Just to chime in on the spotting, for the past 10-12 years I've spotted 4-7 days before every af. Had various investigations done and nothing is wrong. 21 day bloods (done once) showed no issue with progesterone. The twice I got pregnant last year I had no spotting at all before af due day/bfp.
That's reassuring to hear. Can I ask what your situation was with the pregnancies last year? MC? (you don't have to say!) I'm convinced its a luteal phase defect and that's what caused my MC and the reason for no more pregnancies. Day 21 is too early for them to see as far as I can tell - as if it's day 23 that you spot its then that the progesterone level drops dramatically so at day 21 it would look right! So frustrating xx
I'm really sorry, I missed your question 1sttimer. I got pregnant last July, started bleeding at 5 weeks, they couldn't find any reason for the bleeding but scan showed an empty sac, I had to go back twice over the next two weeks to see if anything developed and it didn't so basically a blighted ovum. I miscarried naturally at 8 weeks. I didn't see my OH the month after that (I split my time between UK and Hong Kong, all very complicated) but saw him the following month and we had a chemical pregnancy, confirmed with blood tests. My issues are almost certainly egg quality as I turn 45 this month. My amh is excellent for my age but sadly that's no indication of quality. I had my progesterone checked once on day 21 of a cycle I wasn't pregnant, and day 21 is probably a day or so early for me as I have a 29-30 day cycle, and it was 60.8
The only other issue I've had that I'm aware of is fibroids. We had been trying for a year up until last May, I knew I had a fibroid, it had been discovered the year before but the consultant I saw said it wasn't worth doing anything about it due to my age (thanks love!). She basically said I wasn't likely to get pregnant at my age anyway. My reflexologist (fertility expert) encouraged me to get a second opinion with a consultant that specialises in fibroids. It took me another 9 months but eventually I went to see him, a scan showed it was much bigger than originally thought and he advised surgery to remove it. I eventually had that last May - it was 16cm x 16cm! The surgery was a breeze, very quick recovery, I got pregnant the first time of trying after surgery (that was the blighted ovum). Then, given we skipped a month because I was away, I got pregnant the very next time we tried. So basically after having the fibroid removed I tried twice and got pregnant twice! I'm still so mad at myself for not getting a second opinion straight away so potentially when I had marginally better egg quality.
Sorry, that's turned into a bit of a rambling post
Edit: sorry, regarding your concern about progesterone dropping rapidly on, say, day 23 after being ok on day 21. Obviously I'm no expert so I don't really know but I think if it's fine on day 21, then it's fine. It will drop after that if you're not pregnant due to normal hormone levels but if you are it should increase for the same reason. That would explain why I have no spotting at all when I am pregnant but spotting every month that I'm not. Does that make sense?