Hi, I have gone through your question question, and I think I have understood your concern. I will suggest you the best possible treatment options.
In a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you are sexualy active, in this period, try to have sex at least on alternate days during this period.
Irregular cycles suggest that you are not ovulating regularly in the fertile period. I will suggest you to get FSH, LH, AMH test done on day 2 of the cycle. With the prescription from your doctor start
ovulation induction medicines and follicle study from day ten of the cycle. At follicle size of 18 mm injection
HCG 5000 I will help in ovulation. Try to have sex or go for IUI at the time of ovulation.
Usually ovulation after starting of 26 mm of the follicle, has shown poor
pregnancy rates. So from Usg doctors say that egg quality is poor after 26 mm on
sonography study.
I hope this answer helps you.
Thanks
Dr Purushottam Neurgaonkar