Why Am I Not Ovulating Regularly?

Unless you already know you aren’t ovulating regularly, most fertility journeys begin with recommendations for fertility apps, ovulation prediction kits, and lifestyle tips to help you and your partner conceive.

But what if ovulation isn’t happening on schedule? If you live in Kansas City or the surrounding Midwest region, here’s what you need to know.

Step One: Schedule a Preconception Appointment

Before trying to conceive (TTC), schedule a preconception appointment with your OB/GYN  in Kansas City. Your gynecologist will:

•             Identify your ovulatory rhythm

•             Check on timed intercourse with your fertile window

•             Flag irregular cycles early

If ovulation isn’t occurring every 21 to 41 days, it’s time to check in again with your physician.

5 Common Reasons You May Not Be Ovulating

1. PCOS (Polycystic Ovarian Syndrome)

•             One of the most common causes of infertility in the U.S.

•             Linked to insulin resistance and hormone imbalance

•             Symptoms include weight gain, irregular cycles, difficulty losing weight

•             Even women with “skinny PCOS” (not overweight) may struggle with ovulation

Learn more in our guide: Understanding and Treating PCOS.

2. Being Underweight or Over-Exercising

•             Extreme fitness or eating disorders can suppress ovulation

•             Body interprets stress/starvation as unsafe for pregnancy

•             Healthy BMI for conception. Use the Mayo Clinic BMI Calculator to check yours.

3. Low Ovarian Reserve Due to:

•             Genetics

•             Cancer treatments

•             Lifestyle factors

•             Testing includes AMH, FSH, and antral follicle count via ultrasound

4. Early Menopause

•             Irregular periods may signal perimenopause

•             Average menopause age: 51, but some experience it in their 30s–40s

•             Causes: genetics, medical treatments, cancer therapies

Read: 7 Ways You May Be Bringing on Early Menopause.

5. Hormone Imbalance which can stem from:

•             PCOS

•             Thyroid disorders

•             Stress, inflammation, or medication side effects

•             Environmental factors also play a role in fertility

If you’re in Kansas City or the Midwest region and struggling with irregular ovulation, don’t wait. Your reproductive health matters whether or not you plan to conceive.

Contact the Reproductive Resource Center of Kansas City to schedule a consultation and explore personalized fertility solutions.