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Based on what your doctor told you, you may have a condition called luteinizing hormone deficiency.

Luteinizing hormone (LH) deficiency is an uncommon condition that almost always occurs in conjunction with follicle-stimulating hormone (FSH) deficiency because LH and FSH are secreted by the same pituitary gonadotrope cells.

Ovulation occurs when a mature egg is released from the ovary, pushed down the fallopian tube, and is available to be fertilized.

When your menstrual cycle begins, your estrogen levels are low. Your hypothalamus (which is in charge of maintaining your hormone levels) sends out a message to your pituitary gland which then sends out the follicle stimulating hormone (FSH). This FSH triggers a few of your follicles to develop into mature eggs. One of these will develop into the dominant follicle, which will release a mature egg and the others will disintegrate. As the follicles mature they send out another hormone, estrogen. The high levels of estrogen will tell the hypothalamus and pituitary gland that there is a mature egg.

A luteinizing hormone (LH) is then released, referred to as your LH surge. The LH surge causes the egg to burst through the ovary wall within 24-36 hours and begin its journey down the fallopian tube for fertilization.

Treatment (if you want to get pregnant) involves ovulation induction with injectable gonadotropins.

You may need to be evaluated and treated by an infertility specialist. Ask your doctor for a recommendation or referral.

Maryann

October 27, 2011 - 4:23pm

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