Patient's question:
My period came on day 25, which is earlier than ever before. According to my basal body temperature, the temperature remains low for four days after ovulation before rising to a high point (my high temperature is 36.8). Then, after nine days of high temperatures, the temperature drops to 36.4. During my period, the temperature on the second day was 36.3, and on the third day, it was 36.2. It seems that the corpus luteum may not be fully regressing. What should I do? Is it difficult to get pregnant in this situation? Please help me analyze this with an expert. How should I be treated? Thank you. Can I take progesterone in this case? How should I take it? Or is there a better treatment method? How should it be treated?Doctor's answer:
Hello: Before taking medication, it is necessary to determine whether the issue is related to the corpus luteum and the extent of the deficiency, which should be combined with your endocrine test results. Luteal function insufficiency refers to insufficient progesterone secretion by the corpus luteum or premature luteal regression, leading to poor secretion of the endometrium and thus difficulty in implantation of the zygote or early pregnancy miscarriage. Luteal function insufficiency may be related to insufficient secretion of LH and FSH by the pituitary gland, excessive or insufficient prolactin secretion by the pituitary gland; in some cases, it may be due to the immaturity of the zygote itself, making it unresponsive to gonadotropins; in other cases, it may be due to insufficient ability of the corpus luteum to synthesize progesterone, or an imbalance in the ratio of estrogen and progesterone. Wishing you good health!