Our expert says:
A spotting on day 22 may well be the first sign of an implantation bleed, which is not necessarily related to progesterone levels. The use of progesterone should be maintained and a pregnancy test done as soon as day 27 – 28 of the cycle to either confirm or exclude a pregnancy. Should the pregnancy test be negative then a similar cause of events should be considered for the next and subsequent cycles with the exception that low dose Cortisone may need to be introduced to prevent implantation failure.
Answered by: Dr. M.I. Cassim
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