Patient's question:
The menstrual period lasts a long time. Generally, it lasts at least 10 days...Doctor's answer:
Luteal phase defect refers to the incomplete formation of the corpus luteum after ovulation in the ovary, leading to insufficient secretion of progesterone. This prevents the timely transformation of the endometrium, making it unfavorable for the implantation of the fertilized egg. As a result, it often leads to infertility or habitual spontaneous abortion. The main manifestations of luteal phase defect include a shortened menstrual cycle, frequent menstruation, infertility, or miscarriage, with miscarriages primarily occurring in the early stages of pregnancy. Patients with this condition usually do not experience any discomfort in their daily lives, except that they may have anovulatory cycles during several menstrual periods. Sometimes, they may also experience excessive or frequent menstruation or prolonged menstrual periods.Recommendations: Luteal phase insufficiency can easily lead to poor follicular development, incomplete corpus luteum formation, and an imbalance in the ratio of estrogen and progesterone secreted by the corpus luteum itself. Infertility caused by luteal phase defect accounts for a significant number of cases, approximately 3%–10% of all infertility cases. It can be diagnosed through tests such as basal body temperature measurement, premenstrual endometrial aspiration, serum hormone levels, vaginal smear examination, ultrasound, and laparoscopy. It is still necessary to seek treatment from a specialized doctor at the hospital.