I haven't been ovulating. Is there anything that I can do to start the process?

Question

I'm 26 years old. I went off the pill in Dec. and haven't ovulated since. I'm hoping to conceive in the near future...but that's just not possible if I'm not ovulating! What can I do?

Answer 1

Clomid is one of several brand names for a synthetic chemical, clomiphene citrate, which induces ovulation by fooling your body into believing it has less estrogen than it actually does. It's the most commonly used drug in cases where lack of ovulation is preventing pregnancy.


Ovulation, which is essential for your regular menstrual cycle and for pregnancy, is preceded by a chain of events involving several hormones and beginning during your prior menstrual cycle. Clomid works by influencing the interaction of these four hormones:

GnRH (gonotropin releasing hormone)
FSH (follicle stimulating hormone)
LH (luteinizing hormone)
Estradiol

Toward the end of a normal cycle, your body's levels of estrogen and progesterone slowly decrease. During the first days of the next menstrual cycle, the lower levels of those two hormones eventually trigger production of GnRH in the hypothalamus. GnRH then stimulates the pituitary gland to produce FSH and LH, also called gonatropins, which directly affect ovulation: FSH is responsible for the growth of both follicles and eggs and for increasing the size and number of the follicles. The level of LH suddenly increases one to two days before ovulation, which causes the eggs to be released. Estradiol is a hormone produced by the ovaries and the corpus luteum, or tissue left behind in the ovary after ovulation. Among other things, estradiol aids in the development of the uterine lining and the eggs.


If GnRH, LH, or FSH are not produced in the right amount and at the right time, your ovaries won't release eggs. In some medical conditions such as polycystic ovary syndrome, the body produces too much estrogen, which may interfere with the production of GnRH, LH, and FSH and cause anovulation.


Although we still don't quite know a lot about how Clomid works, we do know that it tricks the body into believing that your estrogen level is low. The body then produces more GnRH, causing the pituitary to pump out more of FSH and LH eventually triggering the release of an egg from the ovary.


Clomiphene citrate was approved by the FDA in the U.S. in 1967 to induce ovulation; it's sold under the brand names Clomid, Serophene, and Milophene. It's a very powerful drug, and it induces ovulation in more than 50% of women who take it.


Clomid is usually taken in pill form once a day for five days. The typical starting dosage of is 50 mg/day for the first 5 days, and it can be increased monthly by 50 mg a day. You would generally take the first pill five days after the first day of menstrual bleeding (cycle day two to five); ovulation usually occurs five to nine days after the last dose of Clomid. If you don't menstruate, and pregnancy is excluded, bleeding can be started with medications such as progesterone.

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Answer 2

Did you have regular periods before you went on the pill? If so, then give your body a few months to adjust to being off the pill. Try vitex, a prenatal vitamin and a b-complex. If your body is just reacting to being off the pill this will help. If you had irregular periods before going on the pill, then I would see your doctor about a fertility work-up including a full check of your hormones. Most doctors will want you to try for a year, but if your periods are irregular then you should get a fertility check-up out sooner.

Answer 3

It can take months to restore ovulation after coming off the pill-for some people as long as six months. The best thing to do would be to be patient, while your body sorts things out, to take your pre-natal vitamins and take care of yourself until it happens. Chart your cycles if you're not already, and if May or June comes around and you're still not seeing a pattern of ovulation in your cycles, then discuss it with your health care provider. Good luck.

Answer 4

How do you know you're not ovulating?

If you're not having periods, you may be pregnant already.

It can take up to a year (or longer, in some cases, took us two) for a normal, healthy, fertile couple to conceive. Try to be patient. Worrying and getting all stressed out about it isn't going to help.

It's a good idea for any woman who is trying to get pregnant to go to her OB, make sure that she's healthy, and get a prescription for prenatal vitamins to start taking right away. Your doctor can tell you then if there's anything wrong, or schedule tests, if you think you're not ovulating.

Answer 5

Hi I went off the pill in June last year, and have only ovulated once since!!
I have very irregular periods and friends suggested Vitex or Macca powder or quong dai- all herbal remedies, I went to the doctor and have since found out I have poly-cystic ovaries. If you want to fall pregnant don't sit and wait! Go and speak to your doctor about your concerns. And try not to read to many web sites- they all have something different to say!!

Answer 6

sometimes it does take a while after getting off birth control for your body to realize and start going back to normal. I would say that if you don't start ovulating within the next couple of months then you can talk to your doctor about giving you a hormone shot that is suppose to help you ovulate.

Answer 7

you may want to try vitex its a natural supplement that regulates the pituitary gland. it should not interfere with your period. it costs about $10 at gnc or you can get it online from $5-$10. I started taking it at the beginning of this month and ovulated on day 16 of my cycle for the first time in 3 months. so with that clear blue easy ovulation predictor i am back on track. good luck to you.

Answer 8

How do you know that you are not ovualting? Have you been seeing a Dr about this? I have heard great things about drugs like Ovulex which help you to ovulate but you need to see a Dr and get a RX and be monitored. I have not used them presonally but I think there are a lot of great options out there. Good Luck!!!!

Answer 9

the herb Vitex may help you ovulate.

Answer 10

Umm...no! But try taking a pregnancy test just in case!