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Last Updated:
Sep 10th, 2007 - 18:59:21
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Question
I had an ectopic pregnancy in August 2005 which was treated with 2 methotrexate injections and I have been trying to conceive again since March 2006 (one unsuccessful year this month!).
My LH surge is always on day 13 or 14, periods on day 28 (like a clock) but I do not understand why I get spotting 5 days post ovulation, on and off until my periods come. I always used to have some spotting 4 to 5 days before but not for 9 days like this - to me it's far too long. It means that out of a 28 days cycle, I have spotting for 9 days and periods for 7 days which leaves only 12 days every month where I don't have any spotting nor bleeding.
Every month I wonder whether I am experiencing implantation spotting until my periods come.
I went to see my doc back in November and had all the hormone tests done on day 21 (progesterone, thyroid function, etc, etc ) and they looked fine.
I don't understand, the doc does not understand and I really don't know who to ask to find out what's happening to my body.
I would be very grateful if you could help me understand what's going on.
Thanks. Margot
Answer
Dear Margot,
Your luteal phase spotting may signify you have a luteal phase (the part of the cycle after ovulation) deficiency of progesterone, the normal level your doctor checked not withstanding. It is important to know how many days after ovulation you are when a progesterone level is checked; and, it is important to know what the progesterone level is throughout the luteal phase.
This type of evaluation is best undertaken by a medical practitioner knowledgeable in NaProTechnology.
Dr. George Delgado
George Delgado, M.D., F.A.A.F.P. is a Fertility Care Medical Consultant, a physician with Pregnancy and Family Care Centers of San Diego and
Escondido, and a Voluntary Associate Clinical Professor, Department of Family and Preventative Medicine, School of Medicine, University of California, San Diego.
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