Luteal Phase Defect

Insufficient progesterone production after ovulation shortens the luteal phase, preventing adequate endometrial preparation for embryo implantation.

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Insufficient progesterone production after ovulation shortens the luteal phase, preventing adequate endometrial preparation for embryo implantation.

Short menstrual cycles (<26 days)

Premenstrual spotting

Recurrent early miscarriages

Inadequate LH surge

PCOS

Hyperprolactinaemia

Thyroid dysfunction

Stress

Day 21 serum progesterone

Mid-luteal endometrial biopsy

Thyroid function tests

Prolactin level

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