Is it a symptom of luteal insufficiency?

Patient's question:

After the first five days and the following two days of menstruation, there was brown discharge with blood streaks. Basal body temperature: High temperature lasted for 12 days with a slow rise and a slow drop. The temperature only dropped on the second day of menstruation.

Doctor's answer:

Hello:
Clinical manifestations of luteal phase deficiency: 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, basal body temperature should be measured. For example, if the luteal phase temperature is shorter than 12 days. Or if the temperature rise is slow, the decline is early, and the rise amplitude is less than 0.5°C. Or if the temperature fluctuation during the luteal phase is large, these are all manifestations of luteal phase deficiency. However, it is important to note that continuous measurement for 3 menstrual cycles is required to confirm the diagnosis.
Basal body temperature alone cannot diagnose the condition. You need further tests to clarify the endocrine and ovarian function. Based on the results, symptomatic treatment should be administered. Do not take medication blindly. Wishing you good health!

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