Bleeding in the Luteal Phase
My periods have always been really heavy but 4 years ago I started to get pain in the middle of the month and spotting. Some months it would only be spotting but others, I would ovulate around day 11/12 (pain on one side and egg white discharge with some blood), then i would bleed like a light period until my proper period would start (and normally it would be extremely heavy).
I had my hormones tested (all normal apparently but the hospital lost the exact numbers), and a hysteroscopy, where they found that on day 6 of my cycle, my endometrium was 20mm thick in places with plasma cells. My then consultant discharged me saying that everything was normal and that things would probably get better after I had a kid.
I started taking agnus castus and oil of evening primrose and noticed a difference, but stopped when we decided to try for a family. Month 2 of trying, I had a very heavy luteal phase bleed which stopped when my period was due. Two weeks later I had an early miscarriage and bled horrifically for 11 days. One week later I conceived again without any ovulation symptoms. I bled throughout the pregnancy, each time getting heavier and lasting longer but nothing looked wrong on the scans.
At 22 weeks my membranes ruptured and by 24 weeks all my amniotic fluid had drained away and I delivered my little girl sleeping. My new consultant (who has been amazingly supportive and understanding) did a laparoscopy and hysteroscopy on me last month, they removed some endometriosis from my right ovary, and the biopsy from my womb is normal. I also have an ectropion cervix, presumably still from the pregnancy which ended 5 months ago.
We have been advised to start trying straight away before the endo returns. However this last month after my ovulation bleed on day 12, I had what felt like another ovulation on the other side on day 16, and i've been spotting ever since (heavier than spotting really, like last day of period, with what looks like bits of membrane). Now my period has come. I think I'm going to start taking the herbs again.
I see my consultant again in three weeks and am going to ask her to test my hormones again, but do you think it is likely that i have a dip in progesterone after I ovulate? I'm terrified that I won't get pregnant again, but also if i do with all the bleeding that I'm setting up another pregnancy like the one i had. Any thoughts would be greatly appreciated.