The elusive phenomenon of luteinization of follicles

The elusive phenomenon of luteinization of follicles

The development of follicles is a major event that sisters dream about. They only ovulate once a month and there are only 12 chances of pregnancy in a year. However, the development of follicles is sometimes difficult to predict. Under B-ultrasound monitoring, it is obvious that a follicle is developing, but suddenly disappears. It turns out that a small follicle ovulation event has occurred (ovulation occurs when the diameter of the follicle is less than 16 mm); sometimes a follicle with a long diameter is seen. When it reaches 20 mm, it is a very suitable mature follicle. It feels like it is about to ovulate. After follow-up monitoring, it was found that the follicle continued to grow, and it did not release an egg even after its diameter exceeded 30 mm. When such a situation occurs, doctors are at their wits\’ end and watch helplessly as the granulosa cells of follicles are stimulated by LH and undergo luteinization changes. This is a symptom of infertility, officially known as \”unruptured follicle luteinization syndrome.\”

What causes follicle luteinization? It’s hard to pinpoint because there are so many reasons. Insufficient local proteolytic enzymes in the ovary, lack of prostaglandins, and women suffering from endometriosis or pelvic inflammatory disease may lead to luteinization syndrome of unbroken follicles.

Women with normal ovulation may occasionally experience luteinization once or twice, not to mention women with abnormal ovulation. What’s more troublesome is that even if the follicles are luteinized, we can’t feel it. Therefore, the normal pregnancy rate is only 20%. This is one of the factors.

If you don’t feel it, is there nothing you can do? Neither! There is still a way, that is, continuous B-ultrasound monitoring. Start monitoring from the 9th day of menstruation. When the body temperature rises, if you observe that the follicles have collapsed and shrunk, it indicates that the egg has been released. If you see that the unbroken follicles are still growing, then you should consider that this disease is occurring.

However, B-ultrasound can only confirm whether the follicle has been discharged or has not been discharged at all, but cannot predict its development direction from the beginning. Now, let’s introduce a method that can predict follicle development:That is to use semi-quantitative infertility test strips. This kind of test paper is very scientific. It can measure the specific data of LH in a woman’s body every day. Fill in the measured data every day into a table, and then connect these points to get an LH change curve. From the direction of this curve, we can clearly see what will happen to the follicles:


This article is provided by Baidu Reading and is excerpted from \”Pregnancy Can Be Simple\” Author: Fei Fei\’s mother

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