Quandries in preparation for my doc appt

Tomorrow I have another appointment with my napro doctor. I scheduled this one myself because in my opinion, it doesn't seem like I've made any progress since my hysteroscopy and polyp removal back in September. We were told to try for six months and then we'd re-evaluate, but at four months in, I'm frustrated that the irregular pre-peak bleeding that was supposed to be corrected by the hysteroscopy is back, and just as much and often as pre-surgery.

It's a mystery to me why we haven't conceived yet. I guess you could understand "mystery" in the theological sense - God knows my heart's desire and I trust that hidden in His will is the reason why I'm still not a mother. I pray for the faith to accept His timing.

But biologically speaking, it's a complete mystery why I'm not pregnant yet, meaning I haven't received a diagnosis of anything that could be interfering with my fertility. The only abnormal symptom my charts seem to manifest is the pre-peak bleeding. It's always very light (or even very, very light) - I probably wouldn't even notice it if I wasn't looking. There's never pain associated with the bleeding, but it's so darn consistent! From pratically the time I began charting (early 2011) until now, every cycle has at least one day of spotting, and more often 3, 4, or even 5 days after my period and leading up to peak day. Post-peak: nothing.

My doctor said that the bleeding could be from a polyp, so I had an HSG (ouch) and pelvic ultrasound done, and they both confirmed the polyp. The cycle immediatley after my hysteroscopy, I had no irregular bleeding. But the cycle after that, up to and including this most recent cycle, the bleeding was back. I'm nervous that the polyp has returned, and I'm not liking the possibilty of going through an HSG, pelvic ultrasound, and hysteroscopy again. And for what? To have one cycle without irregular bleeding? Plus, it was expensive. We don't have the money for that kind of treatment every six months!

But the thing is, I haven't received any direction as to what else could be going on with my body, and to me my chart looks very normal other than the bleeding. I average the textbook 28-day cycle, with peak day around day 17 and a luteal phase of 12 days. I don't have PMS (I'm more moody mid-cycle) and I don't have brown bleeding. When I was charting my temps, they weren't too high or too low. I would like to get some more hormone tests done, because I've only been tested on P+7 (that came back normal).

One thing that's been on the back of my mind ever since Christmas is a conversation I had with my mom, in which she told me that her fertility problems (which I knew she had) were from very irregular cycles, sometimes 3 months in length. She used clo.mid to conceive me - other than me and my brother, she had 3 miscarriages. I'm no expert here, but could her irregular cycles been from PCOS? I don't know if they diagnosed that 30 years ago. Also (and this is embarrasing, but maybe useful) I've always struggled with unwanted facial hair and acne, as did my mom and her mom. I read that that's a secondary sign of PCOS? But my cycles are so normal in length.

Endo doesn't seem like a reasonable possibility either, since I don't have much pain during my periods - it's bearable with a few tylenol. But I've heard that endo can be symptom-less?

I don't know. I'm so confused. I wish I had a solid answer for why I bleed irregularly, and whether that's the real and/or only reason that I haven't gotten pregnant. I'm very much practicing trusting in God with our future family and fertility, but I'd really like some answers too on a medical level.

+EcceFiat+