Patient's question:
What should I do if I have insufficient luteal phase? For the eight days before my high-temperature period, my temperature was between 36.9 and 37. Today, it suddenly dropped to 36.7 and then rose back to 36.9. Is this fluctuation normal? Could it be a sign of insufficient luteal phase due to excessive fluctuation? What is the threshold for temperature fluctuation that indicates insufficient luteal phase? Thank you!Doctor's answer:
Luteal insufficiency refers to the incomplete formation of the corpus luteum after ovulation in the ovary, leading to insufficient secretion of progesterone. This results in the endometrium not being converted in time, making it unfavorable for the implantation of the fertilized egg. As a result, it often leads to infertility or habitual spontaneous abortion.Suggestions: The causes of this condition include insufficient kidney yin, kidney yang deficiency, and liver channel heat.
- Insufficient kidney yin manifests as early menstruation, low menstrual volume, bright red color, or prolonged menstruation with intermittent bleeding.
- Kidney yang deficiency is characterized by delayed menstruation, scanty flow, and infertility.
- Liver channel heat is seen in irregular menstruation, fluctuating menstrual volume, and prolonged, unending bleeding.
The treatment principle for this condition is as follows:
- For kidney yin deficiency, nourish the kidney yin and stop bleeding to regulate menstruation.
- For kidney yang deficiency, invigorate the kidney yang and regulate the (Chong and Ren meridians).
- For liver channel heat, soothe the liver, clear heat, and regulate menstruation.