Luteal Phase Bloating

[missjo]

Client presents with severe ovulation + luteal phase bloating. Continues until day 2 of menstruation. Severe ovulation pain usually day 14-15 of cycle. Cycles are very regular - every 28 days.
Period is excessively heavy - 1 super tampon every hour with clots. No pain during menstruation.
Client started on zinc, turmeric, blood vitality (to boost iron), Quercetin, and a histamine sensitive probiotic. Was on protocol for 3 months and then saw much lighter periods for 2 cycles. Bloating was never resolved.
However, excessively heavy cycles have returned.
Initial report from Gynecologist was “polycystic ovaries” from an ultrasound.
Comprehensive thyroid panel is within functional ranges.
Initial SIBO test was negative.
Where should we go from here?
Thank you!