Luteal Phase Spotting

Luteal Phase Spotting

Postby lem7755 » Fri May 26, 2017 12:31 pm

I am 34 and trying to conceive for the first time. We have been trying for about six months. I regularly have spotting during my luteal phase. My OBGYN did a sonohysterogram to check for cycts, and the were none. She then put me on 50mg of Clomid, which I completed this past month. I went in for my 21 days labs (when I was only 3 dpo) and my progesterone level came back at 15, which she told me was good for 3 dpo. She was hoping the Clomid would clear up the spotting, but I have had spotting every day since 5 dpo. I am now at 12 dpo, or cycle day 30. I typically ovulate around day 18-19 and have 32-34 day cycles. The spotting is generally brown, and not super heavy, but enough that I need to wear a liner. This month, I did have one day of red bleeding, but the rest has been brown. I'm very frustrated as I don't even feel like we have had a chance to get pregnant, and I am wasting months of using Clomid when it's very unlikely that I'll be able to get pregnant. Is it time for us to see a fertility specialist? I would appreciate your thoughts! Thank you!
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Re: Luteal Phase Spotting

Postby Dr. Wisot » Sat May 27, 2017 8:08 am

I think you need to go beyond the sonohysterogram and have a hysteroscopy as polyps can be missed on the sono.

With a progesterone of 15 only 3 days after ovulation it's not likely that it's a hormone problem that will be corrected by Clomid.

Since there is not an easy solution I would definitely consult a reproductive endocrinologist and have that doctor do the hysteroscopy and then plan a strategy to overcome this issue.

Fear not. There's a good chance that a good RE should be able to deal with this to help you conceive but do not waste any more time and get more frustrated.

Arthur L. Wisot, M. D.
Reproductive Partners Medical Group, Inc.
Redondo Beach, California
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