Patient's question:
Does luteal phase insufficiency cause a decrease in menstrual volume, and how should it be treated?Doctor's answer:
Hello, Hypothalamic dysfunction is generally characterized by a shortened menstrual cycle, difficulty conceiving, or early pregnancy loss. It can be taken according to medical advice. Additionally, the following methods can be used:1. Promoting ovulation. (1) Starting from the fifth day of the menstrual cycle, take conjugated estrogen 0.625mg or estradiol valerate 1mg for 5–7 consecutive days. (2) Starting from the fifth day of the menstrual cycle, take clomiphene 50mg daily for 5 days.
2. Promoting the formation of the mid-cycle LH peak. When the follicle is mature, inject human chorionic gonadotropin (HCG) 5,000–10,000 units once or twice intramuscularly.
3. Luteal function stimulation therapy. After the basal body temperature rises, inject HCG 1,000–2,000 units every other day for a total of 5 times.
4. Luteal function replacement therapy. Starting from ovulation, inject progesterone 10mg daily intramuscularly for 10–14 days.