Bleeding 16 days of every month

Question

I had an ectopic pregnancy in August which was treated with two methotrexate injections and I have been trying to conceive again since March (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 five days post ovulation, on and off until my periods come. I always used to have some spotting four to five days before but not for nine days like this – to me it’s far too long. It means that out of a 28 days cycle, I have spotting for nine days and periods for seven days which leaves only twelve 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

Last Updated: February 22, 2015
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

Answered By:

George Delgado, M.D., F.A.A.F.P.
President and Founder of Steno Institute and Medical Director of Culture of Life Family Services (COLFS), San Diego, is a Professional Member / Supporter of CANFP. Board certified in both family medicine and hospice and palliative medicine, Dr. Delgado received his medical degree from the University of California, Davis, and completed his residency at Santa Monica Hospital/UCLA. Dr. Delgado is a Natural Family Planning Medical Consultant, trained in NaProTechnology.

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