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Inadequate luteal phase
The main symptom is short or irregular menstrual cycles.
Traditionally, a biopsy of the endometrium is the standard for diagnosing luteal phase defect. However, measuring the progesterone level in blood serum is often used as a means of diagnosis instead of endometrial biopsy due to the pain, difficulties of precise menstrual cycle dating, and expense associated with endometrial biopsy.
A blood serum progesterone level of lower than 10ng/mL one week prior to the start of menstruation or 7 days after the LH (luteinizing hormone) surge is generally accepted as a diagnosis of luteal phase defect.
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