Can a woman ovulate without a + OPK? If so, how is it possible to O without the LH surge?

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Tiffany, yes, but not necessarily for the reasons we think:

If you test only once a day, you run the chance of missing your surge. Because a surge indicates that you can O in the next 12-48, you run the chance of missing it.

Example: You test every day at noon. But yesterday, your surge started at 6PM. You won't test again until noon today. If your surge started at 6PM, that means that you can ovulate by 6AM. And by noon, you may have a negative OPK yet again, because you've already ovulated. Even if you don't ovulate, you can still get a negative the next day because it's on the downswing.

It's why I always stress charting or using CM/CP or even a FM. Because there are simply too many variants that can make us miss O. Trust what your body tells you: If you have EWCM (and don't count on it being visible when you wipe, unfortunately sometimes you need to go looking for it because it stays up close to your cervix and you don't ever actually see it) trust it. If you feel O pains, believe 'em!

Even if you get a positive OPK, don't stop BDing until you know for sure that you have O'd, because often we get a positive but for whatever reason, we don't actually release an egg.

You gotta wonder how anyone ever gets pg, huh?

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