We are sorry to hear of your difficulty conceiving.

Unfortunately, early ovulation itself may be a sign of pre-menopause.

Clomid is not the only medication that can be used to delay ovulation, and is not usually used for so long. Estrogen early in the cycle can be used as well and generally does not have the same side effects as Clomid.

If you are not being treated by a fertility specialist, we would recommend that you consult one. If you are, you may wish to seek a second opinion.

There are a number of aspects of this situation that you do not mention worth exploring, including your husband’s fertility, your egg quality at this stage, and whether you would consider third-party reproductive options.

That being said, if you are able to make a hefsek taharah on day four, you may do so where fertility is at issue. We would need more information to explore further the possibility of a hefsek taharah on day three. In some cases of early ovulation, artificial insemination is permitted prior to mikveh immersion. The seven clean days may not be shortened, however.

We do not know enough about your case to evaluate your doctor’s reasoning in making the referral to therapy.  However, therapy may prove helpful in coping with the physical and emotional challenges you have faced thus far in the process and in evaluating how best to proceed.  Referrals to religious therapist are available at Nefesh International, www.nefesh.org.

You may also find it helpful to consult a Yoetzet Halacha Fertility Counselor. (This is a free service, details here.)

Please let us know if we can be of further assistance.

This response was updated on 22 November, 2020.