Anovulation and breakthrough bleeding

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    haybay

    I'm a little confused.. Do I need to know if I am "progesterone withdrawal bleeding" or "estrogen breakthrough bleeding" to figure out what is going on with me? If so, how do I find out which one is happening to me?

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    Courtney

    Hey haybay, progesterone withdrawal bleeding is just another name for your menstrual period - it means you ovulated that cycle, then got your period. Estrogen breakthrough bleeding is what happens when you appear to have your period, but didn't ovulate that cycle - meaning that it's not a true menstrual period. If you want to know which one is happening to you, track your basal temperatures and cervical fluid each day so you can determine whether you ovulated during a cycle. If so, then you're experiencing progesterone withdrawal bleeding. If not, then it's estrogen breakthrough bleeding. 

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    katywaite

    Hi there. Is it normal to not ovulate after having a D&C? We're trying to conceive again after our first missed miscarriage. For my first cycle after the D&C I did ovulate based on my BBT, however we were using protection, following the Dr's recommendation. Now I'm in my 2nd cycle and had very fertile cervical fluid, but no rise in BBT. I'm 21 days into my cycle and getting very frustrated.

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    Courtney

    Hi! Yes, it is possible (and rather common) to not ovulate in the first few cycles following a D&C. Sorry about that :/ However, your fertility should normalize within a few cycles. It's also possible to have longer cycles than normal during this time, so it's still possible that you might ovulate this cycle - keep an eye on your temperatures to see if you notice a shift.

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    sarahcornwell607

    Hi there: I am new here and have really dig into the knowledge base. I even bought and started reading the book "woman code" after viewing the Ted talk posted on Kindara by the author. I am wondering if you know why I would test positive for peak fertility on an ovulation test, (twice in the month) without the steady rise in temp. My chart looks like the example above up and down, yet twice I have tested positive? Any advice you have is so appreciated. Thank you

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    Courtney

    Hey Sarah,

    Ovulation tests test for luteinizing hormone, or LH - the hormone produced by your body in a surge just before ovulation. While an LH surge is a likely indicator of impending ovulation, it doesn't always mean that ovulation will occur - for instance, your body may have released a surge of LH in an attempt to ovulate, but didn't produce enough to actually do so. Hence the positive OPK but no temperature rise. Ultimately, a sustained rise in your basal body temperatures is a more accurate way of determining whether you actually ovulated than OPKs. 

    First, I would check to make sure you're taking your temperatures correctly. Are you taking your temperatures as soon as you wake up (before getting out of bed or doing anything), after at least 3 consecutive hours of uninterrupted sleep, and as close as possible to the same time each day? Also, have you recently come off the Pill or were recently breastfeeding? If so, it's actually normal for your charts to be a little all over the place during this time - but keep tracking to see if things stabilize in the next few cycles. Also, make sure you're marking your temperatures as questionable if any of these 9 factors applies to you

    If you rule out all of the above factors and your temperatures are still erratic, you may want to check in with a naturopath or fertility specialist or have your hormones tested to figure out what's going on. 

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    caroline.m.levenson

    I just started charting and saw that I didn't ovulate - my temps never changed much and definitely never spiked. I have an almost two year old that I still nurse 2-3 times a day but I've had my period back for 5 cycles now. Like I said this was the first cycle I charted and was dismayed to see I didn't ovulate. Could it be due to nursing even though it's just a couple times a day now?

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    lindsesamuel

    What is the difference between breakthrough bleeding and just a light period? What does it look like?

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    Lauren

    Hi Caroline, thanks for your question!  It's definitely possible that nursing a couple times a day could delay or disrupt your ovulation pattern.  Although ovulation suppression is much more reliable when you're breastfeeding on demand, even a few times a day can release enough ovulation-suppressing hormones to cause changes in your usual ovulation pattern.  This will most likely return to normal once you stop breastfeeding entirely.

     

    Hi Lindsesamuel, thanks for your question!  Breakthrough bleeding a light period can look very similar, and they may actually be completely indistinguishable in terms of what you can observe while you bleed.  The most reliable way to tell the difference is by charting your temperatures to see if you ovulated by observing a sustained temperature shift 12 - 16 days before the bleed.  I hope that helps!

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    sj.miller.home

    Hi, I can see here that you've said that anovulatory cycles can happen after a D&C. What about after a non D&C miscarriage? Is that pretty normal. Thanks!

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