About me: TTC from September 2013 (age 30) to July 2015 (age 32). cycle length average=36 days +/- 10, average ovulation day 21+/- 5), luteal phage length average: 13+/- 1. 5'7, 137lbs. exercise 3-4 times per week and eat mostly vegetarian healthy diet.
Methods: bbt charting, OPK test (wondfo dip strip hcg tests and lh tests @38 cents per test), cervical mucus . Always had sex in fertile window (within 3 days of ovulation).
Issues: spotting frequently between ovulation and period, never had a positive pregnancy test (always tested from 8 DPO to period). Some cycles were very long (40+ days), Several cycles over two years were annovulatory (probably normal).
My guess at what was wrong: low progesterone (not enough to support implantation, can cause spotting before period)
First doctor visit: November 25th 2014, had normal pap smear and blood test that showed I was in the ovulatory phase (I already knew that I ovulated just fine from bbt charting).
First consult with Gynecologist: Dec 2015, Dr. wants to do a saline sonohysterogram to see if polyps or fibroids could be causes long cycles with intermittent spotting.
February 2015: 75+ day annovulatory cycle. Had to take Provera to start period. Dr. wanted to wait until right after period to perform the saline sonohysterogram.
March 4th 2015: Saline sonohysterogram was attempted, but so painful that Dr. stopped and suggested we try again by taking more Ibuprofen and some Ativan ahead of time. Had heavy bleeding afterward for 3 days followed by spotting for 3 days.
April 27 2015: saline sonohysterogram showed small polyp, scheduled hysteroscopy for removal. heavy bleeding afterward for several days followed by spotting for several days.
May 28th: Hysteroscopy performed under general anesthesia, small polyp removed. Heavy bleeding for 3 days plus 3 days spotting afterward.
Started progesterone pills (200mg, vaginal administration) starting day after ovulation (took from DPO 1 to DPO 12, period came strong 2 days later.
June 28th 2015 Next cycle ovulated on CD16, started progesterone pills (200mg vaginal) on DPO 3
June 22, 2015: DPO 9,10: very faint positive Wondfo dip strip hcg test.
DPO 11,12: faint positive hcg test
DPO 13-16: standard positive hcg test, plus blood hcg test on DPO 15 (hcg=120 mIU/ml)
DPO 17-20: strong positive hcg test, plus blood bcg test on DPO 17 (hcg=293 mIU/ml)
conclusions: ITs not clear whether the polyp removal or the progesterone supplements or both or neither helped me conceive! Lower stress levels this summer may have helped too.
Added: Aug. 2, 2015