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Not Ovulating? Dr. Yazigi Explains When it’s Time to Seek Help

Medical Contribution by Dr. Ricardo Yazigi
Medical Contribution by Ricardo Yazigi, M.D.

Most women have cursed them at some point in their lives. At best, we’ve tolerated or even ignored them. It isn’t until we’re trying to get pregnant that most of us focus intently on our menstrual cycles. Then, suddenly, we’re observing every detail like a wildlife expert on assignment. We’ve got charts littered with notes and numbers, calendars with stars and smileys, ovulation prediction kits and a dizzying array of pee sticks we never even knew existed before.

For some women, all this attention reveals something they may have suspected but never focused on – that their menstrual cycles are “irregular.” There are many women who have irregular periods and thus, irregular ovulation. Some women ovulate only occasionally. Some menstruate occasionally, but don’t ovulate. Some don’t do either at all.

About half of women with infertility have what are known as “Ovulatory Disorders.” Often physicians and healthcare literature will say that these disorders are “easy to treat”. Dr. Ricardo Yazigi, of Shady Grove Fertility’s Towson, MD office clarifies, “The better thing to say is that there are treatments that are very effective in treating ovulatory disorders.”

Pinpointing a couple’s obstacles to conceiving and designing treatment plans that are tailored to each patient are the keys to that success.


For women who are not ovulating regularly, the cause is usually that the ovary is not receiving the appropriately timed signals to mature and release an egg. The pituitary gland, at the base of the brain, produces the hormones that control the ovaries – FSH (follicle stimulating hormone) and LH (luteinizing hormone). If ovulation is not occurring in a regular, timed fashion, it is likely that the ovaries and the pituitary are not communicating appropriately.

Ovulatory disorders broadly break down into two groups: anovulation – where no ovulation at all occurs; and oligo-ovulation – where ovulation occurs infrequently or irregularly.

Polycystic Ovarian Syndrome (PCOS) is the most common cause of anovulation and oligo-ovulation. PCOS can prevent women from ovulating, but can also cause a number of additional symptoms such as small cysts in the ovaries, obesity, and unwanted facial hair.

“Any woman with an ovulatory disorder, regardless of the type, should seek treatment if she wants her chances of becoming pregnant to be similar to the average for women who ovulate regularly,” advises Dr. Yazigi.


Most women with an ovulatory disorder will begin treatment with their OB/GYN, using oral medications like clomiphene – also known as Clomid or Serophene or Letrozole, also known as Femara. These medications are designed to increase FSH and LH levels in the pituitary gland, thus signaling the ovaries to produce follicles and ovulation to occur. Several studies have shown that the majority of women using clomiphene will respond with regular ovulation and may become pregnant within three to six treatment cycles.

Dr. Yazigi says this finding is extremely important. He explains, “What this says to me is that any woman who has done three cycles of clomiphene and is still not ovulating, or has not become pregnant, should undergo additional evaluation with a fertility specialist.”


Dr. Yazigi advises that couples don’t wait too long to see a Shady Grove Fertility physician if they are not having success. “I often see patients who have already gone through six or seven unsuccessful treatment cycles with their OB/GYN. They are frustrated and demoralized, but I know there is more that we can do to help.”

The first thing a fertility specialist will do is determine whether there are any issues in addition to the ovulatory disorder that would affect a couple’s fertility. One study shows that of the women who responded to clomiphene by ovulating but failed to conceive, 87% had an additional cause of infertility such as pelvic lesions, tubal disease, endometriosis, male factor infertility, or a combination of those.

Once a treatment plan has been formulated based on each individual patient’s diagnosis, our physicians will monitor and adjust the plan throughout the patient’s cycle. “We will use blood tests and ultrasounds to closely monitor progress, so a patient will know right away if the treatments making a difference,” explains Dr. Yazigi.

Medication doses can be adjusted or additional medication added during the cycle, until the patient is able to achieve ovulation. Other advantages of working with a fertility specialist include the ability to time intercourse more accurately, and to add additional treatment methods like intrauterine insemination (IUI) or, if necessary, in vitro fertilization (IVF), to help achieve pregnancy. In fact, Shady Grove Fertility patients who are diagnosed with ovulatory disorders have a 52% chance of having a baby per IVF cycle.

“When treatment is tailored to a woman’s individual response, it greatly increases the chances for success,” says Dr. Yazigi.


Ovulatory disorders are the most common and treatable causes of infertility, but this doesn’t mean that everyone has success right away. Dr. Yazigi advises that couples be aware of the many possible causes of infertility and the benefits they can gain from the monitoring and treatment provided by a fertility specialist.

“Most patients we see at Shady Grove Fertility do overcome ovulatory disorders and have successful pregnancies,” Dr. Yazigi says. “This is a great source of hope for all couples struggling with this issue.”

Related Content:

Watch our On-Demand Webinar on PCOS. During this free, on-demand event, viewers will learn about the symptoms of PCOS, the role they play when trying to conceive, and treatment options that are available to help women overcome their infertility caused by this condition.

Editor’s Note: This post was originally published in October 2014 and has been updated for accuracy and comprehensiveness as of December 2020.



To schedule a virtual consultation with an SGF physician, please call our New Patient Center at 1-888-761-1967 or submit this brief form.


  1. Maysa

    June 23, 2019 - 12:40 am

    I’m ttc but all my tests are negative. I’ve taken natural fertility supplements and im using opks and im going to start testing my bbt. My partner and i baby dance nearly everyday with still no pregnancy. I’ve been trying for a little over a year and I’m only 23. My period is pretty normal every month on a 29-31 day cycle. So i figure i ovulate much later. Could i be testing wrong? I use opks around 5-10p.m. everyday.

    • Shady Grove Fertility

      July 18, 2019 - 3:43 pm

      Hi Maysa,
      Sorry to hear about your #ttc journey! Because you’ve been trying for over a year and are under 35, we suggest making an appointment with a fertility specialist to get proper testing done. If you live in DC, MD, VA, PA, GA, or FL, feel free to call 877-971-7755 or fill out this form, to speak with someone about fertility testing. 90% of our patients have insurance coverage for fertility testing, and that gives the most and best insight when #ttc. To read more about what to expect when getting your fertility tested, click here.

      Wishing you the best on your #ttcjourney!

  2. Dr Andy

    June 18, 2019 - 8:50 am

    Hope you are doing very well.
    I am unable to conceive from last 17 months. I am diagnosed with anovulatory sign. Semen analysis report of other half is not of optimum level. Living apart during weekdays due to nature of job. Only living together on weekend, from friday night to sunday night. A complex case with many issues.
    My question is what should be my priority list to resolve. Should i go for clomiphene treatment first or should i struggle to live together first?

    • Shady Grove Fertility

      July 18, 2019 - 3:50 pm

      Hi there,
      Sorry to hear about your #ttc journey! We suggest talking with a fertility specialist to create a personalized treatment plan for you and your partner. Creating a plan based off of both of your testing results and diagnosis is the best route. If you are looking for a fertility specialist, please call 1-877-971-7755 or fill out this form.

      Wishing you the best on your #ttc journey!

  3. Kristyn

    May 29, 2019 - 2:04 pm

    Hello, I am just wondering if this is normal. I havent been diagnosed with PCOS or anything but do have a blocked tube and I’m waiting for surgery. In the meantime, my fertility specialist put me on letrozole. I used it for 2 cycles and conceived, but had a chemical pregnancy. I then took it for 2 more cycles before deciding to take a break from it until I have my surgery (no clue when this will happen, I’ve been waiting for months). I am now still in my first cycle without letrozole and I am on day 34 and I still have not ovulated. My period should have come three days ago if I did ovulate. I’m definitely not pregnant. Is it normal for this to happen and what can i do to get my ovulation going again? Thank you.

  4. vex

    April 1, 2019 - 9:22 am

    This article is very detailed and meticulous, I have read many articles on this topic, but for this article, you leave me a deep impression and practical application to my life. Thank you for sharing.

  5. Amandeep

    March 18, 2019 - 6:13 am

    Hello, I have a friend .She’s 41 and has one son who was born through IVF about 6 years ago, She wants to conceive again , after several months of trying she eventually visited the doctor who says that her ovaries have stopped producing eggs. She is still getting periods, though a bit irregular, Is it possible for her to conceive again?

    • Shady Grove Fertility

      March 19, 2019 - 4:55 pm

      Hi there, sorry to hear about your friend’s journey trying to conceive. She should consult with a fertility specialist to determine her remaining ovarian reserve (her eggs). This information will be key in knowing if IVF will work for her again. If your friend lives in DC, MD, VA, PA, GA or FL and would like more detailed information or schedule an appointment with one of our fertility specialists, please have her call 877-971-7755 or fill out this online form to have someone reach out to her directly.

  6. Cora

    March 4, 2019 - 1:17 am

    Hello – I have PCOS and did not respond to Clomid or Letrozole. I do not have a menstrual cycle without medication. My husband and I have been trying for 2 years. Would you recommend IUI or should we go to IVF right away?

    • Shady Grove Fertility

      March 19, 2019 - 9:07 pm

      Hi there, sorry to hear about your long #ttc journey. This is something that your care team can best advise you on. If you would like a second opinion, feel free to call 877-971-7755 or fill out this brief online form.

  7. Amily

    March 3, 2019 - 3:35 am

    I have normal 28/29 cycle. But period always been 2-3 days and it complete stop. Been married for two years and never thought of having children until recently.

    Tried taking the ovulation test during my ovulating days (as what my calendar says) but signs of no signs of ovulation days. Been TTC, should I see doctor for this?

    • Shady Grove Fertility

      March 19, 2019 - 9:12 pm

      Hi Amily, we’re sorry to hear about your #ttc journey. We recommend anyone to see a fertility specialist if they are under 35 and have been #TTC for a year or are over 35 and have been #TTC for more than 6 months. If you live in DC, MD, VA, PA, GA or FL, call 877-971-7755 or fill out this brief online form to speak with someone in our new patient center.

  8. Tracy

    January 26, 2019 - 4:06 am

    Hello My name is Tracy i’m 42 and have not had a period for 6 mo.
    I just got married. Do you think I could still have children?

    • Shady Grove Fertility

      January 31, 2019 - 8:37 pm

      Hi Tracy, without a physician running certain medical exams/tests, we aren’t able to tell you if you can or cannot still have children. If you would like to get your fertility tested, click here or call 1-877-971-7755.

  9. khushboo

    January 11, 2019 - 3:43 am

    hi i am 29. I got married last year. i have diagonised with ovary cyst. i had my irregular period from last 3 years but i never consulted doctor. but after marriage i found that i have ovary cyst and even from last 1 year i am not able to conceive. please help me doctor. I love kids. for me its necessary to become pregnant.

    • Shady Grove Fertility

      January 23, 2019 - 3:35 pm

      Hi #ttc sister, I am sorry to hear about your struggle to get pregnant. We have a lot of patients come in to see us after the removal of their ovarian cysts. Learn more about when to seek help here or call 1-877-971-7755 for more information.

  10. Ashley

    November 21, 2018 - 2:00 pm

    My friend has very irregular periods and PCOS. Her periods come every 1-2 months and were regular for a couple of months, but she doesn’t seem to be ovulating. She takes ovulation tests after her period up until she gets her next cycle, but no tests ever show she’s ovulating. What would be her best option? She has seen a fertility specialist, but it doesn’t seem like they’ve been able to do anything to help her!

    • Shady Grove Fertility

      December 11, 2018 - 2:22 pm

      Hi Ashley, we are sorry to hear about your friend. A fertility specialist is her best option for treatment. If she is not happy with the physician she is seeing, she should get a second opinion from another doctor. If she has any questions, please have her get in touch with our team at 1-877-971-7755.

  11. Ana

    September 28, 2018 - 6:45 pm

    I miscarried 15 months ago and for the last 8 months I have been on Clomid this month I was on 250mg and next month I would be on it again. First 2 months I did not ovulate, then for 4 months I did and now the last 2 months I have not. I am 41 years old and my obg tells me I can still get pregnant and that the Clomid should help, but 8 months into and nothing? Just getting emotionally tired he mentioned me being on Clomid for a year before he referred me to a specialist. My last annual he found a cyst he said size of a tennis ball. Feel desperate is there anything else you can advise me to do?

    • Shady Grove Fertility

      October 8, 2018 - 4:32 pm

      Hi Ana,

      You should contact a reproductive endocrinologist (fertility specialist). The American Society for Reproductive Medicine states that women who are 41 and have been trying for 6 months with no success should seek help from a fertility specialist. A fertility specialist will help create a treatment plan that is personalized for you. If you would like any other information, please call 1-888-761-1967.

  12. Michelle Smith

    September 25, 2018 - 5:34 am

    Hi, Am new here…me and my husband are trying to start our family, for last few months I have started tracking my dates..and tracking when I start ovulating… As per whattoexpect- Many women use ovulation predictor kits, which identify the date of ovulation 12 to 24 hours in advance by looking at levels of luteinizing hormone, or LH, the last of the hormones to hit its peak before ovulation.
    Is any one using predictor kit ??? Any other way to know best ovulation time??

  13. Hannah

    September 8, 2018 - 2:48 pm

    I am in my early twenties, and have never had a regular period. I believed it was due to being very physically active. However now I have slowed down and have become a healthy weight. Yet i still dont have a regular period. I am lucky to have about 3 periods a year. Lasting 3 days or so each. I have never used pill contraception. I have spoken lightly to my gp and sexual health nurses when I go for check ups and pap smear (all clear). However they do sort of shrug off my worries of my fertility since i am not actively trying for a baby at this moment. Is it time to see a doctor seriously – in the next couple of years we will be trying for a baby. What tests do you reccommend having done first?

    • Shady Grove Fertility

      September 24, 2018 - 4:06 pm

      Hi Hannah, you can always get your fertility tested to calm your thoughts on your fertility and get some answers to your periods. We accept many insurances, which usually cover fertility testing. If you would like more information on this, please call 1-888-761-1967.

  14. Claire

    August 25, 2018 - 1:56 pm

    Dear Doctor, I usually had a very regular menstrual cycle which is about 24-28 days. I had a baby in 2009. Before and after that my husband and I’s only method of contraception has been using condoms. I have never taken any pills. I have been using a menstrual cup instead of sanity pads for two years now, which helps me to monitor my period discharge better. I notice during my last period and current period, the discharge blood is very thin and watery from the first day, unlike before. Before it was very thick and viscous. My period is about 7 days long. As I recall, I have a feeling that during the last two cycles, I did not ovulate. Because before, about 5-7 days after my period ends, I always have sticky vaginal discharge for a couple of days together with pain in either side or both sides of my pelvic. I think that is the time of ovulation. I did not feel such feeling during the last two cycles. I’ve been trying to get pregnant for three months now, so the only medicine that I have been taking is folic acid (one pill a day, Blackmore’s). My husband and I are both 36 years old. Also for the last month I have had mild but weird pain in my arms, seemingly from the bone or joints. Recently sometimes I have trouble with night sleep when it is not easy to get to sleep like before, but I can feel sleepy and fatigued during the day. I thought it was because of stress from work. My period is still 5-7 days long. I had a papsmear three months ago which was normal. I had a full ultrasound half a year ago and it was also normal.
    So my question is “Is it possible that I am approaching menopause and I did not ovulate for the last couple of months? If it is not the case, can I get pregnant and there’s nothing wrong with the change in my periods?”.
    I am looking forward to your advice. Thank you very much for your time.

    • Shady Grove Fertility

      August 27, 2018 - 5:49 pm

      Changes on the pattern of menstrual periods are usually a source of concern for women but may actually not reflect an abnormality. Ovulation is not easy to determine with certainty “at home”, while tests performed by Ob/Gyns or fertility specialists are considerably more accurate. Nevertheless, whenever there is a doubt about menstrual function or ovulation, consultation with a specialist will usually either ease your mind or will initiate a treatment tailored to your particular situation. If you would like to schedule a consultation, please call 1-888-761-1967.

  15. Sherphine

    July 5, 2018 - 7:21 am

    Hi Dr,

    I’m having a 32days cycle and my period is normally 7 days. I have been trying to track my ovulation however I’m always tested negative.

    Can I know how do I calculate my ovulation date? How to know that I’m not ovulating?


  16. ojone

    February 20, 2018 - 7:16 pm

    please, for the past four months I have not ovulated but my menstrual cycle is regular and also I have been have vagina infection for more than a year now of which I will treat and it will reoccur. Now my vagina discharge is very thick, like cottage cheese and have unusual smell. please Dr, what is wrong with me?

  17. Adeola

    November 2, 2017 - 10:45 am

    i am 39 years old, had miscarriage this year, did womb wash after that because my period did not come for months, after the womb wash, my period still not regular,since then i ave been trying to conceive again but not sure if i am ovulating at all. pls what should i do? Help

  18. Joann james

    August 23, 2017 - 10:03 pm

    I have a 5 days period and then 20 normal days and then back to period again so in a nutshell a 25 days cycle. It comes on time but I don’t ovulate and I did a hsg after trying to convince and having difficulties and they said my tubes are blocked. Does it mean that the tube blockage is affecting my ovulation? And what can be taken or eaten naturally to make u ovulate?

    • Kate

      June 1, 2019 - 4:59 pm

      I’m in the same kinda boat. 35 almost 36 I have a set of 11yr old twins conceived naturally ( surprise blessings) . been off bc since November and trying since January, I get my period on time every month.. A little light spotting a few days ahead , period lasts 3-4 days . I do home ovulation tests starting on day 12 and I lertilly watch them get darker and grow into a full positive by day 13. Had ovulation test last month day 19 and it was negitive, not understanding this at all . lh surge and period every month and no ovulation

      • Shady Grove Fertility

        June 11, 2019 - 5:06 pm

        Hi Kate,

        We’re sorry to hear about your #TTC journey. Unfortunately, secondary infertility is more common than you think. We usually recommend that women 35 and up should speak with a fertility specialist if they have been trying to conceive with no success for longer than 6 months. To learn more fertility facts, click here. If you would like to speak with someone about getting more information or to schedule an appointment, click here or call 1-888-761-1967.

  19. moreen

    August 17, 2017 - 7:38 am

    I am a lady aged 30 years .I have serious problem with my periods I get periods twice a month .sometimes I stay for about 4 months without periods .I went to the doctor last year august and went to the scan everything was normal no cytes,no fibroes,uterus size was normal .Im not taking any birth control pill or something.last week I had a period n I was bleeding very heavy

  20. mandi masters

    July 24, 2017 - 6:45 pm

    hi i have been on my period all month now and this has happened to me several times now. its frustrating and its taking a emotional toll on me. Im tried alot, no energy. The most I have been on my period is 34 days at one time. Ive been to my Dr. and he said im skipping my ovulation. I tried birth control and it makes me sick What do you think is the deal?

  21. Favour

    June 16, 2017 - 11:31 am

    Hello I used to see my ovulation but for the past 8mothns now I have not seen it and I always have Virgina discharge but it has stopped and that was when my ovulation stopped coming out please what is the problem

  22. Adrian Walker

    April 25, 2017 - 8:22 pm


    I was on the Paraguard IUD for 5 years and finally decided to remove it before it expired which was 10 years. Well, since I have removed the IUD I have not been ovulating at all. My obgyn put me on birth control pills for 2 months so that it could tell my ovaries what to do and still no ovulating. I’m not trying to get pregnant at the moment but I do plan to have more children and do not want this to effect me getting pregnant on down the line. And also when I don’t ovulate I don’t have a cycle. Without birth control my cycles are irregular. It’s not like clock work, coming on the same day every month. Now i’m not ovulating or having a menstrual cycle. What do you suppose is causing this?

  23. Divine

    April 24, 2017 - 7:21 am

    Am having the same problem with you. What is the best solution? Someone should help us please.

  24. rebecca barnett

    March 24, 2017 - 4:44 am

    i have been trying to concieve for about 7 months now and no luck.

    i have regular periods but bleed really heavy i dont think im ovulating at all, should i go to the hospital and get an ultrasound? im thinking i am either just not ovulating o r i have polycystic ovaries

  25. happiness

    March 22, 2017 - 8:07 am

    my name is happiness i has my first baby but is Stillbirth, and even since dey i am unable to get Pregnant and have be Clomid for more then 7 cycle. and now the doctor said i don’t ovulate pls what will do

  26. Analymous

    January 29, 2017 - 9:45 pm

    Hello, I am 35+, so far my periods are very regular of 28 days. Period last for 2 days in every cycle, with the third day as spotting. For this month used OPK to predict my ovulation day but it is showing continuously negative. Am i Ovulating?

  27. Shawnie

    January 21, 2017 - 2:38 pm

    I have recently stopped ovulating for the past 3 months my doctor told me that my level is at 6 and I should be at a 10 what should I do

  28. Samantha Poggemann

    January 15, 2017 - 2:20 pm

    Hey I have a question about why Everytime I take a ovulation test it’s low always so far. My husband and I are trying to get pregnant and I want to make sure I still can get pregnant. I just don’t want to think I can’t get pregnant help me

  29. Marisol

    October 23, 2016 - 7:46 pm

    I’am 34 years old and have a an almost 7 year old got pregnant right after getting married with no problem. For the past 5+ years I have been trying to get pregnant again with no success. Went to to the gynecologist and got everything checked. The only problem is that I’m not ovulating at all. She wants to put me on clomid, but after reading all the side effects I was skeptical. So I decided to start taking a supplement called pregnitude. I want to know if this actually works the same way as clomid or not? And if there is anything out there natural that can help me start ovulating . Thanks in advance

  30. Oluchi Uche Njoku

    October 12, 2016 - 7:58 am

    I am 36years and still trying to conceive since 6years now. I’ve been pregnant once around 2004/05 before I got married. Had an ovarian cyst surgery in 2014 and been on some fertility drugs till 2015 but no positive result please I need immediate help. Thanks

  31. sim

    September 23, 2016 - 6:15 pm

    I have a 6 years old daughter from my first husband, and about a 7 months back I had a miscarriage with my second husband. I am 39 and we are trying to have a baby from past 4 months but no luck. I know its hard to get pregnant at my age but what are the chances, am I have any kind of infertility issue, or any problems that I am not getting pregnant. Please help I am very scared.
    FYI- I have no issues with my periods, they are pretty much on time, just a few days up or down.

  32. Joseph Mom

    September 20, 2016 - 8:50 am

    I have been trying to conceive since 2014 and was diagnosed with early menopause last year, what are the chances of me falling pregnant again. I also do not have a menstrual cycle.

  33. Mida

    August 3, 2016 - 7:32 pm

    I just stumbled upon this site as I was searching for answers as regards the irregular heartbeats (fast) I am currently experiencing after having embryos transfer yesterday (IVF) The comments and answers are encouraging. Dr., do I need to worry?

  34. Christy

    July 19, 2016 - 9:11 pm

    Hello –

    For over a year I have had irregular periods around January I went to the OBGYN and was diagnosed with PCOS since then I have gone on metformin and clomid, changed my diet drastically (no dairy, nightshade veggies, white flour, processed sugars) and lost weight despite the struggle PCOS causes, my period is still around 35 days and whenever I have my ultrasound on day 14 there is never a mature folical. They can see that I have lots of eggs but none that are ever ready. My uterine lining always looks healthy. I have been pregnant before but can seem to get pregnant now. I just turned 29 and I’m unsure if I should just give it a break or if I’m actually NOT ovulating despite having a period every month and ovaries filled with eggs.

  35. Kate

    July 6, 2016 - 12:39 am

    Hello, me and my husband been ttc for more than a year and last may we went to specialist to find out why ..so after all the test and ultrasound he said that I don’t ovulate every month and he mentioned also that I have a small fibrous and my proclatin level is a little high which he said this shouldn’t be a main reason for not to get pregnant? He told us to start IUI right away but I’m a little nervous to start right away? Should we maybe start or try a little more? Btw I’m 30 years old

  36. Vivian

    June 22, 2016 - 3:21 pm

    i went for hormonal test and the result shows
    luteinizing hormone 4.16, FSH 3.15, prolactin 11.94, progesterone 2.90, estradiol (E2) 39.12
    my doctor said am not ovulating with this result but i notice the mucus sign each month. He said the fast and best option is to go IVF and that is not a better option for me. please is there a best option for me to conceive. it 6yrs already.

  37. Patricia

    June 15, 2016 - 8:41 pm

    Hi My name is Pat I have been trying to conceive for 4 years now and nothing has happens. I went to the doctor and he prescribed me Clomid I only did one cycle and it dint work now after reading this article I’m confuse do I have to finish three cycles or more to get it to work. Please help.

  38. Heather

    May 23, 2016 - 2:13 am

    I should note that the doctor did say I had cyst on my right ovary but could that have actually been a dominate follicle and did ovulate?

  39. Heather

    May 23, 2016 - 2:04 am

    I have had 3 lighter than normal periods and then bleeding after a period. The ultrasound showed fluid so Doctor said I either ovulated earlier than I thought or I had a cyst that burst. This was on cd10 and She said there was no follicle to become a dominate Corpus Luteum showing on the ultrasound. However, on cd12 I had positive for ovulation on the Clearblue advanced digital. What could possibly be going on. I am 32 and have just recently began trying to get pregnant for the first time.

    • Heather

      May 23, 2016 - 2:11 am

      I should note that the doctor said I did have a cyst on my right ovary, but could it have actually been a dominate follicle?

    • Kate

      June 1, 2019 - 5:15 pm

      I’m in the same boat . except I have a set of naturally concived 11yr old twins. I been trying since January . positive ovulation tests every month at same time , periods like clock work. Prgestrone only 3.74 on day 19 . apparently no ovulation.

  40. Blessed

    April 12, 2016 - 7:16 am

    I have done hormonal imbalance test,menstrual disorder, scan, etc yet all result proves am fine apart from d scan that shows I don’t produce follicles. Yet I don’t see my menstruation on a regular basis and I used to ovulate b4 not until January dis year. What should I do?

  41. Silva

    February 29, 2016 - 1:22 pm

    I am 54 have a new partner we want to have children but I had my last period July 2015 feel my cycle may have ended if so can this be reversed.

  42. vicky

    February 3, 2016 - 1:34 am

    Pls I recently did an hormonal test and the result showed that far was 3 while LH is 3.6. Pls what does it mean and is it so bad?

  43. regina

    January 29, 2016 - 2:33 pm

    I have been trying to conceive for 2 years now, no way.i have a regular cycle.i only don’t ovulate.what test can I do?

  44. SERAH

    January 26, 2016 - 10:28 am

    Am 28year old, got married 3month ago and av bn trying to get pregnant bt I noticed am not ovulating, pls wat can I do.

  45. Golddy

    January 5, 2016 - 12:16 pm

    i have d n c due to miscarriage two years ago and since then av been trying g to conceive to no avail. i have a regular period, i dont think am ovulating and sperm use to leaking out of my v**g**l after sex pls what can i do?????

  46. Taylor Nelson

    January 3, 2016 - 7:12 pm

    I haven’t had my period in over 4 months. I have gone up to 2 years without it, My boyfriend and I are sexually active and using condoms. I don’t quite understand why I haven’t gotten my period. please reply.

  47. Nicole

    December 13, 2015 - 2:54 pm


    I have Endometrosis and I have been trying to conceive since June. So far nothing. Should I see a gyno, a fertility specialist, or an Endo specialist? Thanks!

  48. stephanie

    November 24, 2015 - 12:25 pm

    Hi i am 38 years old with 4 childern i had my tubes tied 14 yrs ago well this year i had them reverse and two months i had gotten pregnant but i miscarried at 7 weeks .well since then we have been trying but nothing happening and i dont think that i am nessing ovulation because my periods are all not regular.plz help.

  49. angel

    November 19, 2015 - 4:30 pm

    pls, I want to knw why I’m not ovulating again, I’m 20 yrs of age use to ovulate normal b4, I broke my virginity in this my 20yrs of age. used some pills but not regular, but right now I’m anxious to know why I’m not ovulating as I will be getting married soon. also I had like virgina discharge which is no more. what should I do? my cycle is 28 cycle and is regular

    • Shady Grove Fertility

      November 20, 2015 - 4:29 pm

      Hi Angel,
      If you are currently taking birth control, then you will not ovulate. When you stop taking birth control ovulation should occur again naturally. Here is an article that will help you better understand your menstrual cycle and when you should ovulate. Ovulation predictor kits are also available to help measure if and when you are ovulating, again this will only be helpful if you are not currently taking birth control. https://www.shadygrovefertility.com/fertility-health/female-reproduction/understanding-cycle

      If you find yourself unable to conceive after one year of trying (having unprotected sex), we recommend seeing a fertility specialist. If you have additional questions, please call our New Patient Center at 877-971-7755.

  50. carmen portal

    November 19, 2015 - 12:56 am

    What make a women not ovulate

  51. Joi

    November 15, 2015 - 3:43 am

    I’ve been off depo for 2 years now, femara induced my period the past 4 months, ive had regular cycles for the past 4 months 25-28 days but i dont think i ovulate, ovulation predictors say no ovulation. We are trying to get pregnant. Is it possible to not be ovulating with a regular period? Please help, this is frustrating! I do have 2 children ages 10 and 8.

    • Shady Grove Fertility

      November 17, 2015 - 6:25 pm

      Hi Joi,
      Great question. Yes, it is possible to not be ovulating but still have a regular period. Also, secondary infertility—the inability to get pregnant naturally or carry a pregnancy to term after successfully conceiving one or more children—is actually quite common. Please find more information about secondary infertility here: https://www.shadygrovefertility.com/diagnosing-infertility/how-to-get-started/facts

      If you are trying for your third child and not ovulating, we recommend seeking an opinion of a reproductive endocrinologist. Please call 877-971-7755 or fill out this brief form to schedule an appointment: https://www.shadygrovefertility.com/appointment

  52. cassi

    November 14, 2015 - 2:09 am

    Hello, I’m 24 years old and me and my husband have been trying to conceive now for 8 months I have a period every 30 to 33 days but I’m pretty sure I’m not ovulating I’ve been checking my cervical mucus and nothing has pointed to ovulation except around my 14 day I have
    a slight spot that last a few days. Any advice?

    • Shady Grove Fertility

      November 17, 2015 - 6:30 pm

      Hi Cassi,
      Great questions. Typically, we recommend women who are 35 or younger to try for one full year before seeing a fertility specialist. However, if you are not ovulating, it may be time to meet with one. During your first visit, your physician will review both yours and your husband’s medical history and will review any testing you may have already completed. 90% of patients with insurance have some coverage for this initial appointment. To schedule an appointment, please call 1-877-971-7755 or you can fill out this brief form to get started: https://www.shadygrovefertility.com/appointment

      Thank you again!

  53. Lola

    November 13, 2015 - 1:49 pm

    I usually have ovulation pains,but not every month. Does that mean that i dont ovulate monthly?

    • Shady Grove Fertility

      November 13, 2015 - 2:01 pm

      Hi Lola – Everyone experiences different symptoms. If you are currently trying to conceive and it is taking longer than expected (<35 years and trying to conceive for 1 year, 35+ and trying to conceive for 6 months), it is advised to speak with a reproductive endocrinologist to see what may be interfering with your ability to conceive. To schedule a consultation, please call our New Patient Center at 1.877.971.7755 or visit http://bit.ly/SGFappt.

  54. Diamon44

    November 13, 2015 - 7:24 am

    Hi Dr, my monthly cycle sometimes its irregular and at a time it became regular but I don’t seems to see my ovulation and I have been trying to conceive for 5yrs now any idea on what to do?

    • Shady Grove Fertility

      November 13, 2015 - 12:38 pm

      If you are concerned about whether or not you are ovulating, you should definitely come in for some diagnostic testing and consultation with a fertility specialist. They can determine if you are ovulating and what next steps should be. Often medication alone can help women to ovulate and the conceive without more advanced treatment. To learn more, contact our New Patient Center at 1.877.971.7755 or visit http://bit.ly/SGFappt.

  55. Irene

    November 12, 2015 - 12:59 am

    Hi I have two healthy boys. I was on Mirena for 4 years no period
    I’ve been off it since 9/11 /15 I don’t think I’m ovulating I’m very dry down there and
    My ovulation strips came back negative I’m on CD 16 and still negative
    What is going on with my body my periods got back to normal now

    • Shady Grove Fertility

      November 12, 2015 - 12:35 pm

      Hi Irene – It is very common for it to take several months to start ovulating again after stopping any type of birth control. While it may not be time to raise any red flags, you may want to talk with a fertility specialist to see if there are any other factors that might be impacting ovulation. To learn more, contact our New Patient Center at 1.877.971.7755 or visit http://bit.ly/SGFappt.

  56. chinyere

    November 11, 2015 - 8:36 pm

    I have been trying to get pregnant for close to one year now but all to no avail, I have done pelvic scan and it shows I have cyst,how do I get that remove and it also shows that I don’t ovulate regularly, some times my period come twice a month some times it comes within the interval of 11 days pls I dont know what to do and I want to get pregnant. Thanks

    • Shady Grove Fertility

      November 12, 2015 - 12:32 pm

      Hi Chinyere – Given the length of trying to conceive and your other medical indicators, it is definitely time to consult with a reproductive endocrinologist. They can review your history and potentially do new testing to see what might be causing your irregular cycles and whether or not the cyst will need to be removed. Please contact our New Patient Center to learn more about the options available to you: 1.877.971.7755 or visit http://bit.ly/SGFappt.

  57. shalom Emmanuel

    November 5, 2015 - 9:28 pm


    I had a miscarriage a year and 9months ago , but I still test positive. I have been trying to conceive but it seems like am not ovulate . What am I going to do? Please reply.

    • Shady Grove Fertility

      November 11, 2015 - 12:20 pm

      Hi Shalom – It is not uncommon for it to take several months to get your period back (and therefor ovulation) after a pregnancy loss. However, you may want to consult with a physician to see if there are any other issues that may be delaying the return of your monthly cycle as well as if there are other contributing factors to your pregnancy loss. To learn more, please contact our New Patient Center at 1.877.971.7755 or visit http://bit.ly/SGFappt.

  58. Favour Ngozi

    November 4, 2015 - 2:25 pm

    went for scan (pelvic scan) last month. Suggestion from Dr., to me was PID & fibroid. Pls., what do i do sir.

      • Nicole

        December 13, 2015 - 2:53 pm


        I have Endometrosis and I have been trying to conceive since June. So far nothing. Should I see a gyno, a fertility specialist, or an Endo specialist? Thanks!

      • Janaila

        January 29, 2016 - 9:24 pm

        I would like to know, What are the chances of me getting pregnant if I use TTC or Conceive plus during the time I am not ovulating? will it still work? What if I use it every time my husband and I are having sex

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