Why do I gear up but never actually ovulate?

[Nataliieexo]

I'm with the fertility clinic and after blood tests and months of temping, I found I wasn't ovulating. I have charted 7 cycles in a row and never once ovulated. I get the symptoms, opks can get dark but I never actually ovulate. I'm in the middle of it now and I'm getting so frustrated with it. I don't have pcos and all my hormones are fine so what's the problem!?

The clinic won't offer me clomid until my bmi is 30 or below which I am working on my next appointment is until June. The dr at the clinic didn't have any answers for me either so I'm at a loss.

 

[MKaykes]

How did they diagnosed that you haven't been ovulating? Did they do blood work and/or ultra sound?

 

[Nataliieexo]

Blood work 3 months in a row I've been temping since last year and never detected ovulation until today ff has given me crosshairs I had all the symptoms but I'm not totally convinced I really have ovulated since I don't usually, I usually gear up and fail every cycle. The months I have had blood tests to confirm no ovulation I have had one deflated cyst on my ovary and that's all I haven't been able to shed my lining probably for over a year and have had constant spotting and 15+ days off periods aswell.

 

[Ameronica]

It is really hard to say in this situation what really is going on without additional information. Have you ever had your AMH level tested? That is a real good indication as to if you are ovulating or not due to the number. It was found that my AMH level tested high, indicating I had a high ovarian reserve, but not consistently ovulating.

I was diagnosed with PCOS recently and asked the same question about gearing up to ovulate and then it not occurring due to me getting some positive OPK's and then having my progesterone levels come back low after testing for ovulation.

My doctor explained that ovulation is a very complex chain of commands. You can release LH and then if your hormones don't reach the levels they need to be or one piece of the puzzle is out of place, ovulation can fail to occur. In my case that was happening since I have a hormonal imbalance. My body would gear up, and then either fail to ovulate, or ovulate an egg that was way too immature to be viable. If you are ovulating low quality immature eggs you still get a surge, but your temp shift can be affected and may not register as ovulation due to the immaturity of the egg.

Have you ever gotten a full blood panel testing your other hormones, like insulin levels and testosterone?

 

[Nataliieexo]

Thank you for the reply, yes I had all that done at the fertility clinic, she said I still had plenty eggs, and everything else looked fine. I had one cyst on my ultra-sound she said it was either failed ovulation or I had ovulated but my blood test came back that I hadn't.

I used progesterone to kickstart my period and try force my lining to shed to stop the spotting between periods and my period was so bad I'm not anemic and spotting here and there but still no sign of AF in cd48.

 

[lisap2008]

I am thinking its a hormone imbalance keeping you from ovulating,
I have been reading of the benefits of myo-inositol and I think it might help you too.
Myoinositol is compound that belongs to the B Vitamin complex and plays a role in cell growth and maturation as well as insulin metabolism. Much of the research into the role of myoinositol in reproduction has been done in patients with Polycystic Ovarian Syndrome (PCOS), where administration of this supplement has been shown to improve blood sugar regulation, restore menstrual cyclicity, and manage PCOS symptoms like acne and hirsutism and even increase conception rates. When myoinositol was given to women with PCOS undergoing IVF, researchers also noted these women had fewer degenerated oocytes and a greater number of mature eggs. Because of these findings researchers have moved beyond the PCOS population to explore whether myoinositol has the ability to improve egg and embryo quality in a more general population.

The recent findings:

Non-PCOS women pre-treated with myoinositol required a lower dose of ovarian-stimulating hormones during IVF and showed a trend toward greater implantation rates.
PCOS patients undergoing IVF treated with myoinositol had more mature oocytes and fewer immature follicles.
Non-PCOS treated with a combination of myoinositol and melatonin after a failed IVF cycle showed greater amounts of mature oocytes, better embryo quality and higher pregnancy rates.