Has anyone gotten pregnant during the luteal phase?

When talking about women's physiological period, most people may think of menstruation or ovulation period, but there is also the luteal phase. The luteal phase is the period from ovulation to the day before menstruation. This period is generally considered to be relatively safe. The so-called safety means that it is safe to have sex and it is not easy to get pregnant, but there are also special times. So, has anyone gotten pregnant during the luteal phase? Let’s take a look below.

Generally speaking, pregnancy does not occur during the luteal phase. Pregnancy is mainly formed by the combination of male sperm and female egg through a series of complex processes. As for what you said above, your wife is in the luteal phase during this period, so the chance of getting pregnant through sexual intercourse is almost zero. However, one thing that needs to be noted is that if a woman's menstrual period is not regular at all, then having sex during the luteal phase does not necessarily mean she will get pregnant. In addition, the chances of getting pregnant during ovulation are usually very high, so it is recommended to take contraceptive measures during ovulation to avoid difficulties in dealing with pregnancy later.

Causes and examination of high progesterone in the luteal phase

1. B-ultrasound showed that both ovaries were larger than 1/4 of the normal uterus and contained multiple cystic follicles.

2. Laparoscopic examination: The ovarian capsule is thickened and pearly in color, and the surface is uneven in about 73% of cases, the ovaries are enlarged in about 80%, there are multiple follicles scattered under the ovarian capsule, making the ovarian surface slightly protruding in about 71%, and the blood vessels on the ovarian surface are increased in about 64%.

3. After taking an ovarian tissue biopsy, it was found that the capsule was about 2 to 5 times thicker than normal and the thickness was uneven. There are follicles developed to different degrees under the cortex, with a diameter of about 2-6mm, and a few can reach or even exceed 10mm. The follicular membrane cells are proliferating and luteinized, and there is a lack of or occasional corpus luteum or corpus albicans.

4. Hormone measurement: Luteinizing hormone/follicle-stimulating hormone ≥ 3, which is of diagnostic significance. Estrone levels often exceed estradiol levels. Androgen levels are high, while progesterone levels are low. Neither luteinizing hormone nor estradiol has a normal peak before ovulation. Prolactin is also elevated in about 30% of patients.

Symptoms of corpus luteum insufficiency

Luteal insufficiency is also common. At the same time, the body's progesterone content is mainly insufficient. In treatment, progesterone is mainly used for supplementation, and drugs are also used for treatment. Timely use of some treatment methods can also have a certain impact on progesterone treatment.

Luteal insufficiency can lead to poor follicular development, incomplete luteinization, and an imbalance in the estrogen and progesterone secreted by the corpus luteum itself. There are many cases of infertility caused by corpus luteum insufficiency, accounting for about 30% of all infertility cases. Patients with this condition usually have no symptoms, but may not ovulate in some menstrual cycles and sometimes have heavy or prolonged periods.

Treatment: There are two main treatments for luteal insufficiency. One is hormone replacement therapy, which is to replenish any hormones that are missing, and the other is drug-stimulated luteal phase therapy. These drugs include female hormones, human chorionic gonadotropin, clomiphene, menstrual regulation and pregnancy-promoting pills, etc. In addition, for luteal insufficiency caused by excessive prolactin in the blood, drugs that reduce prolactin, such as bromocriptine, are needed.

How to judge: The manifestations of luteal insufficiency are: generally short menstrual cycle, heavy bleeding before menstruation, infertility in women of childbearing age or habitual miscarriage, etc. To determine whether luteal phase function is insufficient, it is generally necessary to measure basal body temperature, such as if the luteal phase temperature is shorter than 12 days. Or the body temperature rises slowly, falls early, and the increase is less than 0.5℃. Or large fluctuations in body temperature during the luteal phase are both manifestations of luteal insufficiency.