Patient's question:
There were a few days of dripping blood before, but it was around high temperature 36.8, is it due to insufficient lutein? What methods are used for treatmentDoctor's answer:
Hello:Clinical manifestations of luteal phase deficiency: Generally, it may include short menstrual cycles, spotting before menstruation, infertility or habitual abortion in women of reproductive age. To determine if there is luteal phase deficiency, basal body temperature should be measured. If the luteal phase temperature is shorter than 12 days, or if the temperature rise is slow, decline is early, and the rise amplitude is less than 0.5°C, or if there is significant temperature fluctuation during the luteal phase, these are all signs of luteal phase deficiency. However, it is important to note that continuous measurement over three menstrual cycles is required to confirm the diagnosis. Additionally, if the endometrium is taken within 12 hours of menstruation and shows poor secretion, it can also serve as a reference.
Treatment for infertility caused by luteal phase deficiency should be tailored to the underlying cause. Common methods include:
(1) Progesterone supplementation therapy: This is the most widely used method. It can be applied to cases with low progesterone levels in the mid-luteal phase, poor secretion observed in endometrial biopsy, or confirmed luteal phase deficiency based on clinical observation. Specific methods include:
① Progesterone vaginal suppositories (25mg) are inserted into the deep vagina or rectum twice daily (morning and evening) by the patient, starting 2 days after the rise in basal body temperature (on day 16 or 17 of the menstrual cycle) and continuing until menstruation occurs.
② Progesterone oil: 10mg is administered intramuscularly daily, or 20mg every other day, starting 2 days after the rise in basal body temperature.
③ Synthetic progestins:
- Dydrogesterone (2mg) is taken three times daily, or 5mg once nightly, starting 2 days after the rise in basal body temperature.
- Hydroxyprogesterone: 125mg is administered intramuscularly twice weekly.