Patient's question:
Your girlfriend had an ultrasound and it said it was a corpus luteum rupture, and the corpus luteum hormone level is not enough.Doctor's answer:
1. Insufficient FSH secretion during the follicular phase, with low levels of FSH and estradiol in the follicular fluid.2. Inadequate LH peak during the ovulatory phase.
3. Insufficient LH secretion during the luteal phase or insufficient pulsatile secretion of LH.
4. Abnormal steroid hormone receptors in endometrial cells, leading to low responsiveness to hormones secreted by the corpus luteum, i.e., normal corpus luteum function but poor endometrial development.
Female luteal phase deficiency rarely presents with specific symptoms. It is generally observed in couples who have been living together for 2 years without contraception after marriage, with normal male reproductive function, or in older women who remain infertile for 1 year after marriage, or in women who remain infertile for 2 or 1 years after miscarriage, or in those with recurrent early habitual abortion. Symptoms may include lower back pain, cold pain in the lower abdomen, membranous blood clots during menstruation, or breast tenderness before menstruation.
In some cases, after ruling out other causes of infertility, women with regular menstrual cycles and ovulation should be considered for the possibility of luteal phase deficiency.