Patient's question:
I have been married for two years, but I haven't been pregnant yet. I frequently get the six tests done at the hospital, and the result shows low progesterone. The doctor said that low progesterone leads to anovulation. Later, the ultrasound revealed that my uterus is slightly smaller, the endometrium is not thin, and there are no obvious abnormalities in the bilateral adnexa. I took Chinese and Western medicine for half a year, but I didn't go for a follow-up checkup. The doctor just said it was okay and that I didn't need to pick up any more medicine. Now I really don't know if I have recovered. I want to ask if low progesterone, a smaller uterus, and anovulation are difficult to treat? Is it also possible that a smaller uterus can lead to anovulation? Thank you, doctor.Doctor's answer:
Hello: How small is your uterus specifically? If the three diameters of the uterus are greater than 10 cm, it does not affect fertility. Low progesterone can lead to miscarriage during pregnancy but generally does not cause anovulation. There are many factors or causes of anovulation, including central nervous system anovulation; hypothalamic anovulation; pituitary anovulation; ovarian anovulation; polycystic ovary syndrome; luteinized unruptured follicle syndrome; and others: endocrine system disorders outside the gonads, such as thyroid and adrenal cortex dysfunction, as well as some systemic diseases like severe malnutrition, can affect the regulation of ovarian function and lead to ovulation disorders. The treatment methods vary depending on the factors or causes. It is recommended that you go to a specialized hospital for a detailed examination, get a clear diagnosis, and receive symptomatic treatment. Do not miss the best time for treatment and conception. If you have any questions, please feel free to contact us. Wish you health!