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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Ovulation Failure Possible Despite Taking Goodova Tablet?

Hi, I am TTC. Last I had periods on 1st March,2014. Doctor suggests to take GoodOva Tablet and also CB-Lin, Emrite-500, Thyronil Tablets. I taken Goodova tablet from 6th day of my periods(06th March, 2014). Doctor suggests to have a intercourse between 10th March,14 day to 20th March,14 as I might have ovulation only on those days. But I had my periods till 14th March,2014. After that, We had a regular intercourse till 20th March. I did home pregnancy test on 30th March. But Negative result. I have a few queries: 1. Is it possible that I didn t get ovulation even thought I taken GoodOva Tablet. 2. Is it possible to have ovulation during periods. If so, Is there any chances that I might missed my ovulation during periods. 3. As my doctor suggests,is it OK to have intercourse only between 10th to 20th days from my periods. 4. If I get ovulation between 10th to 20th March and not pregnant means, I should get my periods now ( I heard that after ovulation it takes 12 days to get periods). But it is not happening. Is there is any chance I might get ovulation on coming days. Please help me on above queries. Regards, Karthika PS: I don t have either Thyroid or sugar. I have PCOD other than that all my tests are normal. I have irregular periods problem to.
Wed, 27 Jan 2016
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OBGYN,  's  Response
Hi there,
Welcome to HCM,

If your period lasted from 1 to 14 March you have had a prolonged bleeding and might not have ovulated in this cycle.

Yes, it is possible that some women do not respond to Goodova (Clomiphene), these could be due to Clomiphene resistance or improper use.

If you have been diagnosed with PCOS delayed periods and anovulation are common and it could be due to the same that you have not yet got your period.

You need to get proper medication for PCOS, Metformin 500 mg twice a day is advisable and can be continued even when you get pregnant.
It is not advisable to take thyroid tablets unless you have a documented thyroid deficiency, it will not help you to take it randomly.

Diet, exercise and Metformin will help you with the PCOS. For ovulation induction with Clomiphene you need to take Clomiphene from day 2 to day 7 of the cycle and under go follicular monitoring from day 9 of the cycle to track the ovulation.

Also Folic acid should be taken by any women trying to conceive. You could take Duphaston to get your period and start Clomiphene from day 2, after confirming with another pregnant test that you are definitely not pregnant.

Hope this helps.
Regards.
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Is Ovulation Failure Possible Despite Taking Goodova Tablet?

Hi there, Welcome to HCM, If your period lasted from 1 to 14 March you have had a prolonged bleeding and might not have ovulated in this cycle. Yes, it is possible that some women do not respond to Goodova (Clomiphene), these could be due to Clomiphene resistance or improper use. If you have been diagnosed with PCOS delayed periods and anovulation are common and it could be due to the same that you have not yet got your period. You need to get proper medication for PCOS, Metformin 500 mg twice a day is advisable and can be continued even when you get pregnant. It is not advisable to take thyroid tablets unless you have a documented thyroid deficiency, it will not help you to take it randomly. Diet, exercise and Metformin will help you with the PCOS. For ovulation induction with Clomiphene you need to take Clomiphene from day 2 to day 7 of the cycle and under go follicular monitoring from day 9 of the cycle to track the ovulation. Also Folic acid should be taken by any women trying to conceive. You could take Duphaston to get your period and start Clomiphene from day 2, after confirming with another pregnant test that you are definitely not pregnant. Hope this helps. Regards.