What are the manifestations of luteal dysfunction?

Patient's question:

Doctor, I would like to ask what are the symptoms of luteal dysfunction?

Doctor's answer:

1. Infertility: Due to the corpus luteum failing to atrophy and regress on schedule or incompletely regressing, it continues to secrete a small amount of progesterone, preventing the endometrium from shedding at the normal time. The endometrium before menstruation remains in the early secretory phase, with poor secretion response and mild bending of the endometrium, making it difficult to conceive.
2. Menstrual Disorders: Some patients with luteal phase defect may experience menstrual disorders, such as shortened menstrual cycles, excessive menstrual bleeding, frequent menstruation, and prolonged menstrual periods (up to 9-10 days or even longer).
3. Miscarriage: Due to the insufficient secretion of progesterone caused by luteal phase defect, even if patients with luteal phase defect conceive normally, it is difficult to maintain the pregnancy, leading to miscarriage or habitual miscarriage.

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