Monitoring Follicle Size for Fertility: Coverage and Options in Taiwan - Obstetrics and Gynecology

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Follicle tracking


I heard from a friend that tracking follicle size can help with conception.
Can I come to your hospital for monitoring? Is it covered by health insurance or is it out-of-pocket?

Zheng, 30~39 year old female. Ask Date: 2009/07/29

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: If you and your husband have not been married for many years and have been actively trying to conceive without success, it is recommended to start tracking your basal body temperature.
This can help the couple identify the ovulation period and increase the chances of conception.
If you have been measuring for more than three months, you may also bring your temperature chart to consult with a physician.
May God bless you both! Wishing you peace and health.

Reply Date: 2009/07/29

More Info


Monitoring follicle size is an essential aspect of fertility treatment, particularly for women undergoing assisted reproductive technologies such as in vitro fertilization (IVF) or intrauterine insemination (IUI). In Taiwan, many hospitals and fertility clinics offer services to monitor follicle development through ultrasound examinations. This process typically involves transvaginal ultrasound, which provides a clear view of the ovaries and allows for accurate measurement of follicle size.

In terms of coverage, the National Health Insurance (NHI) in Taiwan does provide some coverage for fertility treatments, including monitoring follicle size. However, the specifics can vary based on individual circumstances, such as the reason for infertility, the treatment plan, and the clinic's policies. Generally, if you are undergoing a fertility treatment protocol, the monitoring of follicle size is often included in the overall treatment plan and may be covered by NHI. It is advisable to check with your healthcare provider or the specific clinic regarding the details of coverage and any potential out-of-pocket costs.

If you are considering tracking follicle size to assist with conception, you can certainly visit a fertility clinic or a gynecologist who specializes in reproductive health. They will typically perform a series of ultrasounds to monitor the growth of follicles, which are fluid-filled sacs in the ovaries that contain eggs. The size of these follicles is crucial because it helps determine the optimal timing for ovulation or the administration of medications to trigger ovulation.

The monitoring process usually begins around the time of menstruation and continues until ovulation is detected. Follicles that reach a size of approximately 18-24 mm are generally considered mature and ready for ovulation. If you are undergoing treatments like IVF, the clinic may also monitor hormone levels, such as estrogen, to assess follicle development and overall ovarian response.

In addition to ultrasound monitoring, some clinics may also offer blood tests to measure hormone levels, which can provide additional information about your reproductive health. These tests can help determine if your body is responding appropriately to fertility medications, if applicable.

In summary, monitoring follicle size is a standard practice in fertility treatments, and it is possible to receive this service at various clinics in Taiwan. Coverage under the National Health Insurance may apply, but it is essential to confirm with your healthcare provider regarding the specifics of your situation. If you are interested in pursuing this option, I recommend consulting with a fertility specialist who can guide you through the process and help you understand the associated costs and coverage options.

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