Cited by 359Reproductive Biology and FertilityOvarian function and disordersReproductive Physiology in Livestock

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Characterization of Ovarian Follicular Wave Dynamics in Women1

Baerwald, Angela R., Adams, Gregg P., Pierson, Roger A.·2003·Biology of Reproduction

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Abstract

A wave phenomenon of ovarian follicular development in women has recently been documented in our laboratory. The objective of the present study was to characterize follicular waves to determine whether women exhibit major and minor wave patterns of follicle development during the interovulatory interval (IOI). The ovaries of 50 women with clinically normal menstrual cycles were examined daily using transvaginal ultrasonography for one IOI. Profiles of the diameters of all follicles >or=4 mm and the numbers of follicles >or=5 mm were graphed during the IOI. Major waves were defined as those in which one follicle grew to >or=10 mm and exceeded all other follicles by >or=2 mm. Minor waves were defined as those in which follicles developed to a diameter of <10 mm and follicle dominance was not manifest. Blood samples were drawn to measure serum concentrations of estradiol-17beta, LH, and FSH. Women exhibited major and minor patterns of follicular wave dynamics during the IOI. Of the 50 women evaluated, 29/34 women with two follicle waves (85.3%) exhibited a minor-major wave pattern of follicle development and 5 women (14.7%) exhibited a major-major wave pattern. Ten of the 16 women with three follicle waves (62.5%) exhibited a minor-minor-major wave pattern, 3 women (18.8%) exhibited a minor-major-major wave pattern, and 3 women (18.8%) exhibited a major-major-major wave pattern. Documentation of major and minor follicular waves during the menstrual cycle challenges the traditional theory that a single cohort of antral follicles grows only during the follicular phase of the menstrual cycle.

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Authors: Baerwald, A. R., Adams, G. P., & Pierson, R. A.
Affiliations: University of Saskatchewan (CA)
ORCID: Pierson, Roger A.
Venue: Biology of Reproduction
Publisher: Oxford University Press (OUP)
Published: 2003-09-01
Volume: 69
Issue: 3
Pages: 1023-1031
ISSN: 0006-3363 (ISSN-L)
1529-7268
DOI: 10.1095/biolreprod.103.017772
OpenAlex: W2050867024
Cited by: 359
References: 77
Citations by year: 2026: 10 · 2025: 15 · 2024: 9 · 2023: 22 · 2022: 17 · 2021: 14 · 2020: 20 · 2019: 14 · 2018: 17 · 2017: 21 · 2016: 19 · 2015: 16 · 2014: 13 · 2013: 25 · 2012: 15
FWCI: 10.85
Type: journal article
Language: en
Open access: closed
Locations: Biology of Reproduction (publishedVersion)
PubMed (publishedVersion)
BioOne Complete (BioOne) (submittedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Reproductive Physiology in Livestock
Keywords: folliculogenesis, interovulatory interval, follicle dominance, antral follicles, estradiol, luteinizing hormone, follicle-stimulating hormone, menstrual cycle, transvaginal ultrasound
MeSH terms: Adult, Estradiol, Female, Follicle Stimulating Hormone, Ovarian Follicle, Humans, Luteinizing Hormone, Longitudinal Studies, Menstrual Cycle, Ovulation, Reference Values, Ultrasonography

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Characterization of Ovarian Follicular Wave Dynamics in Women1

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