Female Reproductive System 2: Regulation of the Ovarian Cycle

Hormones

Oestrogens are responsible for female secondary sexual characteristics and bone and muscle growth. Oestrogens influence the production of cervical mucus and the structure of the vaginal epithelium. This encourages growth of bacteria, which are responsible for the acidity of the vaginal fluid. Estrogens cause the proliferation of the uterine endometrium, encourage fluid retention and inhibit FSH. Estradiol is the main oestrogen, although others include estrange and estriol.

Progesterone only acts on tissues which have been previously acted on by oestrogen. Progesterone causes endometrial growth, secretory changes in the lining of the uterus and causes the body temperature to rise half a degree after ovulation.

Follicle stimulating hormone increases follicle development and stimulates inhibit and oestrogen secretion. Before day 10 of the ovarian cycle, the secretion of oestrogen inhibits the secretion of LH. However, after day 10, oestrogen stimulates the release of luteinizing hormone from the anterior pituitary gland, stimulating meiosis 1, ovulation and corpus luteum formation. The secretion of both oestrogens and luteinizing hormone stimulates progesterone secretion, reading the endometrium for implantation.

How do hormones affect the ovarian cycle?

  1. On day one, GnRH (gonadotrophin releasing hormone) from the hypothalamus stimulates the production and secretion of follicle stimulating hormone, as well as the secretion of luteinizing hormone (from the pituitary glands). Different pulses of GnRH cause the production of these hormones. FSH stimulates the beginning of development of the follicle (follicular phase).
  2. The follicular cells (theca and granulosa cells) produce oestrogens.
  3. Low oestrogen levels from the developing follicle inhibits the release of luteinizing hormone.
  4. As the secondary follicle develops, follicle stimulating hormone is inhibited through inhibin release (negative feedback).
  5. As the follicle grows, more oestrogen is released.
  6. On day 10, oestrogen release increases. This stimulates the release of LH.
  7. Day 14 is when ovulation occurs, involving a sudden surge of LH which triggers the completion of meiosis 1. The follicle wall ruptures and the oocyte is released into the fallopian tube.
  8. The luteal phase begins where LH causes the secretion of progesterone and the formation of the corpus luteum.
  9. GnRH pulses begin to stimulate the release of more LH than FSH, maintaining the structure of the corpus luteum and building the endometrial wall.
  10. As progesterone levels rise, oestrogen levels fall slightly. Progesterone is the primary hormone of the luteal phase and continues preparation of the uterus for pregnancy, enhancing its blood supply.
  11. If no pregnancy occurs, the corpus luteum degenerates. Progesterone and oestrogen levels fall.

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