What are the reasons for luteal phase insufficiency?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What are the reasons for luteal phase deficiency?

Doctor's answer:

The main reasons for luteal phase defect are primarily due to the imbalance in the secretion of follicle-stimulating hormone and luteinizing hormone, which leads to poor follicular development and luteal formation defects. This results in insufficient progesterone secretion by the corpus luteum after ovulation. The causes can involve various links of the hypothalamic-pituitary-ovarian axis, as well as many factors that affect the function of this axis, ultimately leading to luteal phase defect.

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