Does anyone have the issue of NOT ovulating?!


#1

[FONT=“Comic Sans MS”][COLOR=“SeaGreen”]Okay…I’m really hoping I can get some advice…

I am 22 years old, about to turn 23 in July. I started my period when I was 12. About a year later, I had a problem with irregular periods, (getting them every other week) and extremely painful ovulation to the point I was passing out. I was put on birth control (pill form) to regulate everything. When I was 17, I was taken off because the birth control had caused a small tumor to grow on my liver. I have NOT used any form of birth control since! I am married 3 years now, and my husband and I have been trying to conceive since December 2012. Now, since I have these issues, I was able to see a fertility specialist. I did all the blood work, which came back perfect. (Except for a small Vitamin D deficiency). They decided to put me on Clomid. The first round my husband and I had intercourse cycle days 10-20. (I have a text book 28 day cycle) And no luck. I also did the ovulation kits, but I found them difficult to read. This month, which is my 2nd round of clomid, I got the expensive digital tests to make my life easy. Yet, I’m almost all the way through my cycle and no positives!

I also had a saline sono done, which showed that I have a tilted uterus. The weird thing is, I never thought I was ‘Not ovulating’ because I can feel it, and my discharge changes. My question is, has anyone else had these types of issues before and could you maybe give me some advice and put my mind at ease?!

I don’t have a lot of answers, and my mind is automatically going to, I need IVF. PLEASE HELP!!!

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#2

Many Fertility specialists will do ultrasounds throughout the cycle to make sure that the medication they put you on is actually maturing follicles and that ovulation is actually occurring (as they can tell if you ovulated if you got a mature follicle and then no longer have it at a subsequent ultrasound). Another way some specialists check is by doing a 21 day progesterone check (that is a blood test to check your progesterone levels on the 21st day of the cycle) as if one has ovulated then it should show up in bloodwork by that point with an increased progesterone level. If that level comes back too low then they know you have not ovulated.

Some Doc (usually those that are less specialized or trying to save you money) will just give you clomid and tell you when to take it and when to try and hope you get lucky. This works for some, but for others the issues are a little more complex than that and need the additional monitoring and bloodwork.

My Reproductive Endocrinologist told me not to bother with the ovulation predictor kits while on the clomid as they are notoriously wrong while on these types of stimming meds. I also have pcos and they are notoriously wrong with that too. I did them with my OB/Gyn while taking the clomid and although I only had one cycle that resulted in ovulation I got an LH surge with every cycle despite all bloodwork and ultrasound showing I was not ovulating. It was funny too because the one cycle I did ovulate based on bloodwork and ultrasound I never got an LH surge so…for me they just were not accurate enough for me to rely on.

I also charted my Basal Body temps and Cervical Mucus and I would get the standard spike as well as fertile CM, but there was no actual ovulation occurring in my case despite all these signs.

SO…it is very possible you are not ovulating and need more thorough testing/monitoring to know for sure. I would discuss this with your specialist as it may be something as simple as changing you to injectables if the clomid isn’t working or even adding an IUI, but it could also just be that you are missing your ovulation for some reason and extra monitoring will help pinpoint that for you.

Good Luck!

Oh and I also have low vitamin D. Vitamin D is a prohormone and very important in the role of your other hormones and their balance. Based on all the newest info out I highly recommend taking 4000-5000IU’s per day to supplement that and maybe even more depending on how severe your deficiency is. The National Institutes of Health here in the US is now recommending that for pregnant women as well as they have found that many are deficient and that the low levels can increase the chances of preterm labor and delivery, gestational diabetes, and other pregnancy complications so by taking them you are not only helping your hormones now, but also for when you do finally get that BFP. Plus you will feel better too as my deficiency always made me tired.