Patient's question:
I checked my endocrine test results during the luteal phase. The luteinizing hormone was 3.83, with a normal range of 0.5~16.9; the progesterone was 5.09, with a normal range of 3.34~25.56. Both are within the normal but low range. Should I take medication to increase my hormone levels in this case? Is my luteal function normal? My basal body temperature does not maintain the high phase for more than 12 days after ovulation.First follow-up question: I keep having early miscarriages and cannot carry the fetus to term—is this related to the low luteal function?
Second follow-up question: My chromosome test results were normal.
Doctor's answer:
Hello, a single miscarriage is a very natural and common phenomenon. However, when repeated miscarriages occur for the second or third time, it is necessary to consider whether there is a hidden cause of infertility in the body.The term "habitual abortion" is defined in medicine as "a condition of three or more consecutive spontaneous abortions." However, for those who have experienced two spontaneous abortions, the likelihood of a third abortion can be as high as 40%. As a result, many doctors now become highly vigilant about habitual abortion even after the second miscarriage. In summary, the fundamental cause of habitual abortion is an abnormality in the body, making treatment the most critical priority. Once it is confirmed that the condition is not habitual abortion and the underlying cause is identified, the decision to have a child can then be made.
Main Causes of Habitual Abortion
● Congenital uterine malformations
Individuals with congenital uterine malformations are prone to habitual abortion, and most of them still have relatively normal menstrual cycles. This makes it difficult for many people who are constantly thinking about having a child to notice it. Mild uterine deformities may not require surgery, but severe deformities often need surgical treatment.
● Chromosomal abnormalities
Chromosomal abnormalities in either partner can cause miscarriage. In these cases, most people show no abnormalities in their daily lives, but the genetically inherited fetus may fail to continue normal growth at a certain stage, eventually leading to a miscarriage. In such situations, even with treatment, the fetus may be saved, but there may be abnormalities in the fetus. However, this is relatively rare.
● Cervical incompetence (relaxation)