Patient's question:
I have been married to my husband for three years. At first, we thought we were still young, so we didn't plan to have children. Starting from February last year, we discussed and decided to have one. But after I tried to get pregnant for almost a year, I still couldn't conceive. After checking at the hospital, I found out that I have luteal phase deficiency, which is causing my infertility.Doctor's answer:
Traditional Chinese Medicine believes that the function of the corpus luteum relies on the fullness of kidney qi, the balance of yin and yang, and the smooth flow of qi and blood. Factors such as kidney deficiency, liver stagnation, spleen deficiency, blood heat, and blood stasis can all lead to this condition, with kidney deficiency being the primary cause.Western medicine suggests that abnormal secretion regulation, dysregulation of autocrine-paracrine regulation in the ovary and corpus luteum, and reduced endometrial responsiveness can all cause this condition. The possible pathogenesis may include: insufficient gonadotropin during the follicular phase, granulosa cell defects, and inadequate estrogen stimulation of the endometrium; abnormal LH peak during the luteal phase, leading to accelerated corpus luteum regression; and conditions such as endometriosis, periorbital tissue inflammation, ovarian fibrosis, and luteal phase defect syndrome, all of which can result in luteal phase deficiency.