Infertility/Fertility/Mid cycle bleeding


Hi I'm from Oregon. I had a miscarriage in Oct. 2012 and my cycles have just been starting to get back to normal the last few months. This month has been weird however, I don't track ovulation or anything because I'm not trying to concieve. But my cycles are normally around 22-27 days. They average around 25 usually. I've never had any kind of bleeding or spotting mid cycle. I'm on cycle day 19 right now and yesterday I woke up with bright red bleeding (not a ton of blood but definitely more than spotting). After cleaning the blood away, it was just spotting throughout the day mixed with ewcm. I don't think it's spotting from ovulation, because I assumed that I had already ovulated. (I usually ovulate around CD 13). Plus, when I woke up with the blood, there was a small clot. But all the blood and spotting went away completely within just a few hours so I'm completely confused. I had slight cramping, but not much. I was worried because i thought my period was starting which would've made this cycle only 18 days, but the fact that I bled for no reason scares me just as much. Could a hormonal imbalance cause this bleeding? I have been sexually active, so if my period doesn't show within the next week or so I would consider pregnancy. I haven't been able to get pregnant since my miscarriage though, so I'm worried something else is going on.
Sorry for the long novel, just wanted to include as much detail as possible in case it makes a difference with whatever could be going on with me!

Hello Kaya from the U.S. (Oregon),

Of course, I can't tell you exactly what the cause of your bleeding is.  There are several possibilities including hormonal abnormalities, anatomical/uterine abnormalities, pregnancy, etc.  I think that an examination and evaluation are warranted because it is not certainly something normal.  I wish I could tell you more but the Internet does have its limits.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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