Can luteal atrophy be cured?

Patient's question:

At 30, I am married and have never had children. Could you please tell me if luteal phase defect might affect ovulation and lead to infertility? Can it be cured with medication in general? I am very worried that this condition might affect my daily life in the future.

Doctor's answer:

Hello, menorrhagia refers to a menstrual disorder where the menstrual cycle is basically normal, but the amount of blood flow is significantly increased, also known as "excessive menstrual flow." The causes or etiology of menorrhagia are due to a constitutionally weak body, insufficient middle Qi, dietary and physical exhaustion, prolonged illness damaging the spleen, leading to spleen deficiency and weakened Qi, which in turn affects the discharge of Qi, blood, and water. A constitutionally excessive Yang, extreme emotions, the transformation of the five emotions into fire, excessive consumption of spicy foods, external exposure to heat, heat accumulating in the Ren and Chong meridians, forcing blood to flow excessively. Factors such as excessive labor during the menstrual period, prolonged blood stagnation, postpartum blood stasis, and new blood unable to return to the meridians can also lead to this condition. Treatment for this disorder should focus on nourishing Yin, cooling blood, promoting blood circulation to resolve stagnation, replenishing Qi to arrest bleeding, and consolidating the Chong meridian to stop bleeding.

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