Our expert says:
Premature lutenisation of the follicle is extremely difficult to diagnose and confirm. However it remains a possibility in many cases of infertility of unexplained origin.
Occasionally an ultrasound scan done at the time of expected ovulation may assist greatly in making this diagnosis. However progesterone levels are of little value in excluding or confirming LUFS.
In our practice we sometimes avoid LUFS by triggering ovulation and just prior to expected rupture of the follicle we needle the follicles so as to release the egg and then allow either natural intercourse to occur or to continue with intrauterine insemination if so desired.
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