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Home › Articles › Conditions Affecting Conception and Pregnancy › Luteal Phase Defect

Luteal Phase Defect

How LPD Affects Fertility

By Gwen Morrison

Pages:  1  2  3  4  

Another way of diagnosing LPD is by performing an endometrial biopsy. This is usually done several days prior to the day that the next menstrual cycle is expected. The biopsy is performed to determine if the lining of the uterus is adequately developed to sustain a pregnancy. A small sampling of the uterine lining is obtained and sent for evaluation. The information gathered from the biopsy is very detailed and precise. The pathologist will check to see if the lining can be categorized as typical of a certain cycle day. The lining will be considered out of phase if there is a discrepancy of more than a few days. If ovulation-induction medications are prescribed, it may be necessary to repeat the biopsy procedure during the treatment cycle in order to ensure that the problem is being corrected.

Once this condition is diagnosed, it is extremely responsive to the correct treatment, according to INCIID. To get the appropriate treatment, it is important to find exactly what is causing the defect in the luteal phase.

Treatment Options
Progesterone supplementation during the luteal phase is normally the correct treatment if it is conclusive that the follicle development is normal.

"Treatments include adding progesterone by oral, injection or vaginal suppository routes," says Dr. Ricki Pollycove, of San Francisco, Calif. "We also use ovarian stimulation protocols to 'goose' the ovary into better hormone production. This is often done using Clomid (clomiphene citrate), a central-cycle center medication that tricks the body into thinking it does not have enough estrogen, hence an outpouringof more stimulation to the ovary to get going and gear up."


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Re: Luteal Phase Defect by Anna Davies on 02/12/2010 09:11PM

There are few basic observations regarding LPD. Temp stays low, your feet are cold and especially at night. Mid-cycle vaginal discharge appears but it is excessive, ovulation occurs but there's no sexual desire, spotting etc. Kidneys have great effect on your temp and ultimately on progesterone production. Well and much more in the long run Just my 2 cents Anna Davies-http://www.myshortlutealphase.com/

Re: Luteal Phase Defect by anonymous on 01/28/2010 02:26AM

I too am convinced I have luteal phase defect. I had a chemical pregnancy last month and am currently taking supplements as I hope this won't happen again. My husband (who's a GP) is convinced I don't have LPD..will wait and see if my LP changes.

Re: Luteal Phase Defect by anonymous on 11/07/2009 04:12PM

I was convinced I had a short luteal phase and started taking progesterone even though my doctor said she didn't believe a short LP was a real condition. I took the supplements for a few months-they didn't do anything. After I stopped taking them I got pregnant a few months later...so I guess my doctor was right. Donna

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