ULTRASOUND FOLLICLE MONITORING | TEJASHREE PATEKAR | DOPPLER IN FOLLICLE RUPTURE | UTERINE ARTERY PI
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- čas přidán 2. 07. 2024
- 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.
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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 .
Million dollars Lecture free of cost. Millions thanks😊
Very informative and to the point..Thank u mam for such a wonderful presentation.👍🏻
One of the best lectures 👌👌
Excellent presentation mam.
Crips and clear informative talk.
Its crisp and clear..thanks for enlightenment
Thank you madam...it was a wonderful and crisp talk
excellent seminar, much appreciate it
thank you so much for making such a complicated topic simple
One of the best explained crisp video on follicular monitoring with Dopplers.
Thank you 🙏
Excellent Dr. Love the presentation, simple, concise and uncomplicated.
Excellent presentation
Excellent talk madam!! Thank you
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
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
Thank you
For this master piece ❤
Thanks for the Complete Coverage of this important topic...Need of the Hour...As Corona is there...
Thank you so much madam....very helpful presentation
Wow! One of the best lectures on the topic. Respect ❤
Fully Agreed
Tha analysis of the size of the follicle and vascular flow is useful indeed. Thanks. Dr. Shamim Malik, Kenya
thx for watching dr shamim
Sensational lecture mam. Thank you so much
Short and sweet presentation
Mind blowing presentation mam.
Very well explained mam.looking forward to hear more. Thanks
Best of best🎉
Very explicit and wonderful presentation 👏
VERY NICE CRISP EDUCATIVE PRESENTATION
just WoW....nice presentation
Very informative.Thank you.
Jus amazing n informative.. Thanks mam
Thanks a lot mam
It ws v much informative
Excellent and very crisp presentation madam... kindly elaborate on UBP and fetal Doppler please...
Great lecture. Thanks alot
Thank you.it is very helpful
Awesome Lecture 👌
Very useful information 👍
Very useful information.
Very well presented. Excellent grasp on the subject. Thnx
Glad it was helpful! jandeep
Madam you have nicely give a worlful knowledge for a gynec practioner. Congrates
thank you for watching dr nagar
Nice work mam.. thanks u 🙏🙏🙏
Amazing lec ..thanks alooot
Thanks for the lucid and comprehensive teaching
Very informative madam!
Excellent presentation mam
Very nice & precise
Very good presentation..thanks
One of the best lecture mam
excellent mam
Thank you ma’am. Excellent work.
Most welcome 😊
Great.. good job ...all the best mam
Well explained each corner
Very well explained maam
AWESOME
Very good information
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...
I was wondering too.. It's suppose to be humog
Great lecture ma'am
Nicely explained Madam
Great doctor thank u
You r great mam v informative
Very well explained
Informative ❤
Very good 👍
Excellent
More informative video Mam thank u so much, plz keep continue it
Keep watching thanks
very well explained
Never seen a better video
Thank you very much! Very helpfull! 🌺
Glad it was helpful!
thank you mam
Excellent lecture madam.
Thank u.
Thanks for liking Bharath!
What a lecture.. Great one
Glad you liked it Pavan
Nice presentation mam.. Full of information
Glad you liked it kishore
Very informative
thank you very much
Waiting
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.
Glad it was helpful!
Very nice ma'am
nice lecture
Very useful madam. Thank you
Welcome 😊
Great lecture can you do the video on manuvers of probe in follicular monitoring it will complete the tooic
Thank you
Thank you so much everyone
Very informative, thank u very much.
One query
When we have to do secretory scan....Means on which day after ovulation....
Really appreciate your efforts mam, thank you so much. I have one query - What is d role of endometrial Doppler and d grading.
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.
Thanks kindly send other videos
Thanks
Nice video.
Very much informative
Glad it was helpful!
Excellent presentation mam.Thank you so much .What is the role of endometrial thickness and volume at follicular monitoring.
Thanks a lot Ma'am excellent session Ma'am
👌
Very nice presentation.mam plz make a video on placenta accreta especially in early 2nd trimester
Thanx...I will try for sure...
Very nice
👍🙏🏻
When the secretory or luteal scan to be done ?How many days after giving inj Hcg?
Good
Can there be fluiid in pod and dominant follicle has not ruptured
Excellent mam . Iam gynec but it was a mind-blowing lecture
Thanks a lot
Hello mam I have a question that my USG report says i have multifollicular ovary.so mam is its mean pcos?
Thank you mam!!
What's the ideal time to do secretory scan?
Excellent. Can a pt be pregnant, if mature follicle is present and no cumulus oophorus?
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.
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.
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
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
And infact endometrial applebaum scoring is very important in mid cycle to evaluate good or poor endometrial receptivity which guides clinician better
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 ?
Brilliant lecture thank you. Can anyone please guide as where exactly to sample for mid cycle uterine artery Doppler for ubp scoring. Thanks
@@VivekGupta-fg7yq
TVS is ideal.
It's the ascending uterine branch of uterine artery at the level of internal os ....paracervical location