Bleeding in the Luteal Phase

by Lucy
( UK)

Dear Amelia,
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.

Thank you
Lucy

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Bleeding in the Luteal Phase
by: Amelia Hirota, D.Ac.

Hi Lucy,
Wow, what an emotional roller coaster you've been on. I feel for you going through a pregnancy like that. I would recommend that you have a full salivary hormone panel done throughout your cycle to see what is going on with your estrogen, progesterone, FSH and LH.

I don't think that it's just a matter of progesterone dipping after ovulation. There is definitely an imbalance of hormones and it's this imbalance that's affecting the quality of the eggs that you ovulate. Also, the hormonal imbalance affects your uterine lining and how you carry a pregnancy.

I would venture to guess that you have estrogen dominance, which is when your estrogen is dominant to progesterone in the luteal phase. This is why you had the luteal phase spotting, the heavy periods and the endometriosis.

The endo was removed during the lap, but the hormonal imbalance wasn't corrected, so that's why you were advised to get pregnant ASAP before the endo returned. I think that better advice would be to evaluate what's going on hormonally throughout the cycle and treat that before getting pregnant again. Trust your instinct. You already feel concerned that you don't want to get pregnant with your hormones in the state that they are.

I believe if you watched my webinar on hormones, you would have a very good understanding of what I'm talking about. I also think that it would be a good idea to work with an acupuncturist that understands estrogen dominance and can read a salivary panel, so that you correct this hormonal imbalance before you get pregnant again.

Best of luck to you Lucy. I really feel for you for having gone through a premature birth like that. However, please know that you can heal your body and you can balance your hormones, so that you recruit healthy eggs and your body is able to support a solid, full term pregnancy.

Sending Healing Energy Your Way,
Amelia Hirota, D.Ac.

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