What is the difference between follicle expulsion and follicle atrophy?

A woman's ovaries will produce follicles, which will be discharged through the fallopian tubes. This is a normal physiological phenomenon. In addition, we often hear about female follicle atrophy. Follicular atrophy is an abnormal phenomenon and patients usually need treatment. Some methods can be used to induce ovulation, or artificial insemination can be used, so follicle discharge and atrophy are completely different.

First, how to distinguish between follicular atrophy and follicular discharge

Under normal circumstances, the follicle usually grows from small to large. During the slow development process, as long as it grows to 1.8*1.9cm and the thickness of the follicle's inner membrane grows to 0.8cm, the follicle should ovulate. If ovulation continues, it means that the follicles may have atrophied. The normal discharge of follicles cannot be observed with the naked eye. A special examination is required in the hospital. The medical instrument B-ultrasound is used to monitor whether the follicles are discharged. If the female's follicles can be discharged normally, the female can become pregnant normally.

Whether a woman can become pregnant is not only related to the growth and development of the ovarian follicles, but also to a series of factors such as the quality of male sperm. Whether a woman can ovulate normally is also related to factors such as mood and environment.

Second, how to distinguish whether the follicle is discharged or atrophied

Under normal circumstances, the follicle development to 1.8-2.5cm is within the normal range. If ovulation does not occur, it is an ovulation disorder. The factors causing ovulation disorders include: central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome; luteinized follicle unruptured syndrome; others: other endocrine systems other than gonads, such as thyroid adrenal cortex dysfunction and some systemic diseases such as severe malnutrition, can affect the regulation of ovarian function and lead to ovulation disorders.

Suggestions: You can check endocrine and ovarian function to identify the cause and then treat it in a targeted manner.

Third, Introduction to Follicular Atrophy

It refers to a group of syndromes in which the menstrual cycle is regular and ovulation is assumed to occur, but the follicle does not rupture in the middle of the menstrual cycle and ovulation does not occur. It is one of the important causes of infertility. Patients are often clinically diagnosed with unexplained infertility, corpus luteum deficiency, endometriosis or pelvic inflammatory disease. The possibility of this disease should also be considered in patients with ovulatory dysfunction who cannot become pregnant even after inducing "successful ovulation". In addition to the manifestations of the above diseases, patients may have no other symptoms. During examination, it can be found that they have regular menstrual cycles and the basal body temperature is biphasic; premenstrual diagnostic curettage and endometrium show secretory changes; after the basal body temperature rises, blood estrogen and progesterone may be within the normal range. This requires symptomatic treatment or combined surgical treatment based on the specific situation of the reproductive axis in order to have hope of having a child.