How to treat insufficient corpus luteum
Insufficient corpus luteum is a common endocrine problem in women and may lead to irregular menstruation, infertility or early miscarriage. Recently, there has been a lot of discussion on the treatment of luteal insufficiency on the Internet. The following are hot topics and structured treatment plans in the past 10 days.
1. Symptoms and diagnosis of corpus luteum deficiency
Insufficient corpus luteum mainly manifests as shortened menstrual cycle, premenstrual spotting, slow or unstable rise in basal body temperature, etc. Diagnosis requires a combination of hormone tests (such as progesterone levels) and B-ultrasound monitoring.
| Check items | normal value | Insufficiency of the corpus luteum |
|---|---|---|
| Progesterone (P) | Luteal phase ≥10ng/ml | <10ng/ml |
| basal body temperature | High temperature phase ≥12 days | High temperature phase＜10 days |
| endometrial thickness | ≥8mm | <8mm |
2. Western medicine treatment plan
Western medicine mainly treats: by supplementing progesterone or promoting follicle development:
| Treatment | Commonly used drugs | Course of treatment |
|---|---|---|
| progesterone supplement | Dydrogesterone, progesterone capsules | 10-14 consecutive days after ovulation |
| Ovulation induction treatment | Clomiphene, letrozole | Menstruation begins on day 3-5 |
| HCG support | chorionic gonadotropin for injection | Injection every other day after ovulation |
3. Traditional Chinese Medicine conditioning methods
Chinese medicine believes that insufficient corpus luteum is related to kidney deficiency and liver stagnation. Recently popular Chinese medicine prescriptions include:
| Certificate type | Recommended prescriptions | Main ingredients |
|---|---|---|
| Kidney yang deficiency | Youguiwan addition and subtraction | Rehmannia glutinosa, yam, wolfberry |
| Liver Qi stagnation | Xiaoyao powder addition and subtraction | Bupleurum, angelica, white peony root |
| Qi and blood deficiency | Guipi Tang | Astragalus, Codonopsis pilosula, Atractylodes macrocephala |
4. Lifestyle adjustment
Natural therapies that have been hotly discussed recently include:
1.diet conditioning: Increase foods containing phytoestrogens such as black beans, walnuts, durian, etc.
2.Exercise advice: Aerobic exercise (such as brisk walking, yoga) 3 times a week
3.stress management: Stress reduction methods such as meditation and deep breathing
5. Latest treatment progress (hot spots in the past 10 days)
1.stem cell therapy: Animal experiments show that mesenchymal stem cells can improve ovarian function
2.Vitamin D supplement: Study shows vitamin D levels are positively correlated with luteal function
3.Integrated Traditional Chinese and Western Medicine: The effectiveness of acupuncture combined with progesterone treatment is increased to 85%
Things to note
1. All drug treatments must be carried out under the guidance of a doctor
2. Regularly review hormone levels and ultrasound monitoring
3. Avoid strenuous exercise and overexertion during treatment
The treatment of luteal insufficiency requires an individualized plan. It is recommended to combine the rapid results of Western medicine with the fundamental advantages of traditional Chinese medicine, and at the same time adjust the lifestyle to achieve the best results.
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