Why You’re Not Ovulating: LH Surge Problems in Busy Women (Fertility Explained)

Download The Physician Fertility Roadmap- a 6-step, evidence-based plan to optimize your fertility over the next 6-12 months.  https://support.loveandsciencefertili... If your period is late… your ovulation feels unpredictable… or your fertility treatments aren’t going as planned—this episode is for you. Today, we’re breaking down LH surges and ovulation dynamics, especially in busy, high-achieving women. Because ovulation is not just “on or off”—it exists on a spectrum, and even subtle disruptions can impact your ability to conceive. In this episode, we cover: • What an LH surge actually does (and why it matters) • How stress, sleep, and lifestyle can suppress ovulation • Why your cycle may be delayed—even with negative pregnancy tests • The connection between LH, luteal phase quality, and implantation • How age and hormonal shifts impact ovulation quality • The overlap between hypothalamic amenorrhea (HA) and PCOS • Signs your LH surge may be weak, delayed, or suboptimal • Why “regular cycles” don’t always mean optimal fertility If you’ve ever felt confused by your cycle—or like your body isn’t doing what it’s “supposed to”—this episode will give you clarity, validation, and a path forward. Fertility is not one single problem—it’s a series of small factors working together. And the good news? Many of them are modifiable. Support the show (https://www.buzzsprout.com/2285234/su...) As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.c... Follow us on social media: IG: www.instagram.com/loveandsciencefertility (  / loveandsciencefertility  ) FB: www.facebook.com/profile.php?id=61553692167183 (https://www.facebook.com/profile.php?...) Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove