What are the main reasons for the development of progesterone insufficiency?
It should be noted that in view of the large number of such, far from all of them have been studied. Among the most frequently encountered, it is necessary to note:
- disruption of the hypothalamic-pituitary system (occurs with frequent stress, overexertion, brain injury);
- excessive synthesis of androgens by the female sex glands and adrenals;
- long-term inflammatory processes in the appendages of the uterus;
- disruption of the thyroid gland;
- changes in the yellow body of a pathological nature.
What are the signs of development of progesterone insufficiency?
The main symptom of such a disorder is considered to be a long absence of pregnancy or development, the so-called habitual miscarriage.
In addition, women, faced with a similar violation, often note the appearance of bloody discharge from genital tracts of smearing nature. As a rule, they are observed in the middle of the cycle or 4-5 days before the menstrual cycle. This fact is an explanation of why women do not always turn to a doctor for such phenomena, taking them for earlier periods of time. In some cases, with severe violation, amenorrhea or oligomenorrhea is possible.
On the graph of basal temperature, women, his hosts, also note the changes. As a rule, on it with progesterone insufficiency the temperature increase above 37 degrees is not observed, and the luteal phase is sharply reduced and lasts less than 11-14 days.
When conducting laboratory diagnostics in the analysis results, together with a decrease in the progesterone concentration, a decrease in the level of luteinizing and follicle-stimulating hormones is noted, and prolactin and testosterone are increased.
Separately it is necessary to say about the manifestations of progesterone insufficiency in menopause. As a rule, because of the absence of menstrual flow, it is difficult to recognize them. Therefore, the only method of diagnosis is blood for hormones.
How is this disorder treated?
To treatment of progesterone insufficiency, as a rule, start when planning pregnancy, tk. in most cases, when establishing the reasons for the absence of conception, it is diagnosed.
The basis of the therapeutic process is hormone replacement therapy. In the first phase of the cycle, estrogen-containing drugs are prescribed ( Proginova, for example). In the second phase, progesterone (Duphaston, Utrozestan ) is added, while the dose of estrogen is reduced.
If as a result of such treatment pregnancy occurs, then estrogens are completely excluded, and progesterone preparations the woman continues to take.
As folk remedies in the treatment of progesterone insufficiency, infusions from such herbs as cuff, psyllium seeds, and raspberry leaves are used.