The menstrual cycle, approximately 28 days long, is regulated by the interplay of pituitary and ovarian hormones, leading to cyclical changes in the ovary and uterus:
1. Follicular Phase (Ovary) / Menstrual and Proliferative Phase (Uterus):
- Pituitary Hormones: FSH stimulates follicular development in the ovary.
- Ovarian Hormones: Developing follicles produce increasing levels of estrogen.
- Ovary Changes: Primary follicles mature into Graafian follicles.
- Uterus Changes: Low hormone levels cause menstruation (shedding of the endometrium). Estrogen then promotes the proliferation and thickening of the endometrium.
2. Ovulatory Phase (Ovary) / End of Proliferative Phase (Uterus):
- Pituitary Hormones: A surge in LH triggers ovulation.
- Ovary Changes: Release of the ovum from the Graafian follicle.
- Uterus Changes: Endometrium continues to thicken due to estrogen.
3. Luteal Phase (Ovary) / Secretory Phase (Uterus):
- Pituitary Hormones: LH maintains the corpus luteum.
- Ovarian Hormones: Corpus luteum secretes progesterone and estrogen.
- Ovary Changes: Formation and maintenance (or degeneration) of the corpus luteum.
- Uterus Changes: Progesterone promotes the secretory phase of the endometrium, making it receptive for implantation. If no fertilization occurs, the corpus luteum degenerates, hormone levels drop, and menstruation begins again.