Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. 1.First of all do not panic. 2. It would have been better if you have had some more information about your ovarian cyst problem. Was it a single large cyst or condition like PCOS in which there are multiple tiny cysts on the ovary. 3. From your history of irregular cycles , it looks like that your treating doctor must have prescribed you Tab OVRAL L for 21 days to regularize your cycles. That is all fine , no harm done. Actually, this tablet helps to regularize your menses, but does not help in getting pregnant. As this tablet suppresses egg formation , and leads to regularize the periods and offers contraception. 4. Now for this cycle, if you have missed your periods, I will suggest getting morning’s first sample of urine tested for pregnancy. If the test is negative I will suggest you to induce the periods with Tab Regestrone 5mg 2 times a day for 5 days. You will start your periods within 3 to 10 days of stopping the tablets. 5. Please get a detailed USG done to know ovarian volume and to rule out PCOS. I will suggest indulging in a healthy diet and regular exercise regime. Include plenty of fruits, salads, vegetables in the diet. Have adequate water intake , say 8 – 10 glasses per day. Avoid deep fried foods, bakery products, and refined sugars. Avoid substance abuse, if any. Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby. I hope my answer helps you. Thanks. Wish you great health. Dr Purushottam S Neurgaonkar