What are the symptoms of luteal phase defect?

Nov 27, 2024 Source: Cainiu Health
Disease description:

Recently, during a medical check-up, I was diagnosed with insufficient luteal function. I would like to ask, what are the symptoms of insufficient luteal function?

Doctor's answer (1)
Dr. Zhang Lu

Luteal phase defect, also known as luteal insufficiency, is a type of female reproductive endocrine disorder primarily characterized by insufficient secretion of progesterone or a shortened luteal phase. Its symptoms vary and mainly include the following:

1. Abnormal menstrual cycle: The most common symptom is a shortened menstrual cycle, usually less than 21 days, or irregular cycle intervals.

2. Basal body temperature changes: After ovulation, the basal body temperature normally rises and remains elevated for a certain period. However, in women with luteal insufficiency, the temperature increase is minimal and short-lived.

3. Infertility: Luteal insufficiency can impair normal endometrial transformation, making it difficult for the fertilized egg to implant, thus causing infertility.

4. Miscarriage: Due to insufficient progesterone secretion from the corpus luteum to support normal embryonic growth and development, miscarriage often occurs, especially recurrent miscarriage.

5. Anemia: Prolonged excessive menstrual bleeding may lead to anemia, manifesting as physical weakness, fatigue, generalized malaise, poor appetite, and disturbed sleep.

6. Worsening of premenstrual symptoms: Such as breast tenderness and mood swings, due to relative excess of estrogen caused by insufficient progesterone.

7. Endometrial changes: Endometrial biopsy may reveal poor endometrial development or findings inconsistent with the stage of the menstrual cycle.