Millions of women struggle with anovulation, making pregnancy a challenge. This guide covers the big four medical options—clomiphene, letrozole, gonadotropins, and IVF—breaking down how each one works and what you can realistically expect in terms of results. We’ll sort through common misconceptions, highlight pros and cons, and help you make sense of which approach might fit best. Plus, practical tips to boost your chances and avoid dead ends.