What causes abnormal bleeding outside of menstruation?

Do you have heavy periods? And is the bleeding occurring during ovulation heavy, or just spotting?

Yes, I can understand your concern. Spotting during ovulation can occur because of the drop in estrogen levels that occur at that time... but for the bleeding to continue into the next cycle is very unusual

Since it is almost time for your yearly physical anyway, I would recommend scheduling an appointment with your gynecologist - you may need to have your hormone levels checked. A pelvic ultrasound may also be necessary.

Your gynecologist may recommend regulating your cycle with birth control for a few months.

Why did you have an ultrasound done last year?

So this has happened before, but now it has persisted for 11 months (versus 2 months last time).

I definitely recommend an appointment with your gynecologist to recheck hormone levels. You may also need to have an biopsy done of the lining of your uterus since your symptoms have persisted.

We tend to have thicker cervical discharge during ovulation, so that is within the realms of normal.

It will be very hard to do this naturally, unfortunately.

There are no studies on natural supplements yet to balance out hormones.

Of course, if you have hormone levels checked and your testosterone is elevated, lifestyle changes can help improve symptoms related to elevated testosterone.

If your periods are regular, then that means you are ovulating.
To determine if your ovulation prowess is adequate, you can have your gyn check your progesterone level on day 21 of your menstrual cycle.