What are the examination items for luteal insufficiency?

If you have luteal insufficiency, you should pay attention to physical examination, because luteal insufficiency will affect women's menstruation and fertility. It is recommended to do progesterone test, ultrasound check of ovulation, or basal body temperature check.

1. Progesterone test

Measure blood progesterone on the 18th to 28th day of menstruation. If its content is lower than normal, it indicates luteal insufficiency.

2. Ultrasound detection of ovulation

The time from ovulation to menstruation should be about 14 days. If it is less than 12 days, it is luteal insufficiency.

3. Measure your basal body temperature

It is the simplest method, but also the least accurate method. Take your temperature every morning, record it, and make a temperature sheet.

4. Diagnostic curettage

It is performed on the 26th day of the menstrual cycle, and the endometrium is taken for histological examination. If the endometrium is poorly secreted or lags behind the endometrium by two days on the curettage day, luteal insufficiency is considered.

5. Diagnosis

The diagnosis of luteal insufficiency can be based on basal body temperature, blood progesterone measurement and endometrial biopsy. The basal body temperature of this type of patient is biphasic, but it rises and falls slowly, with an increase of less than 0.3°C, and lasts only 9 to 10 days, and sometimes the follicular phase is prolonged. On the 8th day after the basal body temperature rose, the blood progesterone level was lower than 10 ng/ml. In the past, endometrial biopsy was generally performed on the 21st to 22nd day of menstruation, and the diagnostic standard was an endometrial phase that was more than 2 days less than normal. It is now found that some patients clinically diagnosed with luteal insufficiency are diagnosed with unruptured follicle syndrome through laparoscopic examination. Therefore, the diagnosis of this disease should be combined with B-ultrasound and laparoscopy.