Cycle Monitoring & Ovulation Induction

Low-Complexity Fertility Treatments with a Personalized Approach

For many women, infertility isn’t caused by major structural problems — it’s often due to subtle hormonal or ovulatory imbalances.
At Cheval Wellness, we specialize in identifying these imbalances and correcting them through cycle monitoring, gentle ovulation induction, and luteal phase support — all within a nurturing, low-intervention setting.

Our goal is simple: to help your body ovulate regularly, predictably, and effectively — increasing your chances of conception naturally or in coordination with your fertility specialist.

Cycle Monitoring & Analysis

Every fertility journey starts with understanding your cycle.
Cycle monitoring allows us to evaluate how well your ovaries, uterus, and hormones are functioning throughout each phase — from follicle development to ovulation and luteal support.

Our Monitoring Tools Include:

  • Basal Body Temperature (BBT) Tracking: Identifies the temperature rise that occurs after ovulation, confirming whether and when ovulation has occurred.
  • Ovulation Predictor Kit (OPK) Interpretation: Helps detect the luteinizing hormone (LH) surge that signals ovulation is imminent — usually within 24–36 hours.
  • Mid-Luteal Progesterone Testing: Confirms ovulation quality and luteal phase sufficiency.
  • Transvaginal Ultrasound Monitoring (via referral): Used to visualize follicular growth, endometrial thickness, and ovulation timing for those requiring more precise analysis.

By aligning these metrics, we pinpoint your fertile window and detect any disruptions in ovulation, follicle maturation, or progesterone production.

Ideal For:

  • Women with irregular cycles
  • Couples with unexplained infertilit
  • Those coming off hormonal birth control
  • Women preparing for timed intercourse or IUI with a specialist

Non-PCOS Ovulation Induction (Clomid / Letrozole Management)

When natural ovulation isn’t occurring or is inconsistent, low-dose oral medications can help encourage follicle development and egg release.
At Cheval Wellness, we prescribe and monitor Clomid (Clomiphene Citrate) and Letrozole (Femara) for women who meet specific safety and diagnostic criteria.

These medications are typically used for non-PCOS ovulatory dysfunction — such as mild hypothalamic causes or unexplained infertility.

Our Protocol Includes:

Baseline Labs and Ultrasound Referral:

To ensure no contraindications such as cysts or elevated hormone levels.

Medication Dosing:

Usually beginning on cycle day 3–5 and continuing for 5 days.

Ovulation Tracking:

Using OPK, BBT, and mid-cycle labs to confirm follicle development.

Timed Intercourse Guidance:

Optimizing conception timing during your fertile window.

Luteal Phase Follow-Up:

Checking progesterone and adjusting as needed to support implantation.

We work closely with patients to fine-tune timing, dosage, and overall cycle health.

Note: For women with PCOS, ovulation induction follows a different protocol. Visit our PCOS Fertility page for details.

Scope & Referral Guidelines

Cheval Wellness provides low-complexity fertility management — ideal for women who need diagnostic clarity and cycle regulation before pursuing more advanced interventions.

If after 3–6 ovulatory cycles conception has not occurred, or if test results reveal significant tubal, uterine, or male factor infertility, we refer to a Reproductive Endocrinologist (RE) for advanced treatments such as:

  • Intrauterine Insemination (IUI)
  • In Vitro Fertilization (IVF)
  • Genetic or immunologic fertility evaluations

This structured pathway ensures every patient receives the right level of care at the right time — without unnecessary delay or overtreatment.

Treating Luteal Phase Defects & Cycle Regulation

Even when ovulation occurs, some women experience luteal phase defects (LPD) — when progesterone levels drop too early, preventing proper implantation or causing early loss.

We identify these issues through mid-luteal progesterone testing and, when needed, provide natural progesterone support via:

  • Oral, topical, or vaginal progesterone formulations
  • Lifestyle and stress regulation to stabilize cortisol and hormone conversion
  • Thyroid optimization when low thyroid function contributes to shortened luteal phases

By strengthening the luteal phase, we help ensure that once fertilization occurs, the uterine lining remains receptive for successful implantation.

Why Cycle Monitoring Matters

Many women struggle with months of “trying” without truly knowing whether ovulation is occurring or when their most fertile days are.

Cycle monitoring provides:

  • Clear answers about your hormonal function
  • Predictable timing for conception
  • Early detection of ovulatory problems
  • Faster access to targeted treatment plans

At Cheval Wellness, this precision helps patients avoid unnecessary stress, costs, and interventions — and gives them a roadmap for success whether conceiving naturally or through a fertility specialist.

Start Understanding Your Fertility Today

You don’t need to guess when — or if — you’re ovulating.

Cycle monitoring and ovulation induction at Cheval Wellness provide the clarity, confidence, and medical support you need to take the next step in your fertility journey.