Patient's question:
My period came on day 25, which is earlier than ever before. According to my basal body temperature, the temperature remains low for four days after ovulation before rising to a high point (my high temperature is 36.8°C). Then, nine days after the high temperature, it drops to 36.4°C. During my period, the temperature on the second day was 36.3°C, and on the third day, it was 36.2°C. This suggests that the corpus luteum may not be fully regressing. What should I do? Is it difficult to conceive in this situation? Please help me analyze this with an expert. What treatment should I follow? Thank you. Can I take progesterone in this case? How should I take it? Or is there a better treatment method? How should it be treated?Doctor's answer:
Hello: Before taking medication, it is necessary to determine whether the issue is related to the corpus luteum and the extent of the deficiency, which should be combined with your endocrine test results. Luteal phase defect refers to insufficient progesterone secretion by the corpus luteum or premature luteal regression, leading to poor secretion of the endometrium and consequently making it difficult for the embryo to implant or causing early pregnancy loss. Luteal phase defect may be related to insufficient secretion of LH and FSH by the pituitary gland, or excessive or insufficient secretion of prolactin by the pituitary gland. In some cases, it may be due to the immaturity of the embryo itself, making it unresponsive to gonadotropins. In other cases, it may be due to insufficient ability of the corpus luteum to synthesize progestogens, or an imbalance in the ratio of estrogen to progestogen. Wishing you good health!