Menstrual Cycle and Ovulation

Jul 4, 2024

Menstrual Cycle and Ovulation

Introduction

  • Discussing the menstrual cycle stages and changes before and after ovulation.
  • Events described as pre-ovulatory (before ovulation) and post-ovulatory (after ovulation).
  • Importance of ovary and changes in follicle development, and changes in the uterus.

Follicular Development

  • Starting with primordial follicles which develop into primary follicles.
  • Primary oocyte in follicles is arrested in diplotene stage (prophase I of meiosis).
  • Single layer of small cells called follicular cells surrounds the oocyte.

From Primary to Secondary Follicle

  • Primordial follicle develops into primary follicle.
  • Secondary follicle forms as multiple layers of granulosa cells surround the oocyte.
  • Formation of glycoprotein layer called zona pellucida between oocyte and granulosa cells.
  • Theca cells form outside the granulosa cells.

Formation of Tertiary Follicle

  • Secondary follicle evolves into tertiary (vesicular) follicle with an antrum cavity filled with fluid.
  • Granulosa cells support the oocyte and produce estrogen from androgen (from theca cells).
  • Formation of cumulus oophorus (group of cells suspending the oocyte) and increase in theca cells around the follicle.

Hormonal Control and Regulation

  • FSH (Follicle-Stimulating Hormone): Initiates development of the follicles.
  • LH (Luteinizing Hormone): Works with FSH for follicular growth and maturation.
  • Estrogen: Produced by granulosa cells, essential for the proliferation of endometrium in the uterus.
  • Inhibin: Produced by granulosa cells, negatively regulates FSH levels.

Pre-Ovulation Events

  • Follicular phase includes the development of follicles from primary to Graafian follicle generally from day 6 to day 14 in the cycle.
  • Increased estrogen produced by developing follicles leads to a negative feedback on FSH and LH initially.
  • Dramatic change near ovulation causes a surge in LH (known as LH surge) due to positive feedback from high estrogen levels.
  • LH surge results in completion of meiosis-I in the oocyte and start of meiosis-II, leading to the formation of a secondary oocyte and the first polar body.

Endometrial Changes

  • Estrogen stimulates the regeneration and proliferation of endometrium which thinned during menstrual flow.
  • This phase is termed as proliferative phase of the menstrual cycle.

Ovulatory and Luteal Phases

  • Post-ovulation changes will be detailed in the next lecture.
  • LH surge triggers ovulation, the release of the secondary oocyte from the Graafian follicle.
  • Post-ovulation follicle transforms into corpus luteum, producing progesterone for the maintenance of the endometrium.

Conclusion

  • Understanding of follicle development, hormonal changes, and preparation of the uterus in the menstrual cycle.
  • Next session to explore post-ovulatory events and the role of corpus luteum.

Key Terms for Review

  • Primordial Follicle
  • Primary Follicle
  • Secondary Follicle
  • Tertiary (Vesicular) Follicle
  • Graafian Follicle
  • Zona Pellucida
  • Granulosa Cells
  • Theca Cells
  • FSH & LH
  • Estrogen & Inhibin
  • Proliferative Phase
  • LH Surge
  • Corpus Luteum