TTC with Mid-Cycle Bleeding

skbbl2019
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Hi there! New to this forum and I wasn't sure where to post this. I'm 37, newlywed and hubby and I have been TTC since we got married in September 2020. At the very same time, I started to spot every month immediately after ovulation until my next period. This happened to me about a year ago for 6 months then the mid-cycle spotting stopped and back again this time. I have 3 tiny (under 3cm) subserosal fibroids and had received a PCOS diagnosis about 5 years ago though my current sugar level, weight and periods are within range. my last bloodwork was great and transvag ultrasound didn't show anything else but the fibroids. My current OBGYN thinks I need to see a RE to check on the mid-cycle spotting, especially since it seems to happen immediately after ovulation (I've been charting for the past since September and can confirm ovulation) I needed to hear from others with similar experiences based on 3 questions: (1) success pregnancy stories of those with similar spotting situation. (2) Hubby and I have a great sex life outside of the 2 weeks after ovulation when I spot. Sex (intercourse) gets messy/bloody and I'm afraid it may interfere with implantation so I prefer no sex 2 weeks of the month . Any tips to overcome this and continue a somewhat normal sex life the last 2 weeks of cycle? (3) Any recommendation for a good OBGYN in Nova that specializes in RE? I'm not ready to see Shady Grove or other fertility specialists, plus my insurance won't probably cover unless we've TTC for at least 6 months. I found Dr. William Garcia in Tysons and considering giving him a try. His website states he can assist with treatment and evaluation for common infertility causes (PCOS, fibroids, etc). Anyone experienced with his care for fertility issues? Thanks!
Anonymous
I have PCOS. After having two kids (and multiple miscarriages) I developed mid-cycle bleeding and then found I had a fibroid, which they were certain was intramural (turns out it wasn’t and was submucosal). Either way, doctors said it would be very unlikely to get pregnant with mid-cycle bleeding because of unstable lining. Had surgery, turns out fibroid was much worse than they thought and I’m now in my second trimester with baby number 3.

Another thought is to see if you have a progesterone deficiency, which should be an easy test right after ovulation. Suppositories, pills or shots can easily take care of that!
skbbl2019
Member Offline
Thanks for sharing your experience! My OB recommended progesterone supplements, which I tried for 2 cycles but it didn’t help. My RE appointment is next week and I’ll see what comes out of it.
Anonymous
Personally at your age, I would jump right to seeing an RE. An obgyn really isn’t trained with fertility issues and at 37, I wouldn’t keep wasting time with an OBGYN. The mid cycle bleeding also sounds like you may have progesterone issues and need to be on progesterone suppositories immediately after ovulation.
Anonymous
Anonymous wrote:Personally at your age, I would jump right to seeing an RE. An obgyn really isn’t trained with fertility issues and at 37, I wouldn’t keep wasting time with an OBGYN. The mid cycle bleeding also sounds like you may have progesterone issues and need to be on progesterone suppositories immediately after ovulation.


Yes I will see the RE next week. Last time we checked progesterone wasn’t an issue which is why supplements didn’t help
Anonymous
Anonymous wrote:
Anonymous wrote:Personally at your age, I would jump right to seeing an RE. An obgyn really isn’t trained with fertility issues and at 37, I wouldn’t keep wasting time with an OBGYN. The mid cycle bleeding also sounds like you may have progesterone issues and need to be on progesterone suppositories immediately after ovulation.


Yes I will see the RE next week. Last time we checked progesterone wasn’t an issue which is why supplements didn’t help


Sorry, missed that comment. I think an RE will be a lot more helpful then your obgyn. They’ll run tons of tests including an HSG which will tell you if you have any tube blockages.

I’m 31 and seeing an RE. Letrozole with an ovidrel trigger shot is what finally got me pregnant.
skbbl2019
Member Offline
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Personally at your age, I would jump right to seeing an RE. An obgyn really isn’t trained with fertility issues and at 37, I wouldn’t keep wasting time with an OBGYN. The mid cycle bleeding also sounds like you may have progesterone issues and need to be on progesterone suppositories immediately after ovulation.


Yes I will see the RE next week. Last time we checked progesterone wasn’t an issue which is why supplements didn’t help


Sorry, missed that comment. I think an RE will be a lot more helpful then your obgyn. They’ll run tons of tests including an HSG which will tell you if you have any tube blockages.

I’m 31 and seeing an RE. Letrozole with an ovidrel trigger shot is what finally got me pregnant.


OP here, I saw the RE and we’ll run some blood tests. Then he also recommended Letrozole. Glad to hear about your successful pregnancy.
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