Trying to Conceive for First Time

Question

I am a 38 year old woman, trying to conceive for the first time. I am using the Clearblue Fertility Monitor and it showed high fertility on day 11 of my cycle, and the little egg showed up on day 14 and 15.
This is the second month TTC.

This month, I started spotting on day 23 of my cycle. Last month it was day 26. I used the copper T IUD before, and I have been getting this annoying spotting for the past year or so. I figured it was a menstrual quirk …

What is going on? Any idea? Will I be able to get pregnant? What would you suggest I do?

Thank you so much.

Anne

Answer

Last Updated: September 20, 2022
Dear Anne,

There are several factors which could be involved in your inability to conceive thus far. The first, age, is not alterable.

The spotting may indicate that you have suboptimal levels of progesterone in the luteal phase since days 23 and 26 are post-ovulatory days. Low progesterone can also cause premenstrual spotting, three days or more of spotting or very light bleeding that occurs right before the next menstrual flow as well as tail-end brown spotting. Tail-end brown is brown colored spotting that occurs at the end of the menstrual flow.

The IUD may have provoked a chronic inflammation of the lining of the uterus called endometritis. This condition can also cause premenstrual spotting and tail-end brown.

In general, about 90% of couples of normal fertility should conceive within six months of starting fertility focused intercourse. Fertility focused intercourse means couples use NFP models or fertility monitors to determine their fertile days and then have relations on those days.

In your case, since you have some abnormalities already evident, I suggest you find a medical professional trained in NaProTECHNOLOGY so that you can start an evaluation. Go to fertilitycare.org to find a practitioner to teach you the Creighton Model of Fertility Care and to recommend a NaProTECHNOLOGY medical professional.

In health,

George Delgado, M.D. Natural Family Planning Medical Consultant

Answered By:

George Delgado, M.D., F.A.A.F.P.
George Delgado, MD, President and Founder of Steno Institute and Medical Director of Culture of Life Family Services (COLFS), San Diego, is a Professional Member / Supporter of CANFP. Board certified in both family medicine and hospice and palliative medicine, Dr. Delgado received his medical degree from the University of California, Davis, and completed his residency at Santa Monica Hospital/UCLA. Dr. Delgado is a Natural Family Planning Medical Consultant, trained in NaProTechnology. He and wife have four children and seven grandchildren.

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