Short Luteal Phase Defect: Treatment Options in Ottawa
There are 2 ways to determine if a Woman has a luteal phase defect, which is accompanied by low progesterone levels, one is with a blood test and the other more accurate method is through cycle tracking. A blood test in the middle of the luteal phase checking for progesterone levels helps determine if you are having low progesterone. However, according to research, a more accurate method of checking for a luteal phase defect is tracking the luteal phase. If the luteal phase (day 1 of the luteal phase starting from the first day you notice a positive ovulation predictor urine test) is 12 days or less, or if you notice significant spotting during the luteal phase, this is a strong sign of having an abnormally low level of progesterone. This will increase the risk of miscarriages and infertility, as a healthy fertilized embryo may be unable to implant on the uterine lining with low progesterone.
Common Factors Contributing to Luteal Phase Defects
1. Polycystic Ovarian Syndrome (PCOS): polycystic ovarian syndrome is well known for poor ovulation. When ovulation quality is low, the corpus luteum may not produce sufficient levels of progesterone in to the blood to support the uterine lining.
2. Ovulatory Dysfunction: poor ovulatory function can be a result of dietary issues as well as hormonal imbalances. For example, elevated prolactin or cortisol (stress hormone) levels may reduce ovulatory frequency and quality as well.
3. Medications: certain medications can reduce chances for ovulation and make it harder for the body to ovulate. For example, use of non-steroidal anti-inflammatory drugs (NSAIDs) can inhibit ovulation.
4. Suboptimal Thyroid Function: a hypo-functioning thyroid interferes with ovulation and fertility in general. It can also increase the risk for miscarriage and other complications during pregnancy.
Treatment Options for a Short Luteal Phase Defect
1. Fertility Acupuncture: Fertility acupuncture supports healthy ovulation and hormone levels. It can increase ovulation rates in Women with polycystic ovarian syndrome (PCOS) as well as general poor quality ovulation.
2. Clinical Nutritional Supplements: Specific nutritional supplements can be used to help reduce levels of stress hormones, improve insulin sensitivity in PCOS, and support a healthy uterine lining.
3. Hormone Replacement: Bioidentical progesterone can help make up the insufficient levels in the body to help support a healthy uterine lining and a healthy pregnancy. The use of desiccated thyroid hormone helps to provide thyroid hormone in cases where there is hypothyroidism.
4. Botanical Medicine: Specific botanical remedies can be used to help stimulate and support healthy ovulation in patients with poor ovulation. They work by increasing production of luteinizing hormone (LH) from the pituitary gland and supporting ovulation. Additional remedies can be used to support healthy cortisol levels and reduce stress levels as well.