What is the lutein phase
Before answering this question, you should read more about the features of the female reproductive system. MyMedinform.Com found out that the monthly cycle of the genital organs is divided into three phases, each of which we will consider in detail below:
- Menstrual or follicular phase is a period when the endometrium of the uterus turns into and out out through bleeding. The duration of this stage ranges from 7-22 days, depending on the characteristics of a particular body. About a week after the start of the cycle in the ovaries, the woman is determined by the main follicle, which will later be able to participate in fertilization. It gradually increases in the amount, while actively highlighting the estandiol hormone, at the same time, other follicles cease their development. Ripe follicle called a grapham bubble.
- The second phase of the menstrual cycle lasts about three days and is called ovulatory. Throughout this time, the woman's body produces a luteinizing hormone, which is discharged several times in blood large portions. These emissions contribute to the completion of the development of the main follicle, and also activate the production of proteolytic enzymes and prostaglandins - substances responsible for ovulation. As a rule, the separation of a mature egg takes place for 2 days after the most significant emission of luteinizing hormone.
- Lutein phase or yellow body phase is the final stage of the menstrual cycle, which, as a rule, has a relatively constant duration of 13-15 days. At the time when the grappes bubble breaks and separates the egg, its fabrics begin to accumulate lipids and lutein pigment, due to which the follicle acquires yellow. The duration of the lutein phase directly depends on the duration of the yellow body, during which it produces androgenic hormones, as well as estradiol and progesterone. The last two substances affect the uterine endometrium directly, forcing it to grow and produce the necessary hormones. At this time, the uterus is actively preparing for the attachment of the fertilized egg. In about the middle of the lutein phase, the peak of the production of estrogen and progesterone comes, and the level of luteinizing and follicularity of the hormones, in turn, is noticeably reduced.
- In the event that during the menstrual cycle happened conception, Yellow body is responsible for the production of progesterone up to the maturation of the placenta. When the rolling bag will be sufficiently developed, it will start producing the necessary substances to maintain normal pregnancy. If fertilization did not happen, the yellow body gradually stops functioning and dies. At this time, in the female body, there is a reverse process of hormone production, that is, pregnancy hormones begin to be carried out in fewer, and the concentration of LG and FLG in the blood increases. The end of the lutein phase is noted by rejection of the uterine endometrium, that is, the beginning of the menstrual period.
How to calculate the offensive of the lutein phase
This period of the menstrual cycle, as mentioned earlier, has more or less defined temporary frameworks, that is, it lasts about 12-14 days. For some women for various reasons, pathology arises, called luteinistant insufficiency - this is a disease in which the duration of the lutein phase is less than 12 days. A similar phenomenon can be a serious problem for those who wish to conceive a child. The fact is that for the onset and pregnancy in the female body, a sufficient amount of progesterone should be accumulated, but if the yellow body ceases to function before, there is a deficit of this hormone. Progesterone deficiency leads to problems with conception.
This disease can be recognized by the following symptoms:
- Menstrual disorders: a significant reduction or an increase in the duration of bleeding, the presence of strong pain during menstruation;
- The appearance of pinkish gas seals before the start of the cycle;
- Inability to conceive a child for a long time.
Among the main causes of the short lutein phase can be allocated:
- Violations in the work of hypothalamus and pituitary gland, which lead to reproductive disorders. The reason for the occurrence of such problems can be various injuries, infections, strong stress and nervous tension. As a result of the above factors in the body, the imbalance of gonadotropic and steroid hormones is developing.
- Failure in the work of endometrial receptors. A similar problem may arise for a number of reasons, including:
- transferred infections;
- chronic inflammation;
- Education after Aborto or miscarriage;
- delay of puberty;
- disorders in the work of the thyroid gland;
- Various anomalies of the reproductive system.
- Other reasons:
- Poor nutrition;
- violation of metabolism;
- insufficient blood supply to the yellow body;
- Various changes in biochemical performance of peritoneal fluid.
Diagnosis of lutein insufficiency
To confirm or disprove the presence of such a disease, a number of studies are carried out. Let's look at them in more detail:
- On violations in the work of the reproductive system, women may indicate the difference in basal temperature indicators between the cycle phases. With a constant temperature measurement in the rectum, you can detect a decrease in the duration of the lutein phase.
- Methods of ultrasound diagnostics allow you to see the thickness of the endometrium, the degree of blood supply to the ovaries, as well as trace the growth dynamics of follicles. For the short lutein phase, the inconsistency of the parameters of the yellow body and the thickness of the uterine endometrium The current day of the menstrual cycle. In addition, with this disease, there is a deterioration of blood flow around the yellow body.
- Hormone tests can detect various disorders in the development of certain substances responsible for maintaining the health of the female sexual system.
- Another diagnosis method - Endometrial biopsy. With this method, you can determine whether the receptors of the internal membrane of the uterus are reacting correctly on changes in the hormonal background.
Treatment of lack of lutein phase
This disease, as a rule, does not appear in itself - it indicates certain problems in the body. In order to be effective, it is necessary to first find out and eliminate the initial cause of the development of lutein deficiency, and along with general therapy should be helped to restore its functions.
If conception problems are a consequence of over-generating androgens and prolactins - the main treatment should be aimed at normalizing the work of the hormonal system. In the event that the cause of lutein insufficiency was the decrease in endometrial recipe, the doctor may prescribe antibiotics, as well as anti-inflammatory and immunomodulatory products.
To restore the body and, in particular, its reproductive system, the methods of acupuncture, vitaminotherapy, sanatorium and physiotherapeutic treatment can also be used. Patient with a similar problem should be protected from stress and nerve experiences, for this she is prescribed sedatives and prescribe psychotherapeutic treatment.