Not ovulating

[MrsLem]

Took 13 months to conceive first child, didn't seek any fertility treatment during that time.

Have been TTC number 2 for over 2 years now. Tests have ruled out PCOS and menopause but I've had 2 21 day tests that show I'm not ovulating.

I'm 38. Has anyone found any ovulation starters? Medically next step is private treatment but anything to help on top of that? Thanks so much x

What tests have you both had to date?. Any test result now over 6 months old should be discounted, you need up to date test results for both of you. If it just amounts to two 21 day tests this in itself is not conclusive of PCOS for instance not being an issue.

Ask a lot of questions of each place you visit, it is certainly fair to say that some private clinics are a lot better than others and some treatment is poor as well as expensive. Do not get sucked in merely by nicer surroundings.

What's your amh? Ask for clomid?

If you’re not ovulating then a fertility clinic will be able to help - first line probably clomid. I’m pretty sure this is available on NHS, even if you already have a child (at least it is where I live). Any further treatment you would have to pay for.

Thanks everyone. I'll maybe check if I can get clomid. Wasn't mentioned by the doctor, just that I'd need to go private.

I’m sure you are aware of this if you’ve had lots of tests but just in case you’re not:a day 21 test is only valid if you have bang on 28 day cycles.

My clinic recommends clear blue ovulation sticks and when (if) you get an LH surge then you should have “day 21” test done 7-10 days after it.

@hoping2018 thanks. I didn't know that. Thank you! X

Glad I could help - another way to work out when your day 21 needs doing is your typical cycle length minus 7 days. So if you have 35 day cycles your “day 21” should be on day 28. GPs don’t always know this as it’s known misleadingly as day 21 progesterone. So you may still be ovulating... however if you’ve been trying a year and certain you want another I’d seriously consider seeing a fertility clinic as time isn’t on your side (or any other woman’s!) some clinic do free open evenings where you also get 10 minute appointment with consultant for free - we went to one of these but took all our results we had so far and it really helped.

Good luck

@hoping2018 thank you. The tests were taken on different days but my cycle swaps between 24-27 days which is a pain!

I’d do the ovulation sticks then and 7 days after you get a surge get the test done!