Abnormalities in progesterone levels are found in many women with infertility. In fact, studies show that progesterone may be two times lower in women with repeated loss of pregnancy compared to fertile women. Additionally, progesterone was 200 times higher in the endometrium of fertile women compared to the women with difficulty maintaining a pregnancy.25 Natural progesterone supplementation, either intramuscularly or vaginally, is often used to support luteal phase defects and infertility in women.26
Table 14-2. Selected Botanicals and Applications for Enhancing Female Fertilitya
Herbs or Preparations Use for Addressing
Puncture vine (Tribulus terrestris) Anovulatory cycles
Chasteberry (Vitex agnus-castus) Luteal-phase defects
Zhibai Dihuang Presence of anti-zona pellucida antibodies aOnce a woman becomes pregnant, she should be warned to discontinue these botanical medications
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