Has anyone tested positive on OPK and found out later they aren't ovulating?

Tammie
We have been trying for 1 year with 1 miscarriage (early). My OB today said that due to my monthly OPK giving me a peak symbol, she assumes I am ovulating and won't order any tests. 
I have had surgery on my ovaries which could cause scar tissue, I could also have more cysts, and I'm 34. I'm not sure why a hormone surge is enough for her to tell me very abruptly, "you are fine."
I'm moving out of state in 3 weeks so there is no sense in starting fertility treatments until after I move, but just wondering if anyone has thought they were ovulating and later found out they needed Clomid or surgery?