### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, My doctor have asked me to get done the follicular study. I have started that and the endometrium size is 0.67 cms on 26.12.2011. Now the doctor has asked me to get the next scanning done on 29.12.2011 and said that if the follicular size is >= 0.67 cms then take Injection Ovumax 5000 units SC.Please advise what does this indicate.

### output:

Hallow Dear, The egg is inside the follicle. Immediately after menstruation, the follicle and the egg inside are very small. Day by day, they go on increasing in size. About 14 days prior to the next menses the egg is released from the follicle. Just before the egg release (ovulation), the follicle attains the size between 18 mm and 21 mm. Endometrium is lining of the uterus. During menstruation its outer layers get shed off when it becomes very thin. Day by day, it also starts becoming thicker. A healthy endometrium is between 9 mm and 14 mm thickness at the time of ovulation. You have mentioned the size of follicle and thickness of endometrium, which are too low; however it is not clear these sizes are on which day of the cycle. If these measurements are at or around the ovulation, they are too low. You will need some medicine to increase the size of the follicle. As the follicle grows in size, endometrium also will become thicker. However, Ovum ax is an Injection which contains Human Chorionic Gonadotropin (Chat Doctor) hormone. This injection is given to induce ovulation from a well grown follicle. It would not help the growth of the follicle. For growth of the follicle, In. HMG has to be given. Camphene citrate also may be of use; however, it may hide the growth of the endometrium. I would not advise you to go for these or such injections before you get some of your investigations done which will try to point out the deficiency. Get your blood examined for FSH, LH and AMH. Based on their levels, further management should be planned. Please report to an Infertility Consultant for expert and scientific management. I hope you got the required guidance. 