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Antral follicle count and PCOS?

smilelarismilelari member
in Infertility

I was dx with PCOS about 8 months ago but lately I've been suspicious of that dx.  I had a baseline u/s today and had a total of 26 follicles, 12 on one ovary and 14 on the other.  What is a normal AFC?  What is an AFC typically for someone with PCOS?

TIA!

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Re: Antral follicle count and PCOS?

  • alison43alison43

    i *think* my RE said that having over 12 follies on one ovary was one of the classifying PCOS factors...he said you had to have at least two of these three things:  anovulatory cycles, hirsutism, or polycystic ovaries.

    he also said that sometimes younger women will be classified as pcos and then, in a few years, they will find they have a "normal" number of antral follicles and that they just were a normal variant when they were initially evaluated.  (that sounds confusing.  let me know if you need me to explain that again.)

    i know i had 24 follies on one side and 28 on the other,,,so I definitely wasn't borderline there!  i also have elevated testosterone but my insulin levels are perfectly normal.

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  • kimarino13kimarino13 member
    I am not sure, but I had 15 on each side and I do not have PCOS.

    After 2 rounds of IVF & 2 rounds of FET, we were blessed with identical twin girls!
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  • LianeLLianeL

    This website is helpful and it has pics of actual u/s.  It sounds like you are withing normal range.

    https://www.advancedfertility.com/antralfollicles.htm

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  • princessbeulahprincessbeulah
    I had 14 total and I'm not sure if that's a good number or not.
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  • BelleBabyBelleBaby member
    Not sure if this was "normal" for PCOS, but I had 38 for IVF#1 and 40 for IVF#2.  I ended up with 4 mature follies at each ER.
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