How to handle pregnancy with luteal phase defect

Patient's question:

Menstrual cycle is short, with light flow, having a period every 20 days. Married for three years so far, menstruation has always been abnormal.

Doctor's answer:

Hello! Luteal phase defect refers to the incomplete formation of the corpus luteum after ovulation, leading to insufficient progesterone secretion. This results in the delayed transformation of the endometrium, making it unfavorable for the implantation of the fertilized egg. As a result, it often leads to infertility or habitual abortion and menstrual disorders. Dysregulation of follicle-stimulating hormone and luteinizing hormone secretion causes poor follicular development and corpus luteum formation defects, resulting in insufficient progesterone secretion after ovulation. Endometriosis and increased prostaglandin release from the endometrium after abortion can also affect luteal function. Improper use of clomiphene citrate and progesterone drugs can also lead to luteal phase defect. Additionally, hyperprolactinemia often occurs concurrently with luteal phase defect. Although the causes of luteal phase defect are complex, it is treatable. Treatment should focus on improving luteal function. For your condition, do not delay any longer. Seek expert guidance for treatment, as early treatment leads to early recovery. Wishing you a speedy recovery!

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