
The luteal phase is the time between ovulation and the start of the next menstrual cycle. If a woman has a luteal phase defect (LPD), her body does not have enough time between ovulation (when mature eggs are released) and menstruation to build up the lining of the uterus, due to insufficient progesterone production. This is a broad diagnosis that can mean many things.
Basal body temperature (BBT) readings can be helpful when a LPD is suspected. Endometrial biopsies can also diagnose this. If ovulation is documented and the next period comes less than 14 days later, a LPD may be the cause. However, it is an easy condition to misdiagnose.
LPD is caused by hormonal imbalances, specifically when secretion of the hormone progesterone is disrupted. Progesterone helps thicken the lining of the uterus in preparation for a fertilized egg to implant. When progesterone levels are insufficient, chances of conception are greatly reduced.
Several treatments are currently used to treat LPD:
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