Patient's question:
Factors or causes of luteal phase deficiency. I've been married for two years and haven't been able to get pregnant. The hospital did a blood test and said it's infertility caused by luteal phase insufficiency. My periods are usually quite regular, about 30 days apart. The doctor said this condition is mainly due to thin endometrium, making it difficult to implant. Even if I get pregnant, it's very easy to have a miscarriage. There's also the risk of embryonic arrest.Doctor's answer:
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, it is usually necessary to measure basal body temperature, such as a luteal phase temperature shorter than 12 days. Or a slower temperature rise, an earlier decline, and a rise amplitude less than 0.5°C. Or significant temperature fluctuations during the luteal phase, all of which are manifestations of luteal phase deficiency, but it should be noted that continuous measurement for 3 menstrual cycles is required to confirm. Additionally, taking endometrial tissue within 12 hours of menstruation, if it shows poor secretion, can also serve as a reference.Guidance and Suggestions: Luteal phase deficiency is a significant factor or cause of infertility and habitual abortion, primarily characterized by kidney deficiency, liver stagnation, or accompanied by insufficient qi and blood, and phlegm-blood stagnation. Therefore, the focus of TCM treatment for luteal phase deficiency lies in tonifying the kidneys, nourishing blood, and regulating the liver to alleviate stagnation. Herbal medicine such as Yu Gong Pei Lin Wan can be used for regulation.