How to prepare for pregnancy with luteal insufficiency?

The corpus luteum is an important hormone secreted by the female body and is one of the substances that promote ovulation. Therefore, women who want to become pregnant must regularly monitor their corpus luteum levels to prepare for pregnancy. However, in modern life, more and more women have symptoms of luteal insufficiency, which has caused great damage to women's pregnancy and greatly reduced the ability of many women to become pregnant. For normal corpus luteum deficiency, simple adjustments can be made when you want to get pregnant. Let’s take a look at how to prepare for pregnancy with luteal insufficiency. I hope women can understand this.

Luteal dysgenesis is one of the common infertility factors and is also the cause of infertility and habitual miscarriage in women.

(1) Luteal stimulation therapy: The use of human chorionic gonadotropin (hCG) can prolong the life of the corpus luteum, enhance corpus luteum function, and thereby increase the synthesis of progesterone in the body. The general usage is: start taking the medicine 2 to 3 days after the expected ovulation, and inject hCG 1000IU intramuscularly every other day, for a total of 3 to 5 times, and 3 consecutive cycles as a course of treatment. Usually the progesterone level in the blood increases significantly on the second day after intramuscular injection, and the pregnancy rate can reach 30%.

(2) Progesterone replacement therapy: It should be started on the 1st to 3rd day after the basal body temperature rises, with 10 to 30 mg of progesterone injected intramuscularly every day and continued until the next menstruation to supplement the lack of progesterone in the body. The progesterone drug used should preferably be natural progesterone (injectable progesterone), which has a good effect in promoting endometrial differentiation; while artificially synthesized progesterone (such as medroxyprogesterone acetate and norethindrone) has a luteolytic effect, which may inhibit the patient's own progesterone secretion and is not conducive to treatment. According to statistics, as long as progesterone therapy is used properly, the pregnancy rate is about 48 percent.

(3) For patients with luteal insufficiency caused by increased prolactin, taking bromocriptine to lower blood prolactin can achieve better therapeutic effects.