Hi all! Hoping that my story/experience can help on this one. Sorry if it ends up being super long! I came off of birth control in July 2010 before my husband and I were actively TTC. I wanted to give my body a chance for my cycles to get back to normal before adding in the stress of TTC. I had 28 day cycles like clockwork before I got on the pill, but I had been on the pill consistently for 6 years at the time I stopped it, so I was interested to see what "normal" ended up being for me.
I started having cycles again almost immediately, but they were consistently irregular. First few months I was 27-30 days and I thought that was great, but the irregularity got worse and worse.
Over the course of the next year I had cycles ranging from 27 days to 52+ days. I knew my period started out with several spotting days before full flow started but it wasn't until I started to track ovulation that I noticed that I began spotting 7-8 days after ovulation. By this point I had done a lot of research on TTC and knew that this was not leaving the baby enough time to implant before my uterine lining was beginning to shed.
I went to my OB and wanted a CD21 progesterone test. The results came back and were horrible. I think that draw it was less than 2. I was referred to an RE and they determined I had a progesterone problem. The doctor was very hesitant to call it a "luteal phase defect". My RE said that I wasn't ovulating correctly and it was this "weak" ovulation that as causing the progesterone to be so low. His thought was if you fix the ovulation problem, you fix the progesterone problem. Over the course of the next few months of further diagnosis, they decided I had polycystic ovaries (PCO), not PCOS. The PCO was causing the weak ovulation, the weak ovulation was causing the progesterone deficiency, and the progesterone deficiency was causing spotting within a week after ovulation. So, at this point, I bought into the doctors theory that if you fix the first part of that domino chain, you fix it all.
Now to the positive/happy part. It was an easy fix! I was put on 50mg of clomid to help me properly ovulate and I got pregnant the first cycle on it. I had a prescription of progesterone supplementation filled at all times so that when I got my BFP I could begin taking it. My RE kept me on this from when I found out at 3+5 until I hit 12 weeks. It was a 200mg suppository 3 times per day.
I had an ultrasound at 12+1 and we saw a healthy, VERY active bouncing baby and I'm now heading into the second trimester!
In summary, I hope this story doesn't freak anyone out but rather give you some insight about how important it is to be in tune with your body and be your biggest advocate. I knew very early on after I started to track and I pushed with the doctor for tests, which got me to the RE faster, which got me drugs faster, which got me pregnant faster
Hope this helps!