Luteal Phase Deficiency: Understanding Progesterone and Ovulation

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Fertility doctor Natalie Crawford, MD discusses the luteal phase in this video to help you understand your cycle. What is the luteal phase/ Is your luteal phase short? What is luteal phase deficiency? How do you know if you have a luteal phase defect? How do you treat luteal phase deficiency? What is a good progesterone level in the luteal phase?
Covered in this video:
The menstrual cycle phases: follicular phase, ovulation, luteal phase
What happens after ovulation?
What is a normal progesterone?
What does a day 21 progesterone check?
What are the signs of a luteal phase deficiency?
How do you treat an abnormal luteal phase?
Ovulation Induction
#fertility #infertility #nataliecrawfordmd
------------------------------
Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

[@laural2159]

I became pregnant with a 10 day luteal phase. (age 36, came off the pill 7 months before). I got my positive pregnancy test on day 9. My son is now 2 months old. Although these things can have an impact and it’s great to raise awareness, don’t lose hope that you can’t become pregnant because I didn’t struggle and I’m sure I’m not the only one!

[@Whatsyournarrative]

Thank you!

[@miriamaisling3754]

Thank you for sharing! X 🙏🏻

[@jesscloninger-us1ih]

Thank you so much for your comment. I have a regular 10 day luteal phase and have asked and googled about it and so many people have gave me so many negative things. This just gave me so much hope.

[@leelulady2010]

Multiple Mirena IUD users have low progesterone issues after removal when TTC. This is great info!

[@SummerJeronimo-MLM]

Thanks a million! 🎉🤗 You are like a gift from heaven! I have had numerous doctor's visits with a variety of reproductive endocrinologist and I kept feeling like they were pushing me to ivf( so they could collect a check) . I learned more from your free KZbin videos then in all of the consults I've paid hundreds and hundreds of dollars for! Thank you so very much for all you do!! You are a TREMENDOUS BLESSING! 🙏💓🙏💓🙏💓

[@MrLizzie3]

This was sooo helpful! You answered all my burning questions about this specific topic and in a way I understood.

[@suanereynecke4186]

Currently TTC and in the TWW. Your videos are so calming and comforting! Thank you so much for doing what you’re doing! I’m quite envious of your patients, tbh 🤭

[@lunallena2559]

Dr. Crawford thank you so much for this channel, I love your videos, very educative and helpful, I am pretty sure we all appreciate you take the time to do this

[@denacouasnon448]

Wow I learned SO much from this!! Thank you so much for explaining the luteal phase so thoroughly!!

[@KeelySmithActress]

6:56 So informative! I starting tracking my cycles recently to learn more about my body and how it functions, and I found I had a short luteal phase! Who knew! Everything about my cycles had always been normal, regular monthly periods, about 28 days long, no issues, my whole life. So this is great to know if I ever need to treat it! Thanks!

[@alinak080]

I have just rewatched this for the third time probably. This was one of the videos which made me release that I might have luteal phase defect and what treatment might be suitable. I finally had my first fertility consultation a few days ago and they indeed confirmed my suspicion, and they suggested I would try ovulation induction treatment, exactly as you have described in this video. This has made me more confident it would work and certainly is giving me hope after TTC for 14months. Thanks so much for a great content. Carry on doing what you do! 😊

[@CountryRootsFarm]

Thank you so much for this video! My first progesterone lab work was 9 and the next month it was 5.6, so my doctor said I didn’t ovulate either month on clomid 50mg and 100mg. I’m now on 150mg of clomid and go back for lab work in a few days. It’s sooooooooo reassuring to know I actually did ovulate. Thank you again!

[@astridpartida2761]

Thank you so much for this video. I have PCOS and started my first cycle of Femera. I’m on cycle day 15 and I went in for my progesterone level today (7days after ovulation). My doctor mentioned something about possibly having a short luteal phase, since I mentioned that before starting the Femera I was starting to have 21 day cycles. I had never heard of that. Unfortunately that evening I started spotting brownish discharge which I’m sure means my period is coming. I normally spot for days before I start my period and watching this video helped me understand so much more about my body. Thank you so much for educating us! I’m praying the next cycle works.

[@kittykibble7928]

I'm recovering from amenorrhea so my periods are still irrugular; this past cycle was 50 days, the one before was 72 days etc. I noticed I showed signs of ovulating only 6 days ago (egg white stretchy c/m) and I got my period today, I was concerned, but I'm felling confident that I'm nourishing my body and my cycle will eventually return to a normal length, it's slowly getting shorter over time.

[@heatherrr016]

Super informative- thank you!

[@lucybillington3620]

As someone who is currently TTC, I really enjoy your videos as they’re so informative and trustworthy, so thank you! However, if you could speak slower it would be amazing, I’m English and struggle to follow, so imagine for those when English isn’t their first language would maybe struggle too ❤️

[@ctawzer]

If you turn the playback speed to .75 that may help. It did for me.

[@MissSmurfey]

Is an 11 day follicular phase considered normal? I usually get my peak on day 10 and assume that I ovulate day 11. I am 40years old and been TTC since May. Conceived in October naturally (1st pregnancy) and miscarried in November at 7 weeks 💔😥 what kind of testing would you suggest for my age? 🙏

[@Shellocs817]

Excellent information, once again. Thank you!

[@sana-vz8ic]

When is the placenta taking over the production of progesterone? Thanks for a great YT channel ❤ I have learned so much from you!

[@WhatLauraLikes2018]

This was very helpful! I took a Proov test for first time at 6 DPO (peak +7) and it said I was “negative” bc it was using a higher number than 3. It read my test as a 4.8. Based on what you’re saying, it can only confirm ovulation (which it has, along with my temp chart and symptoms) but you’re saying it can’t tell me how healthy my luteal phase is or if I’m low on progesterone, right? That info about the progesterone surges was very helpful!

[@Psammita]

Thank you! You explained it so easily. I hope more doctors were like you in my country :)

[@NatalieCrawfordMD]

Happy to help!

[@Edith864]

@NatalieCrawfordMD could you please make a video about PMDD and finding relief from PMDD based insomnia and hypervigilance/nervousness/anxiety. Birth control is not coming into question for me. Are there other options, also other than SSRIs maybe? Thank you for all the information you share on a regular basis. Highly appreciated 👍 I also enjoy sharing your videos/podcast with friends from time to time. (:

[@catherin77]

Thanks so much! Cannot get through to my gyno whether to stop my cyclogest/progesterone course since my period started today. Usually a short cycle between 22-24 days total but started my course on day 15 as per prescription but wasn't sure if still need to take on day 1 menses. Docs in the UK useless - still awaiting a call back :/ This video is SO SO SO useful! Explaining that Day 1 means follicular stage and no need for progesterone any more. THANK YOU DOCTOR!!

[@nikogaffga6087]

Dr. Crawford, I love your videos. Thank you so much.

[@NatalieCrawfordMD]

I'm so glad! Thank you!

[@jamieservin1036]

Your amazing Dr Crawford

[@molly1339]

Thank you for this video! I have been using Proov to confirm ovulation for my last 4 cycles. They have all been negative. My ob just prescribed me clomid to help get me to ovulate and fix my 9 day luteal phase!

[@CrystalM1917]

If you don't ovulate, how do u you know how long your luteal phase is?

[@lifeofameliarae3238]

we still get a cycle even if we dont ovulate ?

[@lanaa198]

Very well explained thanks

[@rishaw3483]

When you speak with your hands it grabs my attention. Love this detail video. I got my hormones check everything came back normal I guess. My Ob proscribe Provera but I I also started to spot for two weeks than stop. Currently cycle day 70 I did rule out pregnancy at home.

[@jeNguyen204]

Can you please do a video on prolactin and how it effects fertility?

[@Marlouchiboudichou]

Hi Dr. Crawford! I love your content. I was wondering if you think that consuming a lot of soy daily can prevent ovulation due to causing too much estrogen in the blood. Have a nice day!

[@littlelakerspreschoolbible2038]

Can you please link any studies that suggest this line of treatment for a luteal phase defect? I would love to see some medical journals to share with my doctor after review

[@divinely_designed_living]

This is very thorough. Thank you! I’ve been worried about my progesterone being 11.6 because I’m in early pregnancy and heard it should be 20 by now. 😢

[@NatalieCrawfordMD]

Glad it was helpful!

[@alyssab5756]

Hey there, I’m getting a little worried because no matter what phase I’m in my temperatures never rise above 97.7. Is this cause for concern? In the first half of my cycle my BBT is as low as 96.5, and the second half of my cycle it’s closer to 97.7.

[@MW-um7rs]

Great video! Very informative ❤️ also you look like Reece Witherspoon

[@ashakaROCKY]

This video is so informative and helpful I appreciate you so much. I been learning more about my cycle since we’re trying to conceive. I notice I am having ovulation symptoms and I see I have an LH surge but my luteal phase is 9-10 days 😔 I did not know how problematic that could be when trying to conceive. I don’t spot before my cycles. I notice my cycle changed dramatically after I stopped breast feeding my daughter a few years ago.

[@gabrielaidania]

Dr. Crawford, what is your opinion about PDG test such as Proov tests, that detect the metabolite of progesterone? Do you think that can in fact, measure and therefore suggest the quality of the corpus luteum? And what does happen if after clomid or le trozo le treatment the progesterone is still low? Thank you

[@LorenaNOliveira]

Also curious about this test. :D

[@lanataliamaria]

I’d like to know this too 😵‍💫

[@downthehall-way7435]

Love to know!

[@ALHack29]

Also curious

[@kbravo9659]

I have the same questions about the proov test kit. Mine were negative this cycle after my predicted ovulation. According to their instructions I didn't ovulate or I have low progesterone, but also their threshold is 10(whatever units for progesterone) which correlates to 5 in the urine test strip.

[@WhatLauraLikes2018]

After this video I’d say Proov can only confirm ovulation (use their app to read your strip) since that 10 is based on consistent progesterone from pregnancy, as she said.

[@amypola5903]

Great, I want to know the brain science for FSH, please and thank you.

[@MiraclesAsStandard]

Thank you so much for what you share. Please could you explain more about spotting before your period. I always spot between 2-6 days before my period. When my period arrives it only lasts 1-2 days and is light and not always a deep red (more pink). I’ve read so many books and approached the NHS with no luck. I’m desperate to fix my cycle, as I’ve been TTC for nearly 5 years 🙏.

[@iramikram6547]

Hi please can you talk about the risk of ivf in endometrosis, if your ovaries are twisted behind the uterus & the endometromia chocolate cysts are in the way, what happens if the needle goes through the cysts to retrieve the eggs? please reply thankyou

[@arlette.s]

Very informative video

[@katherinefrye953]

How common is it for women who previously had no problem conceiving to develop short luteal phase defect?

[@talex5459]

Hi there! Two months ago, around the time of my wedding, my luteal phase was 9 days long. I decreased my exercise (I was exercising a lot), decreased stressors, and added in 1,000 mg vitamin c tablets to my regimen and I had a 13 day luteal phase this month 👊🏼🥰 thank you for the helpful info!

[@dionkablue7413]

So what does it mean if your luteal phase is high like 22

[@WhatLauraLikes2018]

@@dionkablue7413 Are you sure it’s that long? It’s more likely you ovulated 14 days or thereabouts from your period. Did you use an LH test to confirm your peak?

[@daniellecox6534]

Is the vitamin c supposed to help with a short luteal phase?

[@dionkablue7413]

@@WhatLauraLikes2018 yes I did it’s very weird and after that all they told me was take birth control and my period will come but I don’t want to take that I got off of birth control because it’s not affecting my body in a better way

[@rosyapplekitchen635]

Amazing, thanks for this, i am trying vit c, b6 and folic acid this month

[@whenlifegivesyouclemmons]

Thank you so much for this video!! If clomid and then a progesterone suppository is prescribed for a luteal defect, when should clomid first be taken? At the end of your period?

[@skybluecrafts5494]

This was really good info! Have you done, or will you be doing a video about the follicular phase?? I ovulate early day 9 to day 10. Clomid and other meds seem to just make me ovulate even earlier. I am over 40 and never been pregnant. I’m wondering if my eggs are not having a chance to mature due to early ovulation? Progesterone has helped lengthen my luteal phase but hasn’t helped the follicular phase. Thank you!

[@MissSmurfey]

I ovulate cd 11 and would like to know more about this. Have you seen a doctor for this?

[@amandahowell3853]

So I was diagnosed with lpd befoe surgery I took letrzol for several months and then did surgry do find I had stage 3 endo ever since then I feel like my cycle has been more normal if diagnosed with lpd is it something that gose away or stays

[@chula1371]

Hello!. Can you address conceiving with type 2 diabetes? I've had 3 pregnancies, one a modi twin pregnancy. I was just diagnosed t2 last year and want to try to cocoeve again. Would love information! Thank you!!!!

[@amberherrick2172]

Thank you for your videos!! I’m a fan 💕I have a 21-23 day cycle with 8-9 day Luteal phase. My labs were all normal. Progesterone was 8. I spot a lot every month anywhere from 3-6 days. I recently started taking 500 mg Metformin and 200mg Progesterone 3 days after ovulation. My dr wanted to give that 3 months with this regimen, which is up in 2 weeks. Do you think I could benefit from Letrozole? I’m 37.

[@classicredwine]

Hi! I know this is an old comment but how did your situation turn out?

[@mrszenmy]

Do you ever recommend trying Vitex for luteal phase defect ? My luteal phase is a normal length and I seem to ovulate but I do have brown spotting for 7 days before my period and I am worried I won’t be able to conceive because of it when we start trying. Is this product worth the try before going to a fertility doctor ?

[@LyliJ]

Hi Natalie, I stay in luteal phase a super long time - like my cycles are sometimes 40 days because I get PMS symptoms (hunger, bloating) and I stay stuck a long time. Is that considered a luteal defect?

[@downthehall-way7435]

Could you please explain the difference types of progesterone(I.e. cream, capsules, suppository, injections) and what their purpose is? I’m almost 5 weeks and an on suppositories. I asked my Dr about capsules and she said they’re not really meant for pregnancy. What is it for if not to help in pregnancy? Thank you!! Also, there are a lot of ranges of normal in progesterone levels for pregnancy. My labs says 4-24. I’ve been told it needs to be over 11, but a friend said her Dr wants it over 20!! Help!

[@noelcassidy6695]

I have a short luteal phase confirmed with opk. But my cycle is also long. I don’t ovulate until cycle day 31 and then start my period a week later. Is “late ovulation” a thing?

[@alyhaggerty]

Hi, I was wondering if you could help! I’ve just received the results from my Day 21 Progesterone test and my levels are 258nmol/L . I thought it was reading it incorrectly and called my doctor and the receptionist confirmed it was 258. I can’t see my Doctor until Monday so I’m just searching for some guidance. I’m on my 2nd round of 50mg Clomid. Thanks !

[@erins3974]

Before any of my pregnancies, I had a normal 14 day luteal phase that I would track with BBT for a few years. After my first pregnancy, my luteal phase dropped to 11 days, and has been that way for the last 10 years. I successfully had 2 additional babies in that time period, so it didn't seem to affect my ability to get pregnant, although it seems odd. Perhaps it's caused by prolactin, since I did breastfeed all my children.

[@milicagvozdjan3287]

Hello! I would really appreciate someone else’s opinion. I had two miscarriages this past year (i was 8-9 weeks along but according to the ultra sound development stopped around week 6-7). Doctor told me next time I get a positive pregnancy test to start taking progesterone pills until week 13. I have never taken my blood out to test for progesterone and she says that its just something that could potentially help but is not proven to help and there are no serious side effects to me or baby so i might as well try it. Is this true? Shouldn’t some tests be done before just giving me progesterone pills? Also note that other than once or twice I have always had regular cycles range between 28-31 day cycles. The only negative thing in my cycles is my terrible breast pain that starts two weeks into my cycle lasting until my period starts)

[@priyamishra6225]

Hi. Dr. before my misscarriage i used to get positive opk result between 17-20th CD..but its been 4 cycle after my d&c...but i have not got positive on opk though i tested between 15-22 cd in all cycles. Is it possible my hormones to be balanced..i got my cycle between 30-35 days as earlier

[@nicolewagoner8533]

Could you please do a video on PMDD?

[@mahimaverma711]

Hi doctor I have irregular periods of average cycle of 35 days. Having trouble in getting pregnant so by doctor’s advice I got checked my progesterone level checked at day 21. The P level is 1.1 which seems to be very low. Can you advice for 35 days of irregular cycle when should i check my progesterone level?

[@tayashley3539]

Is it safe to say that the hormonal levels that occur while on the combination pill, mimic that of the luteal phase ? 🤔

[@CrystalM1917]

The only time I spot is when I have conceived but it's ended up as a chemical pregnancy. When I haven't conceived, I have a perfect 14 day luteal phase without any spotting 🤨 and my flow comes on flawlessly. Doesn't make sense. could I still benefit from progesterone support? The times I've had my 7 day test it's been 9 and 11.8ng/dl.

[@kimberlyjohnson3613]

Dr. Crawford, I recently had a luteal phase that was 7 days long but I’m fairly certain I ovulated given the LH surge that I got and my BBT going up after the surge. My cycle has been very irregular since I stopped running for college. Could that be what my issue is? I’m not sure if I should take a hormone balancer or not

[@xxpaigeaaxx5492]

The same thing is happening to me! 6 day lutal phase this month 😭

[@mayoroflemonland1852]

Dr Crawford thank you for this video, all your videos in fact. It has been very insightful into my ttc journey. I’m currently in my 4th cycle ttc and my past 3 cycles I have consistently had a 9 day luteal phase. Ovulation was confirmed with opks and bbt charting. At 34 nearly 35 when do you think I should talk to a doctor about this? I’m trying vitamin b6, vitamin c and d to try lengthen my luteal phase naturally first.

[@deeptivijayalakshmi5716]

Hey ... did taking those vitamins worl for you?

[@bessieroman2704]

Hi! I curious to know if the vitamins works for you!! Let’s us know. I’m about to start taking them

[@rosyapplekitchen635]

I am doing the same after my miscarriage ttc 6 months but my luteal phase is very short. Trying b6, c and folic acid this month

[@sincitysleuth]

Dr. Crawford.. I love your videos. They are so reassuring. Where do I have to move to in order for you to be my doctor LOL!

[@mafasantana]

Hi, need help. I have 29/30 days cycle but ovulate on day 20/21 what can I do to change this

[@user-nx4lc9pf5j]

Dr. Crawford, can breastfeeding cause short luteal phase? I finally got my cycle back at 10 months pp but if my lh reader strips are correct, my period came only 5 days past suspected ovulation.

[@ThePicklefluff]

Dr. Crawford, you look like Lily Rabe! ❤️

[@l.ashleypalmer]

I would live to get your take on PROOV pdg urine testing. I did 5 home inseminations and tracked the first 3 with PROOV which showed low progesterone after ovulation. But I conformed ovulation with BBT and cervical mucus. The last 2 home inseminatiosn I used topical progesterone and had 2 biochemicals. PROOV pdg showed better progesterone levels but still weren't quite as high as they should be. Last month I did an IUI in the clinic with gonadotropins due to IVF conversion to IUI. I used vaginal suppositories progesterone and became pregnant, miscarried at 5 weeks 5 days. They had to double my progesterone 3x to get it up to 14. But I miscarried the day we finally were able to get it up. My luteal phase averages 11-14 days, no spotting. Is it possible to just have low progesterone and would benefit from better support?

[@autum4surf]

Hi I was put on progesterone after my first miscarriage she wanted me to take it once I see the positive test. I did that 2 times and both had a chemical. Now she is saying wait the progesterone could be bad not good and this time not to take it to see how it works out. Is this normal for progesterone to be bad and to much of it could cause chemicals?

[@harleyjackson433]

What does it mean if you have a longer than normal luteal phase? Or is that a thing? I have a 30-34 day cycle normally and (according to records) this month I should have a 32/33 day cycle. So that means I should ovulate on day 18 or 19. But I had eggwhite CM on day 14 which makes me think that was probably day of ovulation or right before. (Currently day 16 for me). It can all be confusing. Lol

[@universal640]

I’ had 3 miscarriage before I was out on progesterone suppositories as numbers during 6w were b/w 5-8 …what could cause this low progesterone and what can I do to help in my next pregnancy to naturally increase progesterone so I don’t have to take suppository or shots

[@mckenzie_Rockneberg]

I have a question about pituitary disruption. There is a vitamin on the market that some women take called Serovital . It claims to sort of stimulate the pituitary and just how aggravating could this be to a woman’s fertility ?

[@meganblackwood7631]

What if your luteal phase is between 17-19 days? Or could it be that I’m ovulating closer to 36 hours after my positive OPK and that’s why I assume it’s 17-19 days??

[@belindajimenez770]

I have a question ❓ what happened after taking progesterone for 7 days but don't see a period but other times you did on this medication

[@madisonwallace4429]

I have luteal phase defect because I have suffered from Hypothalamic Amenorrhea. I am cycling again but ovulating much later than day 14 - last month I had a 6 day LP. Is there a way to correct this before taking Clomid?

[@NatalieCrawfordMD]

Not a natural way to correct it. Would def check hormones after recovery from HA (thyroid, prolactin, AMH) and talk to a doctor. It can take years (many) to fully recover into an ovulation pattern

[@TaraOHorvath]

Please help me! 😢 I’m around 9 dpo right now… and I did a blood test and it’s negative for pregnancy but my progesterone is 14.80… was the blood test done too early? Could I still be pregnant? If not Is 14.80 normal? Thanks in advance!

[@gemablg]

Doctor, is progesterone imbalance related to Hemifacial Spasm?

[@emmyanne6573]

I typically have an 11 day luteal phase. I know for sure of 1 chemical pregnancy so my doc put me on progesterone and offered clomid. I know for a fact I’m ovulating because I’m seeing positive OPKs just not enough days after it. So you think the progesterone is enough or should I get the clomid? I’m worried about the side effects associated with clomid

[@tammys4760]

I also have an 11 day luteal phase.

[@starlablakey9050]

I do have pcos & have been put on clomid (150mg), but before i took the 150mg, i was on the 50mg one & it didn't work & at that point my progesterone level was at 0.5, but this time, 9/9/23 i got another progesterone test done & my level went up to 9.1 so is that a good thing or a bad thing? & of course i am trying to conceive, i already have 1 kid from a previous relationship & my husband has no kids & have low sperm count & is on dialysis due to kidney failure, & i somewhat have irregular periods & type 2 diabetes.

[@vanisucre]

Hi!!! I was diagnose with Luteal Phase Deficiency, basically I would start bleeding around 5dpo until my period arrived. One doctor told me to take progesterone from 1dpo until 10dpo, while another told me to take it from day 14dc (although I ovulate around 19dc). Does progesterone affect ovulation? Thank you!

[@downthehall-way7435]

If you take progesterone before ovulation it will keep you from ovulating.

[@LorenaNOliveira]

Do you think 13dpo is a short luteal phase? Or is it normal? Sometimes I get my period the end of 13dpo or at 14dpo.

[@jessaemerson8359]

That’s normal.

[@janieesparza1491]

I was just tested on day 21 and got results today. Progesterone was low and prolactin was high. I have no leaking or discharge from my breasts 🤷🏻‍♀️ waiting on semen analysis before starting anything. These past 5 months have been so frustrating 😣 hoping for some good news soon ♥️

[@Learningeveryday27]

Wishing for the best for you !!

[@bebeautiful3915]

How much was your prolactin level I think after ovulation its value rises.

[@janieesparza1491]

@@bebeautiful3915 it was in the 40’s range

[@Dr_Chizzy_Spikey]

@@janieesparza1491 Mine was 51.2 ,haven’t gotten pregnant

[@janieesparza1491]

@@Dr_Chizzy_Spikey mines at a 10 right now since I ran out of medication, but taking meds once a week has it at around 4-5. Everything is finally in balance for me 🙌🏻

[@LadyInWhite741]

I had a pituitary tumor removed in 2010. I have a partially empty sella. I have a very regular cycle of 27-28 days, ovulating around days 12-14. I spot 1-2 days before my period. I have had 1 live birth 17 years ago. (At 20 years old). And am now TTC with my husband for our 1st baby. I’m 38 and he’s 53. We got pregnant on our first month TTC but I had a chemical pregnancy at 4 weeks 3 days. I’m on Low Dose Naltrexone for my hEDS and will be continuing to take it though out my next pregnancy till 37 weeks my OB told me. I’m also on a low-histamine diet also. My question is, will having a partially empty sella show signs that I’m not able to keep a pregnancy? Are there any signs?

[@jessicawilson374]

What was your cycle like when you had the tumor? Just curious as I have a small benign tumor which doctors seem to think is too small to affect me, but having signs of low progesterone/anovulation

[@lmacks1031]

I don’t know if I have a period every month. Some months I will have a regular flow for a day sometimes only a few hours and then I spot for 2 weeks other months I only spot. I think it’s spotting. I don’t need a tampon or pad just a liner will protect me all day and I only see blood when I wipe and then sometimes there are clots in the toilet. I was just put on progesterone for 7 days for 3 months. Just started so don’t know what to look for

[@morgankail2184]

My luteal phase is 9-10 days (have been TTC almost a year). Could this be due to milk production? I'm currently breastfeeding my daughter only once a day. Just want to go to my year appointment with the best info I can.

[@NatalieCrawfordMD]

yes this is a classic sign of high prolactin (from BF) which can shorten the luteal phase

[@giuseppinasanger6410]

What about a suddenly short cycle at age 47, when perimenopause is likely the cause? My cycles were exactly 29 days for literally 34 years (with the exception of the 5 years span during my 20’s during which I was pregnant and lactating for my 4 children). Now suddenly out of the blue by cycle is around every 17 days!!! WTH?! So I’m probably not ovulating, but I don’t know when to take my Prometrium now, which was was prescribed to me last year because I was diagnosed with low progesterone during my Luteal phase (from a month-long, daily salivary female hormone test). At that time, my doctor said I was likely ovulating because the progesterone skyrocketed mid cycle but then dropped precipitously the day after. With a 17-day cycle, I don’t know when to guesstimate I should take my Prometrium at night. Also…does anyone think it’s the Prometrium itself causing me to have such short cycles all of a sudden? Could my dose of progesterone be too high?

[@aefr1234]

Both of my IUI cycles took place near the due date of my next period (that can’t be normal) and my progesterone levels 7DPO were 2.97 and 4.91 the second time. Still not pregnant still don’t have answers.

[@princessbrit5617]

Im in my luteal phase now progesterone rising 2am to 9am still going on my head and stomach started hurting then I felt my left ovary pain

[@CrystalM1917]

When you say stronger signal of fsh, what does that mean? I was under the impression that you want the level of fsh to remain lower bc it's not having to work as hard to send the signal to the pituitary, otherwise it's an indication of poor ovarian reserve....and with that being said, does that then mean if you have low progesterone that the quality of your eggs aren't good?

[@NatalieCrawfordMD]

FSH causes an egg to grow then it lowers once the egg makes estrogen. Naturally high FSH can indicate fewer eggs (because the ovary needs a stronger signal) we use this principal to get ovulation induction to work for us. Progesterone level ONLY tells you about if you ovulated, nothing about egg quality.

[@CrystalM1917]

@@NatalieCrawfordMD thank you so much for replying in spite of your busy work and home life schedule! I realize that I mis-worded what I intended to say lol, about fsh sending the signal to the pituitary, I meant to the ovaries from the pituitary 🤪. So if your estradiol happens to be under 25 on day 3 could you assume your eggs are poor quality that have been recruited by fsh bc they are not producing adequate estrogen? If you have a longer follicular phase, is it possible that it just takes longer for the sequence of hormonal events to happen without there being an issue? I happen to ovulate typically around day 21-25 and have a 14 day luteal phase but estrogen on day 3 is 14. Wouldn't the range of 25-50ng/dl for estrogen and all the cd 3 labs now that I'm thinking about it, be based on a 28 day cycle and not a longer one? Or does that not matter bc you're on your period and the ranges are showing where your hormones should be for being on cd3 regardless of how long your cycle is? If you don't answer I understand that's a lot of questions, just hoping maybe you might bring this up in a future video!!🥰 thank you again!

[@graciek4808]

This video is very helpful. For the past 4 cycles I have been getting my LH surge day 20-21 of a 28 day cycle. I’m currently ttc for the second time. Is there any possibility of getting a healthy pregnancy from such a short luteal phase?

[@princessofthenile5603]

Me too. That’s why I am watching this video. Wondering if I can get pregnant with such a short luteal phase. Have you had any luck?

[@graciek4808]

@@princessofthenile5603 unfortunately not yet, cycle 5 was the same and I’m now starting cycle 6! I’ve recently started the process through my doctors to try and get this sorted… it’s a slow process though in the UK 🤦🏻‍♀️ Good luck to you x

[@fashionstar578]

You need at least 10 but preferably 12-14 day luteal phase to conceive. Good news is your body is capable of healing! I would highly recommend the Fertility Friday podcast ❤️ host is the author of the Fifth Vital Sign

[@jessicaflores2616]

Can BBT Abe used to confirm ovulation?

[@essiiv]

Hi, I have a 8-9 luteal phase with letrozole without spotting. Thyroid and prolactin are normal but i have PCOS. Im 1.70 cm and 58 kilo. 7 DPO my progesterone was 4 and another time 7. The day after blood draw I got my period :(

[@MissRachelMarie]

Didn’t your study only look at those with a random short luteal phase? It didn’t seem you even looked at recurring

[@iam_pariss]

Hi! What advice can you give on polyps in the uterus? I have a polyps in my uterus and one doctor gave me progesterone pills and said it would shrink and go away. And my new doctor says I would need surgery to remove the polyps in order to convince. I just turned 30 and just found out about the polyps and have been unable to get pregnant and I’ve been trying for over a year.

[@Hikari.101]

try castor oil pack. search on YT on how to do it. I heard great things.

[@EvaAbiose]

Hello! Thanks for your videos. I have long luteal phase, I have been charting and I ovulate on day 20 of the cycle but I am having long cycles of 38. I am struggling to get pregnant and I am not finding a lot of information about this symptom.

[@bekahbeeb]

Did you find anything?

[@wendyread1183]

Same -- lots of info about short luteal phase, but not much on long.

[@user-cv3ov9yl1w]

Would 8dpo level 59.6 be good or bad ??

[@lisav6583]

I am able to get pregnant but around week 22 my progesterone dips. I was given progesterone suppositories my first pregnancy and shots my second pregnancy. Doctors said it just happens. Any ideas what could be a root cause?

[@elainekommenge1157]

I have these symptoms (short luteal phase with spotting on day 7 or 8 after ovulation, 28 day cycle). Is it possible to get pregnant without medical intervention? I'm 37(38 in 3 months).

[@Juanafig78721]

Exactly like me. I’m 37. The only thing that helps ia taking Gaia vitex supplements. When I’ve tried other brands the spotting comes back. I’m sticking to the Gaia brand which is a liquid capsule. I had a miscarriage last year.

[@frances4036]

The first month after I removed nexplanon I felt great and ovulated, then I got my period and after that felt awful. Didn’t ovulate, had headaches hot flashes and never ovulated. I’m scared I want to have a baby. I’m scared it won’t happen

[@kateri10]

Can you do a video on how breastfeeding affects fertility even after menstruation has returned? I am aware that it is possible to conceive, but it would be good to know whether it can still reduce the chance of conception. It would be good for older moms who are trying to make informed decisions about weaning and expanding their families while they are still within reproductive age. Thanks!

[@MakenzieFitChronicles]

yes! I am also breastfeeding but my period has been regular for the past 6 months and we have been trying and it's not happening. I am actually working on weaning slowly but I would love to continue and still get pregnant if possible

[@rosyapplekitchen635]

@@MakenzieFitChronicles i was the same too in fact i think it is what caused my miscarriage as it reduces progesterone, i have weaned her fully now and will see what happens. I ordered a prolactin, oestrogen and progesterone test today, i will do it asap and see

[@MakenzieFitChronicles]

@@rosyapplekitchen635 I'm sorry to hear about your miscarriage. I actually got pregnant last cycle but ended in a chemical. I had fully weaned by the time I found out o was pregnant though. So I'm not sure if that was why it ended as a chemical. Now I'm wondering if I should see a fertility specialist or not. We are only in cycle 9 but im not sure how far out they may need to book appointments. I can't even get into my regular OBGYN until June and I made that appointment weeks ago.

[@rosyapplekitchen635]

@@MakenzieFitChronicles oh sorry to hear that, at least you know you can get pregnant, i feel its been so long i can’t anymore. Constantly worried. I will wait and see if my prolactin is normal as my period is randomly so early this time and it never has been this way before. Good luck i am sure it is gonna happen soon but some peace of mind would be nice in terms of medical help x

[@katherinea4179]

Can this be determined with a BBT chart too? my chart doesnt sky rocket after ovulation. I think it went up from 97.25 to 97.72, then rose from there.

[@Hikari.101]

it doesn't need to sky rocket. If goes up by half a degree and stays there for a while then you've ovulated.

[@jessaemerson8359]

You are wanting to see 3 temps that are higher than the 6 days preceding ovulation. It doesn’t need to be drastic.

[@DianaRose-gj5gq]

I had a lh surge and pdg rise on the same day at the same time, is that normal?

[@classicredwine]

This happened to me as well (I track with Mira) although my PdG did not rise significantly, it did rise higher than typical this month once my lh started to rise but went right back down once I tested again later that day

[@brittanymorgan689]

My last cycle my luteal phase was 11 days, is that short?

[@ashaine241]

I really enjoyed this video! I have secondary infertility. I conceived my 1st without any medical assistance. We used clomid with #2 after months of confirming I don't ovulate on my own. In 2019 I experienced two early losses. I have convinced myself a high prolactin cause the losses. I was also breastfeeding. In January 2020 I was done breastfeeding and was able to get pregnant using clomid. I used progesterone suppositories from 4 weeks until 16 weeks.

[@rosyapplekitchen635]

I wish i had weaned my daughter before getting pregnant. I am convinced its what caused my miscarriage too I became so unwell

[@Dr_Chizzy_Spikey]

@@rosyapplekitchen635 Weaning can help but prolactin sometimes takes time to leave the body .That’s why you have to take prenatals and hormonal pills like Vitex or vitamin b6 that reduces prolactin to normal levels before pregnancy.