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Exercises · 2.17

Q.What is menstrual cycle? Which hormones regulate menstrual cycle?

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The menstrual cycle is a monthly reproductive cycle in primate females, regulated by a complex interplay of hormones from the hypothalamus, pituitary gland, and ovaries, preparing the uterus for potential pregnancy.

The menstrual cycle is a recurring series of physiological changes that occur in fertile females of primates, including humans, to prepare the body for a potential pregnancy. This cycle typically spans about 28 to 29 days, though variations are common. It commences at puberty, a stage known as menarche, and ceases around 50 years of age, a phase termed menopause. The most noticeable event of this cycle is menstruation, the monthly shedding of the uterine lining, which marks the beginning of a new cycle.

The entire cycle can be broadly divided into four main phases, each characterized by specific changes in the ovary and uterus:

  • Menstrual Phase: This phase lasts for about 3-5 days. It involves the breakdown of the endometrial lining of the uterus and its blood vessels, leading to bleeding that flows out through the vagina. This occurs when the ovum is not fertilised.
  • Follicular (Proliferative) Phase: Following menstruation, this phase typically lasts from day 6 to day 13. During this time, the primary follicles in the ovary grow and mature into a fully developed Graafian follicle. Simultaneously, the uterine endometrium regenerates and proliferates due to the influence of ovarian hormones.
  • Ovulatory Phase: This is a very short phase, usually occurring around the middle of the cycle, typically on day 14 in a 28-day cycle. It is marked by the rupture of the mature Graafian follicle and the release of the ovum (ovulation).
  • Luteal (Secretory) Phase: This phase spans from day 15 to day 28. After ovulation, the remaining parts of the Graafian follicle transform into a yellow structure called the corpus luteum. The corpus luteum secretes large amounts of progesterone, which is crucial for maintaining the uterine endometrium, making it ready for the implantation of a fertilised ovum. If pregnancy does not occur, the corpus luteum degenerates, leading to the breakdown of the endometrium and the onset of the next menstrual cycle.

The intricate orchestration of the menstrual cycle is governed by a sophisticated interplay of hormones originating from three key endocrine glands: the hypothalamus, the pituitary gland, and the ovaries.

  • Gonadotropin-Releasing Hormone (GnRH): The cycle begins with the hypothalamus, a part of the brain, secreting GnRH. This hormone acts on the anterior pituitary gland, stimulating it to release two crucial gonadotropins.

  • Follicle-Stimulating Hormone (FSH): Released by the anterior pituitary, FSH primarily acts on the ovarian follicles. It stimulates the growth and development of several primary follicles into mature Graafian follicles during the follicular phase. As these follicles grow, they begin to secrete estrogens.

  • Luteinizing Hormone (LH): Also secreted by the anterior pituitary, LH plays a critical role, particularly around the middle of the cycle.

    • During the follicular phase, both FSH and LH levels gradually increase, stimulating follicular development and estrogen secretion.
    • As estrogen levels rise, they exert a positive feedback effect on the pituitary, leading to a rapid surge in LH secretion, known as the LH surge, around day 14. This LH surge is the primary trigger for ovulation, causing the Graafian follicle to rupture and release the ovum.
    • After ovulation, LH is also responsible for the formation of the corpus luteum from the remnants of the Graafian follicle. It then stimulates the corpus luteum to secrete progesterone.
  • Estrogens: These are primarily secreted by the growing ovarian follicles.

    • During the follicular phase, rising estrogen levels stimulate the proliferation and repair of the uterine endometrium, preparing it for potential implantation. …

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