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

Learn how Ultrasound has evolved for follicle monitoring - from just measuring the follicle to actually timing the rupture using ultrasound guidelines & Doppler. This lecture by Dr Tejashree Patekar covers all areas of follicle monitoring.
We are IndianRadiologist - www.indianradiologist.com
Follow us on Social Media for Event info, New videos, Free Classifieds Information on Jobs & Machines, Unusual & Rare Radiology Images, New Product Reviews & More
UA-cam: Subscribe & Click on the Bell Icon for notifications: ua-cam.com/users/indianradiolo...
FACEBOOK: / indianradiologist
UA-cam: / indianradiologist
INSTAGRAM: @Indianradiologist
Quick learning videos on Radiology for UG and Residents in Radiology. Subscribe to Indian Radiologist and get free Radiology teaching videos from experts in the field of Radiology.

[@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 .

[@susana426]

Million dollars Lecture free of cost. Millions thanks😊

[@drchitikalaharitha8383]

One of the best lectures 👌👌

[@darkRoomRadiology]

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

[@ronaldcortez3510]

excellent seminar, much appreciate it

[@ddrntk77]

Its crisp and clear..thanks for enlightenment

[@guljari8941]

Excellent presentation mam.
Crips and clear informative talk.

[@tuttuthomas2529]

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

[@sudhinalavil]

Excellent talk madam!! Thank you

[@mushirulhaq7592]

Thank you
For this master piece ❤

[@vandanamenon9389]

thank you so much for making such a complicated topic simple

[@abhishekkaushik4604]

Sensational lecture mam. Thank you so much

[@waniraqib5244]

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

[@NeazMahmud]

Fully Agreed

[@semirsultan9670]

just WoW....nice presentation

[@jahnavimoorthy3942]

Mind blowing presentation mam.

[@venkatapathyr4744]

Jus amazing n informative.. Thanks mam

[@sagaraher88]

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

[@sushilkachewar1791]

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

[@mohammedyusufmohammed1436]

Very explicit and wonderful presentation 👏

[@kalyaniborkar2833]

One of the best lecture mam

[@saumyadipak8267]

Short and sweet presentation

[@rinkuvasaya9657]

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

[@jbdiagnostics5426]

VERY NICE CRISP EDUCATIVE PRESENTATION

[@prajdeshmukh6667]

Very informative.Thank you.

[@MrShahidakhtar]

Thank you.it is very helpful

[@hemz-lifeasitis7027]

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

[@ninajha9514]

Excellent presentation

[@smitakukade5812]

Thanks a lot mam
It ws v much informative

[@shereenanwer4085]

Great lecture. Thanks alot

[@deeptyagrawal1729]

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

[@IndianRadiologist]

Thank you 🙏

[@veenaseth9745]

Very useful information.

[@kr-ql3fz]

Amazing lec ..thanks alooot

[@shardakakade6978]

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

[@rajendragupta3996]

Well explained each corner

[@mamtamundada6187]

Very useful information 👍

[@Drsubhashtailor]

Very nice & precise

[@asmaazahran7474]

Great doctor thank u

[@mohamedelsheity1242]

Very good presentation..thanks

[@doctormunesh1985]

Nice work mam.. thanks u 🙏🙏🙏

[@drsasmitanaik8714]

Excellent presentation mam

[@iamwierd116]

Very well explained maam

[@babakolhal7677]

Awesome Lecture 👌

[@bhagwanshinde1101]

Very informative madam!

[@prayasletslearntogether5667]

Thanks for the lucid and comprehensive teaching

[@devendrabaskey1]

Great lecture ma'am

[@roomakhan325]

You r great mam v informative

[@nimmakayalanaidu6489]

excellent mam

[@DrSadaf-oj5br]

Best of best🎉

[@tanvivasalla5388]

Never seen a better video

[@amitkansal7729]

Very good information

[@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

[@roopapathi4889]

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

[@HienNguyen-wl8ls]

thank you very much

[@pran10000]

Thank you ma’am. Excellent work.

[@IndianRadiologist]

Most welcome 😊

[@jandeepbanga2987]

Very well presented. Excellent grasp on the subject. Thnx

[@IndianRadiologist]

Glad it was helpful! jandeep

[@prashantraju6]

Thank you

[@shakilahmad134]

Informative ❤

[@Ptmalge]

What a lecture.. Great one

[@IndianRadiologist]

Glad you liked it Pavan

[@sangeetajain6220]

Very well explained

[@drsantosh2723]

thank you mam

[@dr.sumanbhatia53]

very well explained

[@Learningtofly1974]

AWESOME

[@hdnagarnagar8065]

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

[@IndianRadiologist]

thank you for watching dr nagar

[@pushpalatashinde6632]

Nicely explained Madam

[@reyazuddin2954]

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

[@IndianRadiologist]

Keep watching thanks

[@amolk992]

Very good 👍

[@vikramkhotsaaishwari]

nice lecture

[@Papakahtehai]

Very informative

[@drdeependra09]

Thanks

[@bharathkakileti1570]

Excellent lecture madam.
Thank u.

[@IndianRadiologist]

Thanks for liking Bharath!

[@kishorechoudhury3336]

Nice presentation mam.. Full of information

[@IndianRadiologist]

Glad you liked it kishore

[@themani009]

Excellent

[@zuleyxarzayeva339]

Thank you very much! Very helpfull! 🌺

[@IndianRadiologist]

Glad it was helpful!

[@x-skull-x8561]

Very nice ma'am

[@samalsagher3461]

Very nice

[@dhananjayharne1896]

Very useful madam. Thank you

[@IndianRadiologist]

Welcome 😊

[@drvks75]

waiting

[@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

[@ashutoshtandon8337]

Nice video.

[@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

[@sandhyathakare885]

Very much informative

[@IndianRadiologist]

Glad it was helpful!

[@kirtisakhare9326]

Good

[@tejashreepatekar9839]

Thank you so much everyone

[@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!

[@madhurigaidhani3608]

👌

[@drmoinnhm5666]

Thanks kindly send other videos

[@nitinpatil6542]

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

[@rasikagosavi892]

Thank you mam!!

[@jigi2223]

👍🙏🏻

[@ajinkyakulkarni3321]

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

[@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.

[@shivalimittal164]

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

[@tejashreepatekar9839]

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

[@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

[@mariyak.2594]

😊😊

[@hdnagarnagar8065]

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

[@IndianRadiologist]

Thanks a lot

[@abdulbaser-oq5lw]

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

[@mousumidua6773]

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

[@masudaakter8879]

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

[@drmayur15]

What's the ideal time to do secretory scan?

[@RidaFatima-tp2mg]

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

[@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.