Patient's question:
Your girlfriend had an ultrasound and it said it was a corpus luteum rupture, and the lutein concentration is not enough.Doctor's answer:
1. Insufficient FSH secretion during the follicular phase, with low levels of FSH and estradiol in the follicular fluid.2. Inadequate LH peak during the ovulation period.
3. Insufficient LH secretion during the luteal phase or insufficient pulsatile secretion of LH.
4. Abnormal steroid hormone receptors in endometrial cells, leading to low responsiveness to hormones secreted by the corpus luteum, i.e., normal corpus luteum function but poor endometrial development.
Most women with luteal phase deficiency have no specific symptoms. It is generally observed in couples who have been living together for 2 years without contraception after marriage, with normal male reproductive function, or in older women who remain infertile for 1 year after marriage, or who become infertile 2 years or 1 year after a miscarriage, or who experience recurrent early habitual miscarriages, accompanied by symptoms such as lower back pain, cold pain in the lower abdomen, membrane-like blood clots during menstruation, or breast tenderness before menstruation. In some cases, after ruling out other causes of infertility, women with regular menstrual cycles and ovulation should be considered for the possibility of luteal phase deficiency.