USG Pelvis in Pune
Accurate antral follicle count and follicular monitoring in Pune by Dr. Devashree Salunkhe at the best follicular monitoring centre in Pune. AFC scan, follicular scan, ovulation tracking scan, IUI scan, IVF monitoring scan and ovarian reserve test, all with the best follicular scan price in Pune and same day report at ASHA Sonography, the best radiology clinic in Pune, Hadapsar.
When you are trying to conceive and things are not working the way you hoped, the uncertainty is one of the hardest parts. Knowing exactly when you are ovulating, whether your follicles are growing well, and whether your ovarian reserve is adequate gives you and your gynaecologist real information to work with. At ASHA Sonography in Hadapsar, Dr. Devashree Salunkhe, MD Radiodiagnosis, Consultant Radiologist, performs every antral follicle count and follicular monitoring scan in Pune personally. She takes time to explain exactly what she sees on screen, in plain language, so you understand your fertility picture clearly.
Whether your gynaecologist or fertility specialist has referred you for a baseline AFC scan to assess ovarian reserve before IVF, for serial follicular monitoring to time IUI or natural conception, or for ovulation tracking during a stimulation cycle, ASHA Sonography provides a calm, private, women centric environment where you receive accurate results and honest guidance. If you are looking for the best follicular monitoring centre in Pune or comparing follicular scan cost in Pune, we are here to help you through this journey.
About the Antral Follicle Count
What is an Antral Follicle Count (AFC) Scan?
An Antral Follicle Count scan, commonly called an AFC scan or ovarian reserve test, is a baseline transvaginal ultrasound done between day 2 and day 5 of your menstrual cycle. It counts all the small resting follicles present in both ovaries at the beginning of the cycle. Each of these small follicles, called antral follicles, measures between 2 and 9 mm and contains an immature egg that could potentially develop and ovulate in a future cycle
The total number of antral follicles across both ovaries gives a direct estimate of your ovarian reserve, which is how many eggs your ovaries have remaining. A higher antral follicle count generally indicates better ovarian reserve and a stronger expected response to fertility stimulation drugs used in IVF. A lower count suggests diminished ovarian reserve and may indicate that fertility treatment needs to be planned more carefully or urgently.
The AFC scan is done together with the AMH blood test to give your fertility specialist the most complete picture of your ovarian reserve. At ASHA Sonography, the best follicular monitoring centre in Pune, Dr. Devashree Salunkhe performs every AFC scan personally using high resolution transvaginal ultrasound, counts each follicle carefully in both ovaries, and provides a same day detailed report at our radiology clinic in Pune, India
What is Follicular Monitoring?
Follicular Monitoring, also called a follicular study, follicular scan, follicle tracking scan or ovulation tracking scan, is a series of transvaginal ultrasound scans performed at intervals across the second week of your menstrual cycle. While the AFC scan is a one-time baseline assessment of ovarian reserve, follicular monitoring is an ongoing tracking process that watches the dominant follicle grow day by day until it reaches maturity and releases an egg at ovulation
During a natural or stimulated cycle, one follicle typically becomes the dominant follicle and grows from around 10 mm to 18 to 24 mm before ovulating. Dr. Devashree Salunkhe tracks this growth with serial scans and also monitors the endometrial lining, which needs to reach an adequate thickness of 8 mm or more to allow successful implantation. When the follicle reaches the right size and the lining is ready, your gynaecologist or fertility specialist can advise the best time for timed intercourse, IUI or egg retrieval for IVF.
When Should You Get a USG Pelvis?
A USG pelvis is one of the first tests your gynaecologist or doctor will order when you have any pelvic complaint. It is safe, quick, radiation free and gives immediate results that guide further treatment decisions.
- Pelvic pain, lower abdominal pain or a feeling of heaviness or pressure in the pelvis
- Irregular, heavy, prolonged or absent menstrual periods
- Abnormal uterine bleeding or any bleeding after menopause
- Suspected uterine fibroids or endometrial polyps
- Suspected ovarian cysts or known ovarian pathology to be monitored
- PCOD or PCOS diagnosis or follow up assessment
- Infertility evaluation including follicle monitoring and endometrial thickness check
- Abnormal blood reports or elevated creatinine requiring organ assessment
- Assessment before starting IVF or fertility treatment
- Suspected ectopic pregnancy or early pregnancy assessment
- Pelvic infection, pelvic inflammatory disease (PID) or suspected abscess
- Urinary complaints such as frequent urination, burning or incomplete bladder emptying
- Enlarged prostate or prostate related symptoms in men
- Routine gynaecological check recommended by your gynaecologist
Pelvic ultrasound, pelvic sonography, lower abdomen scan, TVS scan
Also known as
Dr. Devashree Salunkhe, MD Radiodiagnosis, Consultant Radiologist
Performed by
Transabdominal (TAS) and Transvaginal (TVS)
Approaches available
Full bladder for TAS. Empty bladder for TVS.
Preparation
15 to 25 minutes
Scan duration
Same day detailed printed report with images
Report
ASHA Sonography, Hadapsar, Pune
Location
ASHA Sonography, Hadapsar, Pune
Location
What the USG Pelvis Checks
At ASHA Sonography, the best radiology clinic in Pune, India, Dr. Devashree Salunkhe carries out a thorough pelvic assessment covering every relevant organ and structure in detail:
| What is Assessed | What Dr. Deveshree Salunkhe Looks For |
|---|---|
| Uterus | Size, position, shape, wall texture, fibroids, adenomyosis, congenital anomalies |
| Endometrium (Uterine Lining) | Thickness and texture, polyps, hyperplasia, any irregular thickening |
| Cervix | Cervical length, nabothian cysts, cervical masses |
| Both Ovaries | Size, number and distribution of follicles, dominant follicle, cysts, PCOD pattern, masses |
| Fallopian Tubes | Dilated tubes (hydrosalpinx) if visible, fluid around tubes |
| Pouch of Douglas | Free fluid, pelvic collection or abscess behind the uterus |
| Urinary Bladder | Wall thickness, stones, masses, post void residual urine |
| What is Assessed | What Dr. Deveshree Salunkhe Looks For |
|---|---|
| Urinary Bladder | Wall thickening, bladder stones, masses, post void residual volume |
| Prostate Gland | Size, echotexture, benign enlargement (BPH), calcifications, nodules |
| Seminal Vesicles | Structural changes or dilation |
| Perivesical Region | Enlarged lymph nodes, pelvic fluid or masses |
Preparation and What to Expect
Before your visit
- AFC scan: come on day 2, 3, 4 or 5 of your menstrual cycle. Day 1 is the first day of proper bleeding.
- Follicular monitoring scans: come on the day advised by your gynaecologist or fertility specialist
- No fasting is required before any follicular scan
- Empty your bladder before arriving for a transvaginal scan
- Carry your gynaecologist's or fertility specialist's prescription or referral
- Bring your previous AFC results, AMH report or any earlier follicular scan reports
- A female attendant is always present at ASHA Sonography during every scan
During the scan
- Each follicular scan takes 10 to 20 minutes
- Dr. Devashree Salunkhe performs every scan personally using a transvaginal ultrasound probe
- The probe is slim, sterile and covered. Most patients feel only mild pressure and no pain.
- Dr. Devashree Salunkhe counts every follicle carefully and explains what she sees in plain language
- Follicle sizes and endometrial thickness are measured and noted during the scan
After the scan
- A detailed printed report with individual follicle measurements and endometrial thickness is provided the same day
- Dr. Devashree Salunkhe explains the results clearly including what each measurement means
- The report is designed to be easy for your gynaecologist or fertility specialist to act on immediately
- You can resume normal activities immediately after the scan
How the Anomaly Scan is Performed
The Anomaly Scan or TIFFA scan at 19 to 20 weeks is performed using the transabdominal approach. A small probe is moved gently over the abdomen with water based gel to produce detailed high resolution images of the baby. At this stage of pregnancy a full bladder is generally not needed as there is sufficient amniotic fluid around the baby for clear visualisation. If any particular structure is not seen clearly due to the baby’s position, you may be asked to walk briefly and return. The scan takes 30 to 45 minutes and in some cases longer if the baby is very active. At ASHA Sonography, the best anomaly scan centre in Pune, Dr. Devashree Salunkhe ensures a female attendant is always present and a same day report is provided before you leave.
Transabdominal Scan (TAS)
A probe is moved gently over the abdomen with water based gel. This is the standard approach from around 12 weeks onwards.
Transvaginal Scan (TVS)
A slim sterile covered probe provides a sharper view when the baby is not ideally positioned. Safe, painless and done with a female attendant present.
Is the AFC and Follicular Monitoring Scan Safe?
Yes, completely. Both the antral follicle count scan and the serial follicular monitoring scans use transvaginal ultrasound, which involves high frequency sound waves and absolutely no radiation. These scans are safe to repeat multiple times across a single menstrual cycle and across multiple cycles without any risk to your health or your eggs. The transvaginal probe is slim, sterile and covered. At ASHA Sonography, the best radiology clinic in Pune, India, Dr. Devashree Salunkhe conducts every scan with care, precision and full respect for patient comfort and dignity. A female attendant is always present.
Conditions the USG Pelvis Can Detect
In Women
| Uterine Fibroids (all types) | Ovarian Cysts (simple, complex, dermoid, endometriotic) |
| PCOD and PCOS | Endometrial Polyps and Hyperplasia |
| Adenomyosis | Pelvic Inflammatory Disease (PID) |
| Hydrosalpinx (blocked fallopian tube) | Ectopic Pregnancy |
| Congenital Uterine Anomalies (septate, bicornuate uterus) | Postmenopausal Uterine or Ovarian Changes |
| Endometriosis related findings | Pelvic Fluid or Abscess |
What the 3D Pelvis Scan Assesses
In Men
| Benign Prostatic Hyperplasia (BPH) | Urinary Bladder Stones and Masses |
| Prostate Calcifications and Nodules | Seminal Vesicle Abnormalities |
| Bladder Outlet Obstruction | Post Void Residual Urine Assessment |
WHY ASHA
Why Choose ASHA Sonography for Follicular Monitoring in Pune
- Every AFC and follicular scan performed personally by Dr. Devashree Salunkhe, female Consultant Radiologist, MD Radiodiagnosis
- High resolution transvaginal ultrasound for accurate follicle counting and sizing
- Every follicle in both ovaries counted and measured individually in every report
- Endometrial thickness and trilaminar pattern always included in report
- Same day detailed report provided before you leave the clinic
- Female attendant always present during every transvaginal scan
- Calm, private, women centric environment with compassionate care
- Best follicular scan price in Pune with transparent fees and no hidden charges
How to Choose the Best Follicular Monitoring Centre in Pune
For fertility patients, the accuracy and reliability of the follicular monitoring scan directly affects treatment decisions. Here is what to look for when choosing a follicular scan centre in Pune:
| What to Check | Why It Matters |
|---|---|
| Scan Done by a Radiologist | Accurate follicle counting requires careful technique and clinical knowledge. A qualified radiologist will count every follicle in both ovaries systematically and measure each one correctly. Missed follicles or inaccurate sizes lead to wrong clinical decisions. |
| High Resolution Transvaginal Ultrasound | Small antral follicles of 2 to 5 mm can easily be missed on low resolution equipment. For accurate AFC results, high resolution transvaginal ultrasound is essential. |
| Individual Follicle Sizes Reported | A proper follicle monitoring report lists the size of every individual follicle in both ovaries, not just a total number. Your fertility specialist needs each size to plan the trigger injection and egg retrieval timing. |
| Endometrial Thickness and Pattern Reported | A complete follicular scan report also includes endometrial thickness in mm and the endometrial pattern. This information is as important as the follicle sizes for timing IUI or IVF. |
| Same Day Report Available Immediately | Fertility treatment decisions such as trigger injection, IUI timing and dose adjustments cannot wait. Your report should be available immediately or the same day so your specialist can act. |
At ASHA Sonography, Hadapsar, all of the above criteria are met. Dr. Devashree Salunkhe personally performs and reports every antral follicle count and follicular monitoring scan. Every follicle in both ovaries is counted and measured individually. Endometrial thickness and pattern are always included. Same day reports are provided before you leave the clinic. Patients searching for follicular monitoring in Pune, AFC scan in Pune, follicular scan in Pune, follicular study in Pune, ovarian reserve test in Pune, IUI scan or IVF monitoring scan visit us from Magarpatta, Mundhwa, Kharadi, Kalyani Nagar, Koregaon Park, Viman Nagar, Wanowrie, Kondhwa and many other parts of Pune.
Follicular Monitoring Cost in Pune: What to Know
When searching for follicular monitoring cost in Pune or follicular scan cost in Pune, keep in mind that you may need 3 to 5 scans per cycle for serial follicular monitoring, and potentially more in an IVF stimulation cycle. The total cost across a cycle depends on the number of scans needed, which your gynaecologist will advise.
At ASHA Sonography we offer the best follicular scan price in Pune with transparent per-scan fees and no hidden charges. Dr. Devashree Salunkhe performs every scan personally. Contact us on +91 7030343203 or visit our clinic in Hadapsar to know the current AFC scan and follicular monitoring cost in Pune.
AFC Scan vs Follicular Monitoring: What is the Difference?
These two scans are related but serve very different purposes. Many patients confuse them or use the terms interchangeably. Here is a clear comparison:
| AFC Scan | Follicular Monitoring | |
|---|---|---|
| When done | Day 2 to 5 of menstrual cycle (baseline) | Day 9 to 14 onwards (serial scans every 2 to 3 days) |
| Number of scans | Single scan | 3 to 5 scans per cycle on average |
| Purpose | Assess ovarian reserve and egg count | Track follicle growth and predict ovulation timing |
| Also checks | Ovarian volume, basic uterine and pelvic assessment | Endometrial thickness and texture, follicle rupture |
| Best for | IVF planning, fertility evaluation, diminished ovarian reserve assessment | Timed intercourse, IUI, IVF stimulation monitoring, ovulation disorders |
Understanding Your AFC Results
Dr. Devashree Salunkhe will explain your AFC result clearly after every scan. As a general guide, here is how antral follicle counts are typically interpreted in fertility medicine:
| Total AFC Count | Interpretation | What It Means for Fertility Treatment |
|---|---|---|
| More than 15 | Normal to high ovarian reserve | Good response expected to IVF stimulation |
| 6 to 15 | Normal range | Average response to stimulation, manageable with standard protocols |
| Less than 6 | Low or diminished ovarian reserve | Requires specialised fertility protocol. Treatment still possible. |
| More than 25 to 30 | High ovarian reserve (PCOD pattern possible) | Risk of ovarian hyperstimulation (OHSS) with IVF. Needs careful dose planning. |
These ranges are a general guide. Dr. Devashree Salunkhe will always explain your specific result in the context of your age, AMH level, clinical history and your gynaecologist’s treatment plan. A low AFC is not a closed door. Many women with low counts have successfully conceived with the right fertility treatment.
Typical Follicular Monitoring Scan Schedule
The exact number and timing of follicular monitoring scans in each cycle depends on whether you are in a natural cycle, a stimulated IUI cycle or an IVF stimulation cycle. Dr. Devashree Salunkhe provides a report after every scan that your gynaecologist or fertility specialist can use to adjust your treatment in real time. A typical schedule looks like this: how antral follicle counts are typically interpreted in fertility medicine:
| Scan Visit | What is Assessed |
|---|---|
| Scan 1 (Day 2 to 5) | Baseline AFC scan. Antral follicle count in both ovaries, ovarian volume, baseline uterine and pelvic assessment, any existing cysts. |
| Scan 2 (Day 9 to 10) | Track dominant follicle size in both ovaries. Endometrial thickness measurement. Number of growing follicles noted. |
| Scan 3 (Day 12 to 13) | Confirm dominant follicle nearing maturity (18 to 20 mm). Endometrial lining check. Advise trigger injection timing if applicable. |
| Scan 4 (Day 14 to 16) | Confirm follicle maturity (18 to 24 mm). Confirm endometrial thickness 8 mm or more. Advise timing of IUI or timed intercourse. |
| Scan 5 (Post-ovulation) | Confirm follicle has ruptured and ovulation has occurred. Corpus luteum formation confirmed. Endometrial assessment. |
In IVF stimulation cycles, scans may be needed more frequently, every 1 to 2 days, to monitor multiple follicle development and prevent ovarian hyperstimulation. Dr. Devashree Salunkhe provides a report after every single scan with all follicle sizes listed individually so your IVF specialist has the exact data needed.
Areas we serve in Pune
Our clinic in Hadapsar is a short drive from Magarpatta City, Amanora Park Town, Mundhwa, Keshav Nagar, Fatima Nagar, Wanowrie, NIBM, Kondhwa, Koregaon Park, Kalyani Nagar, Kharadi and Viman Nagar. Patients also visit us from Camp, Pune Station and Yerawada for their anomaly scan in Pune and TIFFA scan in Pune.
Areas we serve in Pune
Our clinic in Hadapsar is a short drive from Magarpatta City, Amanora Park Town, Mundhwa, Keshav Nagar, Fatima Nagar, Wanowrie, NIBM, Kondhwa, Koregaon Park, Kalyani Nagar, Kharadi and Viman Nagar. Patients also visit us from Camp, Pune Station and Yerawada for their 3D 4D scan in Pune and 4D sonography in Pune.
TESTIMONIALS
What our patients say
FAQs
Frequently asked questions
What is an antral follicle count (AFC) scan?
An AFC scan is a baseline transvaginal ultrasound done between day 2 and day 5 of your menstrual cycle to count the small resting follicles in both ovaries. Each antral follicle represents an egg that could potentially develop in a future cycle. The total count gives an estimate of your ovarian reserve, which helps your fertility specialist plan IVF protocols and predict how your ovaries will respond to stimulation.
What is follicular monitoring?
Follicular monitoring, also called a follicular scan or follicular study, is a series of serial transvaginal ultrasound scans done between day 9 and day 16 of your menstrual cycle. Each scan tracks the growth of the dominant follicle and measures the endometrial lining. It helps your gynaecologist or fertility specialist identify the right time for timed intercourse, IUI or egg retrieval for IVF.
On which day of my cycle should I come for the AFC scan?
The AFC scan is done between day 2 and day 5 of your menstrual cycle. Day 1 is the first day of proper menstrual bleeding, not spotting. Coming on day 2 or day 3 gives the most reliable results as the ovaries are in their quietest state at the start of the cycle.
What is a good antral follicle count?
No. The transvaginal scan is not painful. A slim sterile covered probe is inserted gently and most patients feel only mild pressure. Dr. Devashree Salunkhe is a female radiologist and a female attendant is always present. Patient comfort and dignity are a priority at every scan.
How many follicular scans are needed per cycle?
A total AFC of more than 15 across both ovaries indicates normal to good ovarian reserve. A count of 6 to 15 is in the normal range. A count below 6 suggests diminished ovarian reserve. A very high count above 25 to 30, often seen in PCOD, suggests a strong response but also a risk of ovarian hyperstimulation with IVF. Dr. Devashree Salunkhe will explain your specific result in the context of your age and AMH level.
What size should a follicle be before ovulation?
In a natural cycle, 3 to 4 scans are typically done from day 9 to day 16. In a stimulated IUI cycle, 3 to 5 scans may be needed. In an IVF stimulation cycle, scans may be required every 1 to 2 days from day 5 or 6 of stimulation until egg retrieval. Your fertility specialist will advise the exact schedule based on your protocol.
What is endometrial thickness and why is it checked during follicular monitoring?
A mature follicle ready to release an egg is typically 18 to 24 mm in size. At this point, if the endometrial lining is also adequate (8 mm or more with a trilaminar pattern), your gynaecologist may advise a trigger injection, timed intercourse or IUI.
Is the transvaginal follicular scan painful?
No. The transvaginal scan uses a slim sterile covered probe and most patients feel only mild pressure. It is gentle, safe and takes only 10 to 20 minutes. Dr. Devashree Salunkhe is a female radiologist and a female attendant is always present at ASHA Sonography. Patient comfort is a priority at every scan.
What is the follicular monitoring cost in Pune at ASHA Sonography?
We offer the best follicular scan price in Pune with transparent per-scan fees and no hidden charges. Contact us on +91 7030343203 or visit our clinic in Hadapsar to know the current AFC and follicular monitoring cost in Pune.
Book Your Follicular Monitoring Scan in Pune Today
Same day report. Expert guidance. Caring hands.