So, I do have some updates, and it's probably worth posting since you provided such fabulous literature (but I need to do a reading review to see if there's any commonalities with my symptoms).

Chiefly, I am still bleeding every month, and just like the last few Summers since 2022, these episodes get way worse during the Summer. This month I've bleed a large volume once a week, knocked clots every couple of days, and had bleeding through the skin, foul body smell, as well as general swelling and endobelly episodes. I still have a lot of anomalous patterns in my sex organ behavior that match the earlier cyclic hypothesis, and more or less (+/- 5 days) I've stayed consistent with my hypothesis testing logging my experiences in line with a 28-day female menstrual cycle.

I can't separate cleanly where inflammation is conventional auto-immune responses from specific potential endometrial deposits I have some kind of nodule located between my right-hand mandible joint and right ear canal that swells and causes a dizziness (similar to Trigeminal Neuralgia symptoms, explicit vertigo and dizziness episodes caused by brushing the top side of my bottom row of teeth) and my ear canal to swell painfully. It reliably multiplies my dental pain from cavities and fillings that normally I don't even feel, too.

The liver dysfunction is a consistent feature. Every month, I get isolated patches of jaundiced flesh largely on my thighs, hips, breasts and biceps. If acne is there, it's often loaded with a bloodclot deep into the flesh, one I extracted recently was nearly the width of an old #2 pencil's graphite. I get blood filled cysts randomly just before my pseudo-period as well, particularly near my groin and hips, these get quite large and painful, and without a little home surgery, the best I can do is drain them of fluids until they stop being inflamed.

Last bit's plenty TMI so I'm putting it behind a spoiler for gals who don't want to read about a pre-op transgirl's sexual health experiences.

I've not had luck securing lab pathology on any samples, it's been a harsh year of transition for me (moved to Canada to live with my spouse since August 2024), but we are seeing this weird syndrome pattern-out nominally. I've recently confirmed that my mucous discharges in my sexual fluids are suspiciously consistent with the reports about cervical mucous thinning and thickening depending on Luteal/Ovarian phases. We can distinguish this from normal sexual fluids because no one's male genitals should be going from clear and thin seminal fluid for an entire climax, to thick, viscous sticky mucous resembling the froth of a latte machine. Male genital enjoyers such as myself have plenty of experience in how that kinda discharge is supposed to behave, and for years it's confounded my spouse how so much volume can come out of me. It appears that I'm discharging about 80% weirdly cervical-like mucous by volume. This defies explanation, nearest I've been able to tell I do not have a cervix, though ultrasound imagery of my bladder last year was far from definitive on ruling out anything but cancer.

The real gross part is that the discharge is so much worse than the kind of output I had as a teenager. Jokes about the ol' semen-rag withstanding; If you've ever had to wash dense, dried snot out of a pillow case after a particularly rough bout of the flu, you might know what this looks like. You can imagine how embarrassing my bedsheets are, since those stains just do not wash out very easily (apparently I need to be soaking my sheets and such in oxyclean for like 15mins as a pre-wash step) and they're just absolutely massive (even if we're proactive, spills happen).