Patient's question:
Factors or causes of luteal phase deficiency. I've been married for two years and haven't been able to get pregnant. The hospital did a blood test and said it's infertility caused by incomplete luteal phase function. My periods are usually quite regular, about 30 days apart. The doctor said this condition is mainly due to thin endometrium, making it difficult to implant. Even if I get pregnant, it's very easy to have a miscarriage. There's also the risk of embryonic arrest.Doctor's answer:
Generally, it may include short menstrual cycles, spotting before menstruation, infertility or habitual abortion in women of reproductive age. To determine if there is luteal phase deficiency, it is usually necessary to measure basal body temperature. For example, if the luteal phase temperature is shorter than 12 days, or if the temperature rises slowly, falls early, and the rise amplitude is less than 0.5°C, or if the luteal phase temperature fluctuates significantly, these are all manifestations of luteal phase deficiency. However, it should be noted that continuous measurement for 3 menstrual cycles is required to confirm the diagnosis. Additionally, taking endometrial tissue within 12 hours of menstruation, if it shows poor secretion, can also serve as a reference.Guidance and Suggestions: Luteal phase deficiency is a significant factor or cause of infertility and habitual abortion, primarily characterized by kidney deficiency, liver stagnation, or combined with insufficient qi and blood, and phlegm and blood stasis obstruction. Therefore, the focus of TCM treatment for luteal phase deficiency lies in tonifying the kidneys, nourishing blood, and regulating the liver to relieve stagnation. Herbal medicine such as Yu Gong Pei Lin Wan can be taken for regulation.