed. Thanks. Dr. Shamim Malik, Kenya

[@IndianRadiologist]

thx for watching dr shamim

[@hemz-lifeasitis7027]

Excellent Dr. Love the presentation, simple, concise and uncomplicated.

[@ninajha9514]

Excellent presentation

[@drchitikalaharitha8383]

One of the best lectures 👌👌

[@rinkuvasaya9657]

Very well explained mam.looking forward to hear more. Thanks

[@guljari8941]

Excellent presentation mam. Crips and clear informative talk.

[@drselvadch]

Excellent precise presentation 🎉

[@darkRoomRadiology]

Very informative and to the point..Thank u mam for such a wonderful presentation.👍🏻

[@semirsultan9670]

just WoW....nice presentation

[@tuttuthomas2529]

Thank you madam...it was a wonderful and crisp talk

[@jahnavimoorthy3942]

Mind blowing presentation mam.

[@tanvivasalla5388]

Never seen a better video

[@ddrntk77]

Its crisp and clear..thanks for enlightenment

[@venkatapathyr4744]

Jus amazing n informative.. Thanks mam

[@vandanamenon9389]

thank you so much for making such a complicated topic simple

[@shakilahmad134]

Informative ❤

[@hdnagarnagar8065]

Madam you have nicely give a worlful knowledge for a gynec practioner. Congrates

[@IndianRadiologist]

thank you for watching dr nagar

[@shardakakade6978]

Great.. good job ...all the best mam

[@rajendragupta3996]

Well explained each corner

[@iamwierd116]

Very well explained maam

[@Ptmalge]

What a lecture.. Great one

[@IndianRadiologist]

Glad you liked it Pavan

[@DrSadaf-oj5br]

Best of best🎉

[@mohamedelsheity1242]

Very good presentation..thanks

[@sushilkachewar1791]

Thanks for the Complete Coverage of this important topic...Need of the Hour...As Corona is there...

[@doctormunesh1985]

Nice work mam.. thanks u 🙏🙏🙏

[@PN-ox8vu]

Excellent coverage maam..we need you to show techniques as well of PSV and RI calculation ...please elaborate on UBP..zones and blood flows. Small technical correction in slide ..induction with HMG instead of Hcg as mentioned. Great service to put up such beautiful slides and lucid explanations...

[@vikneswarantharmalingam9070]

I was wondering too.. It's suppose to be humog

[@saumyadipak8267]

Short and sweet presentation

[@ronaldcortez3510]

excellent seminar, much appreciate it

[@jbdiagnostics5426]

VERY NICE CRISP EDUCATIVE PRESENTATION

[@jandeepbanga2987]

Very well presented. Excellent grasp on the subject. Thnx

[@IndianRadiologist]

Glad it was helpful! jandeep

[@reyazuddin2954]

More informative video Mam thank u so much, plz keep continue it

[@IndianRadiologist]

Keep watching thanks

[@abhishekkaushik4604]

Sensational lecture mam. Thank you so much

[@luckfactornumber1]

Thanks a lot ma'am 🙏

[@Drsubhashtailor]

Very nice & precise

[@sagaraher88]

Thank you so much madam....very helpful presentation

[@mamtamundada6187]

Very useful information 👍

[@drsasmitanaik8714]

Excellent presentation mam

[@shashikantwavhal6153]

That’s great lecture from the eyes of Gynecologist. It cleared concepts of timing ofHCG. Also good guide on dates of iui . So also importance of post ovulatary scan nicely elaborated. Please guide on setting of machine to measure PSV.

[@IndianRadiologist]

Glad it was helpful!

[@bhagwanshinde1101]

Very informative madam!

[@roopapathi4889]

Excellent and very crisp presentation madam... kindly elaborate on UBP and fetal Doppler please...

[@pushpalatashinde6632]

Nicely explained Madam

[@roomakhan325]

You r great mam v informative

[@sudhinalavil]

Excellent talk madam!! Thank you

[@devendrabaskey1]

Great lecture ma'am

[@nimmakayalanaidu6489]

excellent mam

[@kishorechoudhury3336]

Nice presentation mam.. Full of information

[@IndianRadiologist]

Glad you liked it kishore

[@veenaseth9745]

Very useful information.

[@abdulbaser-oq5lw]

When the secretory or luteal scan to be done ?How many days after giving inj Hcg?

[@RidaFatima-tp2mg]

Can there be fluiid in pod and dominant follicle has not ruptured

[@mushirulhaq7592]

Thank you For this master piece ❤

[@amitkansal7729]

Very good information

[@eklavya7181]

Really appreciate your efforts mam, thank you so much. I have one query - What is d role of endometrial Doppler and d grading.

[@prajdeshmukh6667]

Endometrial vascularity is evaluated in four zones; zone 1 vascularity describes blood vessels reaching upto the hypoechoic endometrial-myometrial junction, zone 2 vascularity describes blood vessels reaching upto the outer hyperechoic line of the endometrium, zone 3 vascularity - blood vessels reaching upto the intervening hypoechoic area and zone 4 vascularity - blood vessels reaching upto the central echogenic line. Endometrial vascularity is classified according to the power Doppler signals into excellent vascularity by the presence of at least five signals in zones 3 and 4, modest vascularity with up to 4 signals reaching zones 3 and 4, and poor vascularity with less than one signal in zones 3 and 4. Endometrial vascularity and endometrial thickness on the day of HCG injection will be the end point of evaluation.

[@bharathkakileti1570]

Excellent lecture madam. Thank u.

[@IndianRadiologist]

Thanks for liking Bharath!

[@babakolhal7677]

Awesome Lecture 👌

[@sandhyathakare885]

Very much informative

[@IndianRadiologist]

Glad it was helpful!

[@dhananjayharne1896]

Very useful madam. Thank you

[@IndianRadiologist]

Welcome 😊

[@shereenanwer4085]

Great lecture. Thanks alot

[@asmaazahran7474]

Great doctor thank u

[@ajinkyakulkarni3321]

Great lecture can you do the video on manuvers of probe in follicular monitoring it will complete the tooic

[@smitakukade5812]

Thanks a lot mam It ws v much informative

[@prajdeshmukh6667]

Very informative.Thank you.

[@malligaelavarasan9196]

Excellent presentation mam.Thank you so much .What is the role of endometrial thickness and volume at follicular monitoring.

[@faheemsultana8388]

Thanks a lot Ma'am excellent session Ma'am

[@shivalimittal164]

Very nice presentation.mam plz make a video on placenta accreta especially in early 2nd trimester

[@tejashreepatekar9839]

Thanx...I will try for sure...

[@drmoinnhm5666]

Thanks kindly send other videos

[@masudaakter8879]

Excellent. Can a pt be pregnant, if mature follicle is present and no cumulus oophorus?

[@amolk992]

Very good 👍

[@x-skull-x8561]

Very nice ma'am

[@zuleyxarzayeva339]

Thank you very much! Very helpfull! 🌺

[@IndianRadiologist]

Glad it was helpful!

[@kr-ql3fz]

Amazing lec ..thanks alooot

[@sangeetasingh3638]

Hello mam,colour Doppler follicular test karane se kya faida hota hai plzz rply

[@nitinpatil6542]

Very informative, thank u very much. One query When we have to do secretory scan....Means on which day after ovulation....

[@MrShahidakhtar]

Thank you.it is very helpful

[@prashantraju6]

Thank you

[@radiologywithouttears]

Thanks for the lucid and comprehensive teaching

[@pran10000]

Thank you ma’am. Excellent work.

[@IndianRadiologist]

Most welcome 😊

[@samalsagher3461]

Very nice

[@prabidgolui3974]

Excellent

[@vikramkhotsaaishwari]

nice lecture

[@dr.smitalsamdadiyajain4359]

Mam lecture was very much useful.Just had a doubt when the dominant follicle turns into hemorrhagic cyst wat does it mean & wat will b nxt step.

[@tejashreepatekar9839]

Its an anovulatory cycle with dominant follicle turning into Hemorrhagic cyst. Growth of DF larger than usual diameter without ovulation causes capillaries in follicular wall to fenestrate & extravasate blood into follicular lumen leading to formation of haemorrhagic anovulatory follicle/ cyst. Studies say that use of induction treatments were found to influence its incidence than spontaneous cycles. Follow such HAF /cysts for regression in baseline scan of next cycle. If it persists, take one month gap in follicular monitoring, let hemorrhagic cyst gets completely regressed. Start cycle monitoring again once a complete regression of cyst is confirmed on baseline scan of next menstrual cycle. Studies say that next cycle preferably should not be induced.

[@mousumidua6773]

Hello mam I have a question that my USG report says i have multifollicular ovary.so mam is its mean pcos?

[@sakshiagarwaal3557]

When one dimension of follicle exceeds 10 mm , den it is dominant follicle or when all the three dimensions. ... ???

[@tejashreepatekar9839]

Thank you for watching...Both dimensions should be same

[@HienNguyen-wl8ls]

thank you very much

[@cosmic620]

Thank u for this informative presentation. I have a doubt, should we include features of uterine receptivity along these follicular findings? I mean , uterine artery PI values, endometrial maturity etc

[@tejashreepatekar9839]

Yes definitely...UBP scoring is important...But we include it in Endometrial Doppler reporting.. uterine artey PI is less than 3 is one of the good indicator

[@tejashreepatekar9839]

And infact endometrial applebaum scoring is very important in mid cycle to evaluate good or poor endometrial receptivity which guides clinician better

[@cosmic620]

Endometrial doppler.... I include vascular pattern and its parameters in zone based distribution , uterine artery PI . Is these are sufficient or something else to include ?

[@VivekGupta-fg7yq]

Brilliant lecture thank you. Can anyone please guide as where exactly to sample for mid cycle uterine artery Doppler for ubp scoring. Thanks

[@cosmic620]

@@VivekGupta-fg7yq TVS is ideal. It's the ascending uterine branch of uterine artery at the level of internal os ....paracervical location

[@Learningtofly1974]

AWESOME

[@dr.sureshkumar276]

Polycystic ovaries volume >6.6 cc or >10 cc ???

[@navya7448]

No dominant follicle was found on day 13 scanning. What is the issue? What should I do next?

[@tejashreepatekar9839]

Take patient’s proper menstrual history whether she has regular 28/30 days cycle or delayed cycles. See whether its her natural cycle or induced cycle. She can have long follicular phase so track her cycle. Generally such cycles are monitored till D21-22 to look for development of any dominant follicle & its rupture. If still no DF, you can stop further monitoring this cycle & then rule out Polycystic ovaries in baseline scan of next cycle & can start appropriate induction treatment in next cycle. Poorly responding ovaries can be one possibility if its her induced cycle which needs treatment accordingly in next cycle.

[@drdeependra09]

Thanks

[@ashutoshtandon8337]

Nice video.

[@tejashreepatekar9839]

Thank you so much everyone

[@drpragathithendral1303]

My scan repot says: Dominant follicle in right ovary...what is it mean? I need brief explanation mam

[@drmayur15]

What's the ideal time to do secretory scan?

[@Anjumsaher909]

Multiple follicle ho tho problem hoga???

[@hdnagarnagar8065]

Excellent mam . Iam gynec but it was a mind-blowing lecture

[@IndianRadiologist]

Thanks a lot