Hi and thanks for the query, Management of PCOD requires patience, for it takes time for the drugs prescribed to actually produce a steady and physiologic hormonal levels in the body. It is not unusual to exoerience such fluctuations when on treatment. Its very important not to stop treatment abruptly without the consent of your physician, for this compromises follow up. Rupture of an egg does not mean automatically a pregnancy, for its not a physiologic state of hormones. Management of infertility in women with PCOS will differ if the woman has ever had a pregnancy before before or not, and also on the age. In case there is no history of a pregnancy and the age is advanced, other methods of fertilization like in vitro fertilization techniques could be offered to maximize chances of getting pregnant within a shorter period of time. I suggest you consult your nearest infertility specialist for management. Thanks and bets regards, Luchuo, MD.