I am undergoing ovulation induction treatment with Letoval 5 (days 3 to 7), Eltroxin 100 (daily, though my TSH is under control), Y Cyst M 1000 mg, and Endogest SR 300. My last menstrual period was on 23rd Feb, and my ovulation day was on 20th March. My usual cycle is 33 days after induction, but today, on day 36, I got my period and feel very disappointed. Before today, I experienced early pregnancy like symptoms such as lower abdominal cramps and continuous white vaginal discharge for 7 days. My husband semen analysis is normal, and my reports (AMH, TSH, prolactin, rubella, SIS) are all normal. Why am I not pregnant after 2 cycles of ovulation induction, despite regular intercourse on alternate days between days 11 to 21?

Answered by 1 Apollo Doctors

Dr Yusuf Mohammad

General Practitioner

MBBS
8+ Yrs

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Even with ovulation induction, conception can take multiple cycles. Possible reasons: delayed ovulation, luteal phase defect, stress, or implantation issues. Bleeding after 36 days may be withdrawal or anovulatory bleed. Early pregnancy symptoms can overlap with hormonal effects. Continue medications as advised and consider ultrasound follicle tracking and progesterone level check next cycle.

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Answered 04/09/2025

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