We apply the in-in formalism to address the question of whether the size of the one-loop spectrum of curvature fluctuations in ultra-slow-roll inflation models designed for producing a large population of primordial black holes implies a breakdown of perturbation theory. We consider a simplified piece-wise description of inflation, in which the ultra-slow-roll phase is preceded and followed by slow-roll phases linked by transitional periods. We work in the δϕ-gauge, including all relevant cubic and quartic interactions and the necessary counterterms to renormalize the ultraviolet divergences, regularized by a cutoff. The ratio of the one-loop to the tree-level contributions to the spectrum of curvature perturbations is controlled by the duration of the ultra-slow-roll phase and of the transitions. Our results indicate that perturbation theory does not necessarily break in well-known models proposed to account for all the dark matter in the form of primordial black holes.
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