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Progesterone profiles in luteal-phase defects associated with recurrent spontaneous abortions

  • Gynecology
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose: Histologically documented luteal-phase defects (LPD) have been detected in 20–40% of women with recurrent spontaneous abortions. In 28 patients with recurrent spontaneous abortions, luteal-phase serum progesterone (P) levels (days 19, 21, 23, 25) and endometrial biopsies were evaluated.

Methods: On the basis of endometrial biopsy findings, the patients were separated into two groups: Group 1, recurrent spontaneous abortions with LPDs (n=18); and Group 2, recurrent spontaneous abortions with normal biopsies (n=7). The data are shown in the table below.

Conclusions: This study demonstrated that the P values found in Group 1 were significantly lower than those in Group 2, almost throughout the luteal phase. The results also indicate a close relationship between the P profile in the luteal phase and endometrial biopsy.

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References

  1. Jones G S: The luteal phase defect. Fertil Steril 1976;27:351–356

    PubMed  Google Scholar 

  2. Daya S, Ward S, Burrows E: Progesterone profiles in luteal phase cycles and outcome of progesterone treatment in patients with recurrent spontaneous abortions. Am J Obstet Gynecol 1988;158:225–232

    PubMed  Google Scholar 

  3. Davidson B J, Thrasher T V, Seraj I M: An analysis of endometrial biopsies performed for infertility. Fertil Steril 1987;48:770–774

    PubMed  Google Scholar 

  4. Balasch J, Vanrell J A, Creus M, Marquez M, Gonzalez-Merlo J: The endometrial biopsy for diagnosis of luteal phase deficiency. Fertil Steril 1985;4:699–705

    Google Scholar 

  5. Cook C L: Luteal phase defect. Clin Obstet Gynecol 1991;34(1):198–210

    PubMed  Google Scholar 

  6. Wentz A C: Diagnosing luteal phase inadequacy. Fertil Steril 1982;37:334–335

    PubMed  Google Scholar 

  7. McNeely M J, Soules M R: The diagnosis of luteal phase deficiency: A critical review. Fertil Steril 1988;50:1–15.

    PubMed  Google Scholar 

  8. Merrill J A: The interpretation of endometrial biopsies. Clin Obstet Gynecol 1991;34(1):211–221

    PubMed  Google Scholar 

  9. Noyes R W, Hertig A T, Rock J: Dating the endometrial biopsy. Fertil Steril 1950;1:3–25

    Google Scholar 

  10. Nakajima S T, Gibson M: The effect of a meal on circulating steady-state progesterone levels. J Clin Endocrin Metab 1989;69:917–922

    Google Scholar 

  11. Soules M R, Clifton D K, Steiner R A, Cohen N L, Bremner W J: The corpus luteum: Determinants of progesterone secretion in normal menstrual cycle. Obstet Gynecol 1988;71(5):659–666

    PubMed  Google Scholar 

  12. Rosenfeld D L, Chudow S, Bronson R A: Diagnosis of luteal phase inadequacy. Obstet Gynecol 1988;56(2):193–196

    Google Scholar 

  13. Abraham G, Maroulis G B, Marshall J R: Evaluation of ovulation and corpus luteum function using measurement of plasma progesterone. Obstet Gynecol 1974;44:522–525

    PubMed  Google Scholar 

  14. Jones G S: Some newer aspects of the management of infertility. JAMA 1949;141:1123

    Google Scholar 

  15. Jones G S: Corpus luteum: The luteal phase defect. Fertil Steril 1990;54(1)21–26

    PubMed  Google Scholar 

  16. Hull M G R, Savage P E, Bromham D R, Ismail A A A, Morris A F: The value of a single serum progesterone in the midluteal phase as a criterion of a potentially fertile cycle (“ovulation”) derived from treated and untreated conception cycles. Fertil Steril 1982;37:355

    PubMed  Google Scholar 

  17. Daya S: Optimal time in the menstrual cycle for serum progesterone measurement to diagnose luteal phase defects. Am J Obstet Gynecol 1989;161:1009–1011

    PubMed  Google Scholar 

  18. Balasch J, Vanrell J A, Creus M, Marquez M, Gonzales-Merlo J: The endometrial biopsy for diagnosis of luteal phase deficiency. Fertil Steril 1985;44:699–701

    PubMed  Google Scholar 

  19. Thorneycroft I H, Boyers S P: The human menstrual cycle: Correlation of hormonal pattern and clinical signs and symptoms. Obstet Gynecol Ann 1983;12:199

    Google Scholar 

  20. Wentz A C, Kossoy L R, Parker R A: The impact of luteal phase inadequacy in an infertile population. Am J Obstet Gynecol 1990;162:937–943

    PubMed  Google Scholar 

  21. Shoupe D, Mishell D R, Lacarra M: Correlation of endometrial maturation with four methods of estimating day ovulation. Obstet Gynecol 1989;73:88–96

    PubMed  Google Scholar 

  22. Coulain C B, Stem J J: Endocrine factors associated with recurrent spontaneous abortion. Clin Obstet Gynecol 1994;37:730–744

    PubMed  Google Scholar 

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Babalioğlu, R., Varol, F.G., Ilhan, R. et al. Progesterone profiles in luteal-phase defects associated with recurrent spontaneous abortions. J Assist Reprod Genet 13, 306–309 (1996). https://doi.org/10.1007/BF02070143

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  • DOI: https://doi.org/10.1007/BF02070143

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