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Here, 2 physicians dissect the data and offer an algorithm of assessment and treatment.

The luteal phase defect: the relative frequency of, and encouraging response to treatment with vaginal progesterone.

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Engman is a fellow in reproductive endocrinology and infertility, University of Connecticut School of Medicine, Farmington, Conn. Luciano is professor of obstetrics and gynecology, University of Connecticut School of Medicine, and director, Center for Fertility and Women’s Health, New Britain General Hospital, New Britain, Conn. Corpus luteum dysfunction: serum progesterone levels in diagnosis and assessment of therapy for recurrent and threatened abortion. Hormonal profile of the cycle in 68 normally menstruating women. The value of a single serum progesterone measurement in the midluteal phase as a criterion of a potentially fertile cycle (“ovulation”) derived from treated and untreated conception cycles. Evaluation of ovulation and corpus luteum function using measurements of plasma progesterone.

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