Feeling Broken

I had a miscarriage in December after 4 months of trying with irregular and long cycles (30-40days). At the time, my NP said that she was concerned by the 40-day-long cycle and that if I had 3 more long cycles after my miscarriage to contact her and she would start me on medication to help me ovulate.

The first month post-miscarriage I didn’t get a positive opk until CD24 so I had a 38 day cycle, the second cycle I got my positive opk on CD22, so I had a 36 day cycle. I started temping that month too and was able to see confirmation of ovulation that month with an obvious increase in my temp on CD23.

This month it’s CD21 and STILL no positive opk. I keep having “almost positive” results every few days, to the point that the glow app tells me to “start trying” but no strong dark positive like I’ve had in the past. How long should I let this go before I contact my NP? I’m not sure at what point I would need to start that medication, should I go ahead and try to get an appointment or should I keep waiting? Thanks for any encouragement.