During a visit
During the first meeting with a physician which takes place at the time of menstruation, the doctor examines the ovaries’ structure and excludes the presence of abnormalities, e.g. cysts.
Two subsequent visits allow to assess the growth of the Graafian follicles (and potentially their number in the case of ovulation stimulation), occurrence of ovulation and the rate and extent of endometrium. In practice this process consists in the ultrasound examination before expected ovulation and in the next visit combined with the control ultrasound exam several days after the anticipated rupture of the follicle.
A one-time confirmation of the proper course of the cycle or observation of its abnormalities does not always allows to draw a clear conclusion on the functioning of the Patient’s reproductive system. Menstrual cycles in women are highly variable, i.e. normal cycles can alternate with abnormal ones. For these reasons sometimes it is necessary to monitor ovulation in several cycles in order to ascertain the repeatability of the obtained results. Disorders in this scope confirmed several times may indicate abnormal ovulation as one of the infertility causes.