Irregular cycles - advice

So I got my first period at around 18 and every since then it's never been regular. I could go 2-3 months getting it regular then not get it for 3 months. I've never gotten on birth control and didn't think there was a need and my MD didn't seem to worried. Now I'm 26 married and TTC and my period are still not regular. My last period was last week of July. I didn't get it in August. I've also been trying to track my LH and for the past week it's been negative so I'm not ovulating. I've heard of issues like anovulation, pcos... but I've never gotten tested/checked for any issues. My MD usually insists it's nothing...should I be worried? Should I get checked? Wondering if anyone has a similar situation/story?