Patient's question:
I have had a miscarriage before. My menstrual cycle is also very regular, but now there is almost no cervical mucus during ovulation. I have monitored my ovulation for two months, but the results have not been ideal. This month, I took Clomiphene, but on the 12th or 13th day (counting from the first day of my period), the ultrasound couldn’t detect any follicles. Why is this? I am very confused—is it a problem with my ovarian function or too low hormone levels? Do I need to undergo any tests?First follow-up question: What aspect should I focus on for testing and treatment? Traditional Chinese Medicine says my luteal phase function is poor—is that possible?
Doctor'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 is usually measured. For example, if the luteal phase temperature is shorter than 12 days, or if the temperature rise is slow, the decline is early, or the rise amplitude is less than 0.5°C, it may indicate luteal phase deficiency. Additionally, large fluctuations in luteal phase temperature are also signs of luteal phase deficiency, but it is important to note that continuous measurement over three menstrual cycles is required to confirm the diagnosis.
Furthermore, if the endometrium is taken within 12 hours of menstruation and shows poor secretion, it can also serve as a reference.
You can have a hormone level test to check.