BONUS 310: Luteal Phase Defects

July 5, 2021

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Today’s bonus episode guest is Dr. Allison Rodgers. She is board certified in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility and has been practicing medicine since 2004. Dr. Rodgers currently practices at the Fertility Centers of Illinois. Her personal experiences with both secondary infertility and pregnancy loss have given her a unique insight into reproductive medicine in order to help you beat infertility.

Episode Sponsor:

Infertility Coaching with Heather Huhman

Dr. Rodgers begins by answering six listener questions. The full questions are read on the air, but here are brief summaries:

  • Lauren, 33, has had four egg retrievals that have yielded only two normal embryos. She asks why they have poor egg and sperm quality in their early 30s and what it means that she has tested positive for elevated thyroid antibodies when her TSH is normal.
  • Megan, 29, has been diagnosed with endometriosis through the Receptiva biopsy after four years of trying and many failed transfers. Moving forward, one of her doctors recommends Lupron, and another suggests surgery. She asks if one option is better than the other.
  • Rebekah, 34, asks what she should look for in a gestational carrier and what screening tests should be done.
  • Krista, 40, did IVF at age 34 and now has eight genetically normal embryos. She has a son through IVF but was shocked to have lost a daughter at 12 weeks–all from the same retrieval. She asks about possible reasons for her miscarriage, if her chances to miscarry are higher now, and if she should transfer more than one embryo.
  • Holly, 34, has been trying for almost three years. She’s had a hysteroscopy to remove scar tissue, and two HSGs and a water ultrasound gave normal results. She has had unsuccessful timed intercourse and IUI cycles. IVF is not an affordable option, so she asks about improving her chances of success with future IUIs and if she needs estrogen for her lining.
  • Kristen, 35, lives in Canada and has unexplained infertility. After1-½ years of trying to conceive and three unsuccessful IUI cycles, she just did her first round of IVF. From seven eggs, they have two Day 5 embryos and are awaiting genetic testing results. Since she has been disappointed with her results so far, she asks what questions she should ask her doctor as they move forward.

Dr. Rodgers and Heather continue the episode by discussing luteal phase defects:

  • Tell us about the physiology of normal luteal function.
  • What is the definition of a luteal phase defect?
  • What are the potential clinical implications of a luteal phase defect?
  • What about spotting a couple of days before your period begins. Does that indicate a luteal phase defect?
  • What conditions alter the luteal phase?
  • What tests and methods can be helpful in diagnosing a luteal phase defect?
  • Speaking of treatments, can you talk to us about those?
  • Do you ever see that a luteal phase defect is someone’s only fertility issue?
  • What fertility research is needed in this area?
  • Do you have any success stories to share with us?
  • Is there anything else you would like to add about luteal phase defects?

Have a question you want Dr. Rodgers to answer next time she’s on? Click here.

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