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Q.Describe the phases of menstrual cycle and their hormonal control.

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The 28-day menstrual cycle has four phases — menstrual, proliferative, ovulatory and secretory — driven respectively by falling progesterone/estrogen, rising FSH/estrogen, an LH surge, and corpus-luteum progesterone.

Step 1. Menstrual phase (days 1–5). The cycle begins with menses — loss of blood (45–100 ml) as the endometrium breaks down, triggered by prostaglandins released when progesterone and estrogen levels fall; the unfertilized egg from the last cycle is shed along with this discharge. Meanwhile, FSH stimulates several primordial follicles to begin developing.

Step 2. Proliferative (follicular) phase (roughly days 5–13). Under continued FSH stimulation (itself triggered by hypothalamic GnRH), one of several developing secondary follicles matures into a Graafian follicle while the others degenerate (atresia). The maturing follicle secretes rising levels of estrogen, which regenerates the endometrium (to 3–5 mm) by stimulating new blood vessels and uterine glands.

Step 3. Ovulatory phase (around day 14). A sharp surge in LH, driven by positive feedback from high estrogen, causes the mature Graafian follicle to rupture, releasing the secondary oocyte into the pelvic cavity — this is ovulation, the shortest phase of the cycle.

Step 4. Secretory (luteal) phase (days 15–28). Under continued LH, the ruptured follicle's remaining tissue transforms into the corpus luteum, which secretes progesterone (plus some estrogen and inhibin); progesterone thickens and vascularises the endometrium (to 8–10 mm) in preparation for a possible implantation, while inhibin suppresses further FSH release. If fertilization and implantation occur, the embryo's hCG rescues the corpus luteum; if not, it degenerates into the corpus albicans, hormone levels fall, and the next menstrual phase begins.

✓Final answer

The cycle's four phases — menstrual (endometrial shedding), proliferative (follicle maturation + estrogen-driven endometrial regrowth), ovulatory (LH-surge-triggered egg release) and secretory (progesterone from the corpus luteum readying the endometrium) — are controlled in sequence by FSH, estrogen, the LH surge, and progesterone/inhibin respectively.

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