Infertility/Fertility/immature follicle

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Question
i m 32 years prediabetic female with a 5 year old daughter i have been trying to conceive since few months n after my first babt i dint take n e medicines injections as contraception measures rather we use condoms.....i have been teseted for few things including day 12 ultrasound that says uterus size : 6.4x3.6x4.7 cm appears normal

endometrium: 0.7 cm thick

right ovary: size 3.3x2.3 cm no. of follicles 7 soze of largest follicle 1.3x1.1 cm

left ovary: size 3.7x2.6 cm no. of follicles 9 size of largest follicle 0.7x0.7 cm

comments:
a dominant but immature follicle is noted in the right ovary

does this report refer to any infertility problem in me....my doc i got long gaps in intercourse so i realize that we have not been trying v often but i m too conscious that i m 32 m i aged enough to get this infertility thing into me...or this long gap has created this problem...my diabetese doc says my pre-diabetic condition isnt a problem..i have family history of diabetese n i got this thing noticed last year n get tested for diabetese which showed impaired results....i m quite worried with the results of report although i dont undrstand it....but kindly let me know what actually it is and what could be the possible treatments that invokes pregnancy early..i m overweight too..my tummy is quite out for which i m exercising..i m too desperate to have another baby soon....
kindly reply me...

Regards...

Answer
Hello Syeda from Pakistan,

This ultrasound does not indicate any type of fertility issue, but does confirm a normal uterus and ovaries.  In order to identify fertility issues you would need to undergo an infertility evaluation.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  

Infertility/Fertility

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Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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