Spontaneous ovulation does not need added induction. If there is evidence of thin endometrium
, it needs to be thickened. The optimum thickness of the endometrium favorable for implantation
according to studies is between 6-14 mm. Clomiphene
has a negative effect on estrogen
as it helps regulate the luteal phase and therefore can cause thinning of the endometrium. So, if Clomiphene needs to be administered as part of the treatment, estrogen when added, helps to make the situation stable by improving the thickness of the endometrium. Sildenafil
is also effective. Since you did not have a successful intercourse, you can go for another cycle. Discuss with your gynecologist thoroughly before embarking on any plan. Good luck.