What is the corpus luteum for?
2022-09-23
1. What does the corpus luteum do to the human body?
The corpus luteum is a "special organ" that exists only in women, but it is strange that many girls have never heard of it, because it does not always exist, but only appears when women experience some special periods.
The corpus luteum refers to the collapse of the follicle wall in women after ovulation, causing the capillaries and connective tissue attached to the follicle to enter the granular layer. , and gland-like structure with secretory function. It is called the corpus luteum because it appears yellow when it is first formed.
The luteal body secretes an essential progesterone progesterone , which is involved in the complex changes of women's menstruation and pregnancy, and its role is mainly reflected in five aspects:
First, after a woman's menstrual period, progesterone can promote the growth of glands in the endometrium. During this process, uterine congestion and thickening of the endometrium will lay a solid foundation for the combination of eggs and fertilized eggs;
Second, progesterone can work with estrogen to promote breast development and help women produce milk;
Third, progesterone can also participate in the maternal immune system , addressing the risk that the embryo may be treated as a foreign body by the mother.
Fourth, progesterone can close the cervix , thus thickening the cervical mucus and preventing it from being penetrated by sperm.
Fifth, when the level of progesterone in women reaches a certain level, it can act on the hypothalamus and stimulate negative feedback, thereby reducing the ability of the pituitary gland to secrete gonadotropins. ".
Second, pay more attention to the four situations of the corpus luteum
The corpus luteum has a significant impact on women's fertility. While undertaking a mission, there are also certain risks. Attention should be paid to preventing possible lesions of the corpus luteum, especially the four diseases.
1. Luteal insufficiency
After ovulation, when the corpus luteum is formed, the secretion of progesterone is insufficient, which may affect the levels of progesterone and estrogen, indicating that there is a problem in its secretion function, which is medically called "luteal insufficiency".
Luteal insufficiency usually does not cause discomfort. Once it occurs, it may cause women menstrual shortening, frequent menstruation, infertility due to lack of progesterone in the maternal environment, and easy miscarriage symptoms.
The existence of the female corpus luteum is also limited. If the egg is successfully fertilized, it can exist 2-3 months . When the placenta is formed and can secrete estrogen and progesterone, the two functions alternate, and the corpus luteum also functions. Retired. But If the egg is not fertilized, it generally shrinks within 2 weeks and is replaced by connective tissue.
Women with luteal insufficiency can pass the self-examination, and measure the body temperature every morning , if the body temperature rises or falls for 9-10 consecutive days, pay attention, but this temperature change is about 0.3 degrees Celsius every day, it is difficult to aware.
Therefore, it is better to make a more reliable judgment through regular inspections in the hospital, such as: serum progesterone level, Ultrasound monitoring of ovulation, endometrial curettage , etc.
Once luteal insufficiency is diagnosed, it is necessary to make up for what is lacking. Under the guidance of the inspection results and professional doctors, you can use stimulation of luteal function therapy, progesterone supplementation therapy , etc., under the internal and external treatment, to solve the root cause of the lesion .
2. Corpus luteum cyst
Women The normal corpus luteum formed after ovulation is generally about 1.5 cm , but due to malabsorption, continuous bleeding, etc., fluid accumulation in the corpus luteum cavity or blood retention in the rupture of the follicle wall will cause the corpus luteum to enlarge to about 2.5 centimeters. , called a corpus luteum cyst.
A corpus luteum cyst usually occurs after menstruation and manifests as unilateral ovarian enlargement , which is an irregular cystic mass, usually no more than 5 cm. Once ruptured, it will cause abdominal pain, peritoneum Symptoms such as irritation sign .
Female physiological corpus luteum cysts will disappear on their own as long as regular inspection and observation for 1-3 months , but during the examination, corpus luteum cysts should be carefully distinguished from corpus luteum tumors, and corpus luteum rupture and ectopic pregnancy rupture should also be carefully judge.
3. Rupture of the corpus luteum
Under normal circumstances, the corpus luteum is only 1-2 cm , but sometimes it unexpectedly grows to about 3 cm. After ovulation, about a week before menstruation, the corpus luteum "swells" due to the peak of blood flow, like a strut. For a large balloon, if suddenly increases the pelvic pressure under the action of strenuous exercise and impact, it will cause the corpus luteum to rupture.
When the corpus luteum ruptures in women, it will cause internal bleeding, and the blood will accumulate in the abdomen, which will stimulate the peritoneum, causing symptoms such as vomiting, nausea, abdominal pain, anal bulge, and defecation. In a small number of cases, under the influence of hormone levels, symptoms such as endometrial shedding and vaginal bleeding may also occur.
Most of the ruptures of the corpus luteum are relatively mild, and the rupture of small blood vessels will be stabilized by the body's own immunity and recovery ability.
But sometimes the corpus luteum rupture caused massive hemorrhage unexpectedly, and surgical treatment was required. Through laparoscopic minimally invasive surgery, after the blood was drained, suture was used to stop the bleeding, and the ovarian function was repaired and preserved. If the hemorrhage is not treated in time, it will also cause symptoms such as shock and anemia in the patient. In severe cases, open surgery is required.
It is recommended that women should pay attention to controlling their activities for 1 week before and after menstruation , it is best not to do strenuous exercise, and sex life should be moderate, it is best to avoid it to minimize the risk of corpus luteum rupture. In addition , regular physical examination and self-examination are also essential methods to prevent corpus luteum rupture.
4. Insufficient progesterone
Progesterone is a natural progesterone necessary for women during pregnancy. Once the level of progesterone is reduced or insufficient, it will cause a series of negative symptoms, such as: dysmenorrhea, menstruation Period disorders, excessive menstrual bleeding, and in severe cases may lead to bleeding.
If the normal menstrual period is normal in the short term, the menstrual period is advanced or delayed by 2-3 weeks , and the changes in hormone levels in the body should be considered, which may be related to insufficient progesterone levels.
If the quality of sleep decreases in the short term, night sweats, excessive dreams, insomnia and other conditions occur, after excluding factors such as insufficient blood gas and excessive pressure, the influence of insufficient progesterone can be considered. In addition, the effect of progesterone deficiency on hormone levels may also bring the risk of breast hyperplasia .
Women with insufficient progesterone can receive professional treatment in regular hospitals. Clinically, In vitro injection is generally used 6-8 days before menstruation, and food supplements can also be used, such as: Lemon, spinach , corn, celery and so on.
The mysterious organ of the corpus luteum is rarely known because of its special way of existence, but its importance cannot be ignored. Female friends must pay special attention to it, especially those who are trying to conceive, pay attention to regular physical examinations and check the state of the corpus luteum. In order to avoid fertility obstruction due to abnormal corpus luteum.
In addition, if you find symptoms, you must pay attention to them, check them in time, and actively treat them to protect your health.
The corpus luteum is a "special organ" that exists only in women, but it is strange that many girls have never heard of it, because it does not always exist, but only appears when women experience some special periods.
The corpus luteum refers to the collapse of the follicle wall in women after ovulation, causing the capillaries and connective tissue attached to the follicle to enter the granular layer. , and gland-like structure with secretory function. It is called the corpus luteum because it appears yellow when it is first formed.
The luteal body secretes an essential progesterone progesterone , which is involved in the complex changes of women's menstruation and pregnancy, and its role is mainly reflected in five aspects:
First, after a woman's menstrual period, progesterone can promote the growth of glands in the endometrium. During this process, uterine congestion and thickening of the endometrium will lay a solid foundation for the combination of eggs and fertilized eggs;
Second, progesterone can work with estrogen to promote breast development and help women produce milk;
Third, progesterone can also participate in the maternal immune system , addressing the risk that the embryo may be treated as a foreign body by the mother.
Fourth, progesterone can close the cervix , thus thickening the cervical mucus and preventing it from being penetrated by sperm.
Fifth, when the level of progesterone in women reaches a certain level, it can act on the hypothalamus and stimulate negative feedback, thereby reducing the ability of the pituitary gland to secrete gonadotropins. ".
Second, pay more attention to the four situations of the corpus luteum
The corpus luteum has a significant impact on women's fertility. While undertaking a mission, there are also certain risks. Attention should be paid to preventing possible lesions of the corpus luteum, especially the four diseases.
1. Luteal insufficiency
After ovulation, when the corpus luteum is formed, the secretion of progesterone is insufficient, which may affect the levels of progesterone and estrogen, indicating that there is a problem in its secretion function, which is medically called "luteal insufficiency".
Luteal insufficiency usually does not cause discomfort. Once it occurs, it may cause women menstrual shortening, frequent menstruation, infertility due to lack of progesterone in the maternal environment, and easy miscarriage symptoms.
The existence of the female corpus luteum is also limited. If the egg is successfully fertilized, it can exist 2-3 months . When the placenta is formed and can secrete estrogen and progesterone, the two functions alternate, and the corpus luteum also functions. Retired. But If the egg is not fertilized, it generally shrinks within 2 weeks and is replaced by connective tissue.
Women with luteal insufficiency can pass the self-examination, and measure the body temperature every morning , if the body temperature rises or falls for 9-10 consecutive days, pay attention, but this temperature change is about 0.3 degrees Celsius every day, it is difficult to aware.
Therefore, it is better to make a more reliable judgment through regular inspections in the hospital, such as: serum progesterone level, Ultrasound monitoring of ovulation, endometrial curettage , etc.
Once luteal insufficiency is diagnosed, it is necessary to make up for what is lacking. Under the guidance of the inspection results and professional doctors, you can use stimulation of luteal function therapy, progesterone supplementation therapy , etc., under the internal and external treatment, to solve the root cause of the lesion .
2. Corpus luteum cyst
Women The normal corpus luteum formed after ovulation is generally about 1.5 cm , but due to malabsorption, continuous bleeding, etc., fluid accumulation in the corpus luteum cavity or blood retention in the rupture of the follicle wall will cause the corpus luteum to enlarge to about 2.5 centimeters. , called a corpus luteum cyst.
A corpus luteum cyst usually occurs after menstruation and manifests as unilateral ovarian enlargement , which is an irregular cystic mass, usually no more than 5 cm. Once ruptured, it will cause abdominal pain, peritoneum Symptoms such as irritation sign .
Female physiological corpus luteum cysts will disappear on their own as long as regular inspection and observation for 1-3 months , but during the examination, corpus luteum cysts should be carefully distinguished from corpus luteum tumors, and corpus luteum rupture and ectopic pregnancy rupture should also be carefully judge.
3. Rupture of the corpus luteum
Under normal circumstances, the corpus luteum is only 1-2 cm , but sometimes it unexpectedly grows to about 3 cm. After ovulation, about a week before menstruation, the corpus luteum "swells" due to the peak of blood flow, like a strut. For a large balloon, if suddenly increases the pelvic pressure under the action of strenuous exercise and impact, it will cause the corpus luteum to rupture.
When the corpus luteum ruptures in women, it will cause internal bleeding, and the blood will accumulate in the abdomen, which will stimulate the peritoneum, causing symptoms such as vomiting, nausea, abdominal pain, anal bulge, and defecation. In a small number of cases, under the influence of hormone levels, symptoms such as endometrial shedding and vaginal bleeding may also occur.
Most of the ruptures of the corpus luteum are relatively mild, and the rupture of small blood vessels will be stabilized by the body's own immunity and recovery ability.
But sometimes the corpus luteum rupture caused massive hemorrhage unexpectedly, and surgical treatment was required. Through laparoscopic minimally invasive surgery, after the blood was drained, suture was used to stop the bleeding, and the ovarian function was repaired and preserved. If the hemorrhage is not treated in time, it will also cause symptoms such as shock and anemia in the patient. In severe cases, open surgery is required.
It is recommended that women should pay attention to controlling their activities for 1 week before and after menstruation , it is best not to do strenuous exercise, and sex life should be moderate, it is best to avoid it to minimize the risk of corpus luteum rupture. In addition , regular physical examination and self-examination are also essential methods to prevent corpus luteum rupture.
4. Insufficient progesterone
Progesterone is a natural progesterone necessary for women during pregnancy. Once the level of progesterone is reduced or insufficient, it will cause a series of negative symptoms, such as: dysmenorrhea, menstruation Period disorders, excessive menstrual bleeding, and in severe cases may lead to bleeding.
If the normal menstrual period is normal in the short term, the menstrual period is advanced or delayed by 2-3 weeks , and the changes in hormone levels in the body should be considered, which may be related to insufficient progesterone levels.
If the quality of sleep decreases in the short term, night sweats, excessive dreams, insomnia and other conditions occur, after excluding factors such as insufficient blood gas and excessive pressure, the influence of insufficient progesterone can be considered. In addition, the effect of progesterone deficiency on hormone levels may also bring the risk of breast hyperplasia .
Women with insufficient progesterone can receive professional treatment in regular hospitals. Clinically, In vitro injection is generally used 6-8 days before menstruation, and food supplements can also be used, such as: Lemon, spinach , corn, celery and so on.
The mysterious organ of the corpus luteum is rarely known because of its special way of existence, but its importance cannot be ignored. Female friends must pay special attention to it, especially those who are trying to conceive, pay attention to regular physical examinations and check the state of the corpus luteum. In order to avoid fertility obstruction due to abnormal corpus luteum.
In addition, if you find symptoms, you must pay attention to them, check them in time, and actively treat them to protect your health.
