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Hormone levels in ovarian and menstrual cycles

The top panel of this image shows the stages in the follicular phase and how one follicle is selected at the end of this phase. The middle part of this image shows the ovarian cycle phases and the uterine cycle phases. The bottom panel shows the levels of different hormones as a function of time.
The correlation of the hormone levels and their effects on the female reproductive system is shown in this timeline of the ovarian and menstrual cycles. The menstrual cycle begins at day one with the start of menses. Ovulation occurs around day 14 of a 28-day cycle, triggered by the LH surge.

Proliferative phase

Once menstrual flow ceases, the endometrium begins to proliferate again, marking the beginning of the proliferative phase    of the menstrual cycle (see [link] ). It occurs when the granulosa and theca cells of the tertiary follicles begin to produce increased amounts of estrogen. These rising estrogen concentrations stimulate the endometrial lining to rebuild.

Recall that the high estrogen concentrations will eventually lead to a decrease in FSH as a result of negative feedback, resulting in atresia of all but one of the developing tertiary follicles. The switch to positive feedback—which occurs with the elevated estrogen production from the dominant follicle—then stimulates the LH surge that will trigger ovulation. In a typical 28-day menstrual cycle, ovulation occurs on day 14. Ovulation marks the end of the proliferative phase as well as the end of the follicular phase.

Secretory phase

In addition to prompting the LH surge, high estrogen levels increase the uterine tube contractions that facilitate the pick-up and transfer of the ovulated oocyte. High estrogen levels also slightly decrease the acidity of the vagina, making it more hospitable to sperm. In the ovary, the luteinization of the granulosa cells of the collapsed follicle forms the progesterone-producing corpus luteum, marking the beginning of the luteal phase of the ovarian cycle. In the uterus, progesterone from the corpus luteum begins the secretory phase    of the menstrual cycle, in which the endometrial lining prepares for implantation (see [link] ). Over the next 10 to 12 days, the endometrial glands secrete a fluid rich in glycogen. If fertilization has occurred, this fluid will nourish the ball of cells now developing from the zygote. At the same time, the spiral arteries develop to provide blood to the thickened stratum functionalis.

If no pregnancy occurs within approximately 10 to 12 days, the corpus luteum will degrade into the corpus albicans. Levels of both estrogen and progesterone will fall, and the endometrium will grow thinner. Prostaglandins will be secreted that cause constriction of the spiral arteries, reducing oxygen supply. The endometrial tissue will die, resulting in menses—or the first day of the next cycle.

Disorders of the… feature

Female reproductive system

Research over many years has confirmed that cervical cancer is most often caused by a sexually transmitted infection with human papillomavirus (HPV). There are over 100 related viruses in the HPV family, and the characteristics of each strain determine the outcome of the infection. In all cases, the virus enters body cells and uses its own genetic material to take over the host cell’s metabolic machinery and produce more virus particles.

HPV infections are common in both men and women. Indeed, a recent study determined that 42.5 percent of females had HPV at the time of testing. These women ranged in age from 14 to 59 years and differed in race, ethnicity, and number of sexual partners. Of note, the prevalence of HPV infection was 53.8 percent among women aged 20 to 24 years, the age group with the highest infection rate.

HPV strains are classified as high or low risk according to their potential to cause cancer. Though most HPV infections do not cause disease, the disruption of normal cellular functions in the low-risk forms of HPV can cause the male or female human host to develop genital warts. Often, the body is able to clear an HPV infection by normal immune responses within 2 years. However, the more serious, high-risk infection by certain types of HPV can result in cancer of the cervix ( [link] ). Infection with either of the cancer-causing variants HPV 16 or HPV 18 has been linked to more than 70 percent of all cervical cancer diagnoses. Although even these high-risk HPV strains can be cleared from the body over time, infections persist in some individuals. If this happens, the HPV infection can influence the cells of the cervix to develop precancerous changes.

Risk factors for cervical cancer include having unprotected sex; having multiple sexual partners; a first sexual experience at a younger age, when the cells of the cervix are not fully mature; failure to receive the HPV vaccine; a compromised immune system; and smoking. The risk of developing cervical cancer is doubled with cigarette smoking.

Development of cervical cancer

The left panel shows cell cycle. An arrow from the G2 phase leads to the right panel. The top half of the right panel describes the next steps in the absence of HPV and the bottom half describes the next steps in the presence of HPV.
In most cases, cells infected with the HPV virus heal on their own. In some cases, however, the virus continues to spread and becomes an invasive cancer.

When the high-risk types of HPV enter a cell, two viral proteins are used to neutralize proteins that the host cells use as checkpoints in the cell cycle. The best studied of these proteins is p53. In a normal cell, p53 detects DNA damage in the cell’s genome and either halts the progression of the cell cycle—allowing time for DNA repair to occur—or initiates apoptosis. Both of these processes prevent the accumulation of mutations in a cell’s genome. High-risk HPV can neutralize p53, keeping the cell in a state in which fast growth is possible and impairing apoptosis, allowing mutations to accumulate in the cellular DNA.

The prevalence of cervical cancer in the United States is very low because of regular screening exams called pap smears. Pap smears sample cells of the cervix, allowing the detection of abnormal cells. If pre-cancerous cells are detected, there are several highly effective techniques that are currently in use to remove them before they pose a danger. However, women in developing countries often do not have access to regular pap smears. As a result, these women account for as many as 80 percent of the cases of cervical cancer worldwide.

In 2006, the first vaccine against the high-risk types of HPV was approved. There are now two HPV vaccines available: Gardasil ® and Cervarix ® . Whereas these vaccines were initially only targeted for women, because HPV is sexually transmitted, both men and women require vaccination for this approach to achieve its maximum efficacy. A recent study suggests that the HPV vaccine has cut the rates of HPV infection by the four targeted strains at least in half. Unfortunately, the high cost of manufacturing the vaccine is currently limiting access to many women worldwide.

Questions & Answers

demand and supply rules
jamac Reply
compative demand and supply
jamac
compare demand and supply
jamac
what are simple epithelial tissues
Ushie Reply
is a type of tissue which covers the external and internal part of the body
Fatou
more information would be better understanding.
Tasha
what is platelets
Lilian Reply
platelet is also known as thrombocyte.thrombo means clot.it is a formed element of blood formed from fragment of megakaryocyte surrounded by plasma membrane in the redbone marow
Adeyemo
what is diabetes insipidus
namrata Reply
it is an infection due to less or no secretion of ADH characterized by excretion of dilute urine
Meshack
Infection? I don't think any form of diabetes, whether it's mellitus or insipidus, is caused by an infection.
Matias
ya
Akanyijuka
it is the disorder of salt & water metabolism
Emma
diabetes inspidus is a condition were the liver can't produce insulin to convert the excess sugar to glycogen.
mangs
sorry that is for diabetes mellitus
mangs
what is septal cartilage
Arthur Reply
I don't understand please
Esther Reply
hey
Austine
good evening boss
Austine
Evening
Esther
good evening
Melissa
evening
Vitus
hi
Rodgers
good morning
Aurelia
hello
Helsa
you guys are from ?
Aurelia
Philippines
Helsa
im from india
Aurelia
Hello
Amos
why
Sami
wat
Rodgers
what's that
Gift
what's the medulla?
alhussiney Reply
The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum
Ludmila
define bone in simple terms
Mhoses Reply
bones are made up by collagen and calcium phosphate
Aurelia
yes
Confidence
Bones are the hard large calcareous connective tissue of which the adult skeleton of most vertebrates is chiefly composed
Olalekan
Bone is the substance that forms skeleton
Frances
good morning
Mrinal
Skelton muscles is any disorder of calcium
Mrinal
Bones protect the various organs of the body
Celina
Bone is a hard strong and durable type of connective tissue
Bkv
bone is a hard, calcareous connective tissue which gives structural support to the body and helpless in its locomotion!
Divya
It also is the main site for synthesis of the RBCs
Divya
thanks for your answers
Mhoses
A diagram of epithelial tissue
Emmanuel Reply
What does the urinary regulate blood pressure
Jennifer Reply
functions of melatonin
marion Reply
d. inversely proportional
John Reply
Airway resistance in the human lung is? a. Greatest in the generation of distal bronchioles in healthy people because these airways have the smallest radii b. Not increased during a forced expiration in a healthy subject c. Decreased when breathing through the mouth d. Inversely proportional
Maryam Reply
1. Chemical level 2. Cellular level 3.Tissue level 4. Organ level 5.Organ system level 5.Organismal level
Jamela Reply
d
HMD
High
HMD
hlw
Maryam
------is not a content of femoral canal? a. Fatty tissue b. Femoral nerve c. Lymph vessels d. Lymph node
Maryam
a
Alhassan
why there is bleeding in menstruation?
KUHELI Reply
menopause
Vasu
no
KUHELI
no one ready to help me
Maryam
skin
The following hormones increase the blood glucose level except_____________? a. Parathormone b. Growth Hormone c. Epinephrine d. Thyroxine
Maryam
c.epinephrine
Divya
Which of the following is NOT a characteristic feature of alveoli in the lung? a. Poor blood supply b. A large surface area c. Thin walls d. Chemical layer called surfactant
Maryam
a.poor blood supply
Divya
poor blood supply
Tanvi
Excess of cortisol causes______________? a. Acromegaly b. Conn’s syndrome c. Diabetes insipidus d. Cushing syndrome
Maryam
plz fast
Maryam
cushing syndrome
Tanvi
thank you
Maryam
Airway resistance in the human lung is? a. Greatest in the generation of distal bronchioles in healthy people because these airways have the smallest radii b. Not increased during a forced expiration in a healthy subject c. Decreased when breathing through the mouth d. Inversely proportional
Maryam
what happens to the brain when one cannot sleep
aghedo
it means melatonin is not released enough to make u fall asleep or there is a disturbance or destruction for melatonin to be released on time
Mhoses

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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