History A 36 year woman with 10 year primary infertility was referred by her infertility specialist for and ultrasound. At present she has 1-year data of her gyn and endocrine state. The diagnosis is luteal deficiency.
Menstruations are moderately irregular.
The 1 phase is normal according to the ordinary functional tests, both mucus and vaginal cells in favor of sufficient estrogenic ovarian function. The first time I saw the lady was near in the middle of her cycle, in the summer . She was on clomid typical dosage with bilateral ovarian response of 3- 4 ripe follicles in either ovary. All would have been within the plan had there not have been an endometrial structure I had never seen before. Among all signs of imminent ovulation endometrium remained definitely out of the general picture.