I believe less than 10 days is considered a short LP. Your body needs at least that amount of time for the lining to be in the correct alignment for implantation.

I'm breastfeeding and TTC#2. Breastfeeding is all about the hormone prolactin, which suppresses estrogen and progesterone production, and increases FSH. It is common while breastfeeding to have delayed ovulation and a short LP.

One herbal treatment option is to use Vitex, which adjusts the amount of prolactin in your system.

I've read that too much stress can also elevate the prolactin level, as can too much sex (go figure). Trying to reduce the amount of stress on one's body is a multi-faceted endeavor - including significant diet and lifestyle changes.

Another approach is to try acupuncture/TCM, which can adjust your hormone levels, but TCM will also require diet and lifestyle changes.

Someone I know had short cycles and she opted to try Clomid and that worked for her. She made no lifestyle changes, but the she had a rough time while she was pg with hyperemesis gravidarum and the baby had intrauterine growth restriction and had to be born early by c/s. I wonder if she tried a different, more healing approach for her body if she wouldn't have had a better, healthier time during pg.

No wonder I'm not pregnant

I just got done updating my TCOYF program and since I started using my fertility monitor again we have a clear ovulation date and luteal phase length.

The last cycle was 30 days, close to my normal non-nursing, pre-pregnancy cycle length. My ovulation date was CD23 however, about 8 days later than normal, and my luteal phase (LP) length was just 7 days. Well that sure isn't a recipe for success.

A normal luteal phase is around 14 or so days, which gives time for an egg to implant and get settled. With such as short LP my hormones are obviously not even close to the task of conceiving.

This next cycle I'm already on cycle day 12 and I'm still spotting (why is that?) and TCOYF is predicting ovulation to happen July 24, on CD 25. I'm sort of expecting this cycle to be longer, as I seem to alternate between long and short cycles. My acupuncturist said that sometimes one ovary can be more sluggish than another -- being as women's bodies typically alternate between ovulating from one side to the other from cycle to cycle.

I'll just keep taking my vitamins, going for acupuncture and doing qi gong and see if that doesn't help turn things around. I am feeling less sluggish since I bumped up my vitamin intake which I'm happy about.

J is also nursing a little less, he's dropped a session or two so we are down to 6-7 times a day now instead of 8-9. He just turned 29 months on Thursday.

Fertility While Nursing

I found this a couple weeks ago and it explains rather reasonably how fertility returns post-partum, while breastfeeding:

The greatest level of suppression is not ovulating, but as your prolactin levels go up, your fertility will gradually return. First you will ovulate, but not have the proper hormone levels for fertilization; then you will ovulate and fertilization may occur, but you still may not have the proper hormone levels for implantation; finally, you may ovulate, be fertilized, and implant, but not have the proper hormone levels for continuing the pregnancy, so you have a very early miscarriage, probably along the lines of minutes or hours after implantation, so you wouldn't know you had been pregnant. It is also possible to ovulate without having the right hormonal levels in the right combinations for the uterus to have been preparing for implantation, so yes, it is possible to ovulate without menstruating. For all of these stages, there seems to be incredible individual variation between women. Some women get pregnant again the first time they ovulate, with no intervening menstrual periods. I knew a woman in Indiana years ago who had three children in six years with no menstrual periods! Her doctor couldn't figure out when to predict her due date
From: http://www.kathydettwyler.org/detfert.html

The author, Kathy Dettwyler, has studied a lot of different aspect of nursing. Her site is pretty interesting to poke around:
http://www.kathydettwyler.org/

I found her mentions about the natural ages of weaning amongst other large mammals to be affirming of what I have been observing with my little one.

Ack, moodiness

The longer I go post-partum the more my body gets its cycle hormones back into gear and the more I start to feel the affects again. Blah. I'm just sitting here minding my own business after ovulating on Monday and a wave of despair just passed right over me.

I've been grateful for the break that being pregnant and nursing has given me from my awful PMS. Having these alternate hormonal realities really points out to me how it is likely our species, the female of our species, weren't really intended to go on having period after period after period for 22+ years straight. No wonder my hormones were over the top. Whether we like it or not I think our bodies were intended to switch into pregnancy and nursing and get a break from all the mood swings that come with menstruation.

We did give it a good try for this cycle and then I went in for an acupuncture visit on Tuesday. She was only able to tonify as we had tried but it was good to get that going again. If this cycle doesn't work out for us then I'll go back for regular treatment to see about helping get my body more baby ready for #2. Still there's a part of me that wonders what we are in for -- an easier time? more of the same (miscarriages, infertility)? It is hard to say how I will feel if we start to revisit some of the sadder places in TTC land.

PPAF While Nursing - Return to Fertility

I've just gotten my fifth PPAF at 14 months PP and finally its a little more normal, indicating that my body was able to put up a reasonable lining. My cycles have evened out to be about 5 weeks long, though the time between when I and when arrives is pretty consistently 2 weeks now.

We are wanting to start to TTC for #2 soon so it was rather worrying to me that my lining was so thin. Nothing's really changed in terms of how much I am feeding him I don't think. Perhaps my body is just getting back fully into the swing of things.

PMS Induced Mastalgia

Oh yeah, it's that time of the month -- time for sore breasts. My breasts have been killing me and I've been so freaking bloated during my LP that it is not even funny. I haven't been able to get to acu due to travelling out of town but I do have a massage scheduled for this Thursday afternoon. Yesterday morning I took a look back at my blog posts about PMS, estrogen and the like and came across my info about elevated estrogen, prolactin and then vitex to treat the same. I decided that I had to try something as I was just about to DIE or burst or something like that. I took 10 drops in a glass of water and by the time I got to work I was like crazy get-out-of-town peeing. It was like my body randomly decided to drop all that water -- well actually it felt more like the vitex coaxed it out of me. My breasts are still sore but not nearly as bad and my belly doesn't look like a balloon (though I swear my ankle are looking a little bloated still). I think I'm going to keep trying the vitex for a few days more to see if it takes my edge off.

So here's my question to you all, if I've had my prolactin checked and it has been fine then why does it seem like that might be the problem? I've also got that weird headache back, like right between my frontal lobes. I keep getting it during my LP, since January. What the heck is wrong with me and my stupid hormones! The problem is that I don't feel like any of my docs will really listen to me and if they give me a med it will likely be something really nasty. Grrrrr.

I have been feeling bit less painful today thankfully. Maybe I'm onto something.

Here are some links about breast pain, cyclic mastalgia specifically, that you might find interesting.

Cyclic Mastalgia

Painful Breasts

Severity of Mastalgia in Relation to Milk Duct Dilatation

Toremifen May Be Helpful for Mastalgia

Info about Vitex for PMS/mastalgia

Behold the Wonders of the Cervix

The Behaviour of the Cervix over the Phases of the Ovulatory Cycle

The Discovery of Different Types of Cervical Mucus and the Billings Ovulation Method

There are several methods of tracking your fertility that exist, the newer methods are actually more sophisticated than just counting days as in the Rhythm Method. Now we have charts, and even software to help us track our cycles and fertility patterns.

The ones I know of include:

Billings Method -- pioneered by Dr Evelyn Billings and promoted in the US by Billings Ovulation Method Association - USA

Fertility Awareness Method -- as described in Taking Charge of Your Fertility by Toni Weschler and incorporated into the Ovusoft/TCOYF ovulation calendar software

Creighton Model Fertility Care System -- promoted by Fertility Care Centers and the Pope Paul VI Institute and referenced in this article "Infertility Care and the Role of the Compounding Pharmacist" (PDF)

Folliculogenesis and ovulation

I learned from my reproductive endocrinology text that eggs are constantly moving from stasis into a maturation process. The lucky ones synch up correctly with the hormonal cycle and have a chance at ovulation. The other eggs are just reabsorbed.

Oocytes (unmatured eggs) are held in stasis by hormones, and the micro-environment of the follicle needs to move from testoterone-dominant to an estrogen-dominent in order to be considered for ovulation. Often women with PCOS or thyroid problems have issues with their hormones that might impair this process such as high levels of androgens.

It might be possible that prolonged development of the follicle might cause the egg not to mature as well as a tighter hormonal cycle but I haven't read anything to that effect -- mind you I haven't researched that specifically though.

So anyway, your ovaries are constantly maturing eggs regardless of your hormonal cycle. This might also explain why women can sometimes get pg at odd times in their cycle -- such as WWII wives who supposedly got pregnant when their husbands were on leave.

Here are some links to reference maturation of the oocyte:

FOLLICULOGENESIS AND OVULATION

Section 13: Female Reproductive System

During a woman's reproductive years, several follicles in the growing pool are recruited each cycle, and only one is usually selected for ovulation (see Fig. 234-4). It develops into a graafian (preovulatory) follicle, which can respond to the midcycle LH surge. The mechanism of selection is unknown.

The graafian follicle contains an antrum (fluid-filled cavity), created by proliferating granulosa cells, which secrete fluid and mucopolysaccharides. The increase in the follicle's size is due primarily to accumulation of follicular fluid under the control of FSH, which also induces the development of specific LH receptors on granulosa cells. LH receptors are responsible for the stimulation of progesterone secretion before ovulation and for continued production of progesterone in the luteal phase. The granulosa cells in the follicle also develop specific membrane receptors for prolactin, which decrease in number as the follicle matures; their physiologic role is unclear.
Merck Manual Chapter 234. Reproductive Endocrinology

Diagram of folliculogenesis

A Wacky Start to My Next Cycle, But Improvement

AF this time is just odd odd odd. Usually I won't have more than half a day of spotting prior to her arrival, this time I've had two. I feel totally hung up, sort of like when I was waiting for my m/c to start in June and it took a whole week before my body was ready. Today I marked as the start of AF but it's just barely stronger than spotting and dark red/brownish. It's so weird. I had a really great chart, I wonder if things have started to move in a new direction for me hormonally. Sounds scary a bit, but it could be a good thing as I had that fibroid, anemia and excess estrogen working against me before, which were all bad things.

At acupucture this morning she noted that my tongue coating looked better (it was awful and white coated last week out of the blue), confirmed that my liver qi stagnation was not an issue any more (I had noted this myself), and said that we're just dealing with minor stuff right now. She said that the spotting and symptoms of the cycle transition from LP to the Blood Phase were related to my qi deficiency and spleen qi deficiency.

My treatment helped dissipate a lot of the pain I was having (thank goodness) and she gave me a handout with some qi building foods on it. I've also got a pre-O herbal powder to take starting CD4.

It's so weird though, but perhaps my body pushed through to the other side of its deficiencies. I don't know if you had noted this but I've heard/read that sometimes the deficiency of something will trigger its excess. So heavy menstrual bleeding can be a sign of deficiency, excess estrogen can be a sign of yin deficiency and so on.

As I've mentioned I was anemic for years, even as a child I had lots of nosebleeds ages 5-12, the last big on was when I was 14 that I recall -- I got my period later that year. In TCM not being able to contain your blood is a sign of deficiency though it's harder to pick which one it might have been as it was years ago. I do think it is possible that my body got used to operating in a state of deficiency so the journey has been to reset the expectations so that it can adjust to a healthy pattern. In some ways no different than for people who have blood sugar issues, etc.

Charting for Three Years

I just passed my three year anniversary and it's been trippy. I have learned a lot along the way and at the end of the day charting, even in its most basic form give us data. I took the length of each of my cycles and made them into a chart in Excel and then enhanced it in Photoshop, it is interesting to see the forest and not just the trees.

Menstrual Irregularities

Here's a page which illustrates/explains different types of menstrual irregularities:

http://www.femalehealthmadesimple.com/FileTwelveFinal.html

"Any woman of childbearing age who has missed more than two consecutive periods -- but was not pregnant -- needs to investigate it and possibly have her period induced. Preventing the development of hyperplasia is the reason."
From: Endometrial Hyperplasia, WebMD

"Excessive estrogen stimulation can lead to significant increases in uterine lining thickness. The tissue becomes hyperplastic or atypically hyperplastic . It may become cancerous."

(and)

"Inadequate ovulation may cause excessive, irregular, or frequent menses recurring less than every 3 weeks. Inadequate ovulation leads to an excess of estrogen, which stimulates growth of the menstrual lining, and a decreased level of progesterone - which normally would be present in levels that would adequately thin the menstrual lining and prevent excess or irregular bleeding."
From: Dr Decker, Heavy Menstrual Cycles Management Options

"We like to see a lining of at least 8mm in thickness when measured by ultrasound at the time of maximal thickness during the cycle (see above ultrasound images of an 11.5 mm lining). There is some ongoing debate as to "how thin is too thin", as well as to "how thick is too thick". In general, 8-13 mm is good, less than 6 is potentially a problem, and greater than 15 or so could possibly reduce chances for a successful pregnancy."
From: Uterine problems causing infertility or miscarriage

The moon and cycles

I'm trying to help a perimenopausal friend of mine eek out a few more cycles of fertility so she has a chance to have a kid. I was just reading some info about Lunaception and pulled up the lunar calendar and saw that my cycle is already synched up with the full moon. Coincidence or by design?

My friend is just 42 and she just got back blood results showing her body is menopausal. It's sad because I'm not sure exactly how it was that she waited so long but the window to have children may already be closed.

Since I got pg last spring I've noticed some changes in my cycle. Some of the changes are hard to know if they are sticking around since I had retained tissue until my surgery and second d&c in November and my body is still healing from the surgery. Still, there are some things like fibrocystic breasts that I've not experienced since before my BFP.

Here's what I've noticed:

BEFORE AF is heavy but fluctuates between flooding, clotting, heavy flow and medium flow and lasts at least 7 days Goes directly from period (AF for Aunt Flo) into lots of cervical fluid (CF) Copious fertile quality CF for 5 days before ovulation Full, sore breasts during luteal phase (LP) Really moody during LP Pimples on chin during LP Nightsweats during LP Half day of spot before AF arrives

AFTER AF is really heavy and fluctuates between straight blood (bright red), little to no clotting, heavy flow and medium flow and lasts at least 6 days Slow start on CF after AF, definately drier CM for 5 days before ovulation, mostly creamy and not really wet Pimples on chin around ovulation Scant EWCF for a day or two at most Full breasts in the LP, they don't hurt Tired during LP Faint pimples on chin during LP Nightsweats during LP and throughout the cycle Several days of spot before AF arrives

I'm going to be working with my acupuncturist again starting this week, hopefully that helps out a lot. I've been trying to address my post-surgery depletion with my diet as well but I may have to meet with my naturopath if I think I need more help on that end of things. It's so wacky to have things be so different even though my diet and lifestyle isn't that different.

Two years ago when we were starting to TTC I was having some odd spotting around ovulation or so. It wasn't normal for me and yet it kind of fit the description of ovulatory spotting from TCOYF. A couple months later I was having pelvic pain and my doctor found a fibroid. I then switched to a naturopathic doctor for treatment and the spotting stopped. She had the full basic hormone work done, but not the CD 21 progesterone test. I had to change my diet, my stress level, my lifestyle to help my body to be healthy. I was on herbal supplements for several months as well and on iron to help combat anemia that was hanging around for years.

At the beginning of this year I started seeing an acupuncturist and he helped balance my hormones further. It was a little ouchy at times but amazing. I think he helped even my cycles more than anyone I have cycles that are so regular.

I also saw 3 REs and had more hormonals tests, an HSG, and several u/s (for my fibroid). I have to say that the combination of alternative therapies combined with traditional western medicine helped me to feel like I had all bases covered. I talked to a lot of docs because they wanted me to have surgery and I didn't want it (for the fibroid). Talking to lots of different practitioners was really valuable, though time-consuming. My insurance covered all but the co-pay but that fibroid was helpful in validating the consultations.

Doctors gave us miniscule odd of conceiving on our own but we did it. I think acupuncture had a lot to do with it.

Here is a link to a page that references many studies about acupuncture for use in fertility issues:
http://www.easternharmonyclinic.com/medart/medart.html

My cycle average length is 30 days but the longest one since I've been charting was 33 days. I could be hours or minutes away from it starting though. Here's to cycles longer than 30 days though.

Information about the endometrial lining and menstruation.

There is a substance produced in the uterus which is supposed to help prevent clots from forming, it is called fibrinolysin. When the blood flows too quickly (profusely) the anti-clotting fibrinolysins can't keep up and clots form. Heavy bleeding is called menorrhagia.

"Blood clots or flooding are indications of heavy loss. Normally the blood lost from the vessels in the lining of the womb forms small clots and this tends to reduce the flow. The small blood clots within the uterus are broken down by chemicals called fibrinolysins and the normal menstrual loss should be a fluid. When the bleeding is heavy, the blood is extruded too quickly for it to clot within the uterus. In this situation, the blood clots in the vagina and the menstrual flow includes blood clots. Whilst menstruation is inevitably an inconvenience, it should not result in limitation of social activity."
http://askwaltstollmd.com/archives/menstruati/95779.html#95952
(This doctor had his licensed revoked but the information seems valid so I included it, you will see mention of it if you scroll down through the previous link so I thought I would link to this page FYI: (http://askwaltstollmd.com/faq.html)

Check out these two interesting pages with detailed descriptions and diagrams of how the endometrium forms each month, for your reference:

NORMAL MENSTRUATION

THE ENDOMETRIUM

For more information search with these key words in different
combinations (such as "endometrium anti-clotting"):

menorrhagia, endometrium, fibrinolysin, anti-clotting

About Menstrual Suppression

While researching the effects of progesterone on the endometrial lining today I came across some interesting site debating the efficacy of menstrual suppresssion (aka: extended contraception). I
can't say that I noted whether or not these sites mentioned it for use with uterine fibroids but take a look...

ASSOCIATION OF REPRODUCTIVE HEALTH PROFESSIONALS:
Choosing When to Menstruate: The Role of Extended Contraception


The Society for Menstrual Research
(click the link down the page for the statement on menstrual suppression)

CeMCOR - The Centre for Menstrual Cycle and Ovulation Research

Would you stop menstruating if you could?


More about menstruation:

Menstrual Cycles: What Really Happens in those 28 Days?!
(scroll down for more links)

The Menstrual Cycle: What your body is telling you

The Science of Menstruation

The Museum of Menstruation