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• 5th to 14th day.
• Initially:-
Low Estrogen, Progesterone and Inhibin.
High FSH.
• So Estrogen level rises.
• By negative feedback mechanism FSH
• Low FSH will cause Atresia of small
follicles but one follicle (Dominant
Follicle) will reach to its maximum size of
20 mm.
• Starts on Day 14
• Steady rise in Estrogen level.
• Results in Estrogen burst which causes
LH surge.(24 to 36 hours)
• Causes LH induced Leutinization of
granulosa cells.
• Progesterone.
Androgens increases,
which increases Libido.
Breakdown of follicular
wall
Under the influence of
LH, FSH
and proteolytic
enzymes.
• 14th day.
• After the release of ovum in previous
phase now Corpus Lutuem forms.
• Causes Progesterone dominance.
•5th-13th day.
•Under the effect of Estrogen
there is glandular and stromal
growth .
•Endometrial thickness increases
from 0.5 mm to 3.5 mm.
•13th to 28th day.
•Endometrial glands tortuous.
•Spiral arteries grow.
•Formation of decidua.
•Is under the effect of
Progesteron.
• Occurs on Day-1
• Shedding of dead endometrium.
• Withdrawal of Progesterone.
• Loss of tissue fluid.
• Vasoconstriction of Spiral arteriole.
• Distal ischemia.
• Bleeding ceases after 5-10 days.
Thanks

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Menstrual cycle

  • 1.
  • 2.
  • 3.
  • 4.
  • 5. • 5th to 14th day. • Initially:- Low Estrogen, Progesterone and Inhibin. High FSH.
  • 6. • So Estrogen level rises. • By negative feedback mechanism FSH • Low FSH will cause Atresia of small follicles but one follicle (Dominant Follicle) will reach to its maximum size of 20 mm.
  • 7.
  • 8. • Starts on Day 14 • Steady rise in Estrogen level. • Results in Estrogen burst which causes LH surge.(24 to 36 hours) • Causes LH induced Leutinization of granulosa cells. • Progesterone.
  • 9. Androgens increases, which increases Libido. Breakdown of follicular wall Under the influence of LH, FSH and proteolytic enzymes.
  • 10.
  • 11. • 14th day. • After the release of ovum in previous phase now Corpus Lutuem forms. • Causes Progesterone dominance.
  • 12.
  • 13. •5th-13th day. •Under the effect of Estrogen there is glandular and stromal growth . •Endometrial thickness increases from 0.5 mm to 3.5 mm.
  • 14.
  • 15. •13th to 28th day. •Endometrial glands tortuous. •Spiral arteries grow. •Formation of decidua. •Is under the effect of Progesteron.
  • 16.
  • 17. • Occurs on Day-1 • Shedding of dead endometrium. • Withdrawal of Progesterone. • Loss of tissue fluid. • Vasoconstriction of Spiral arteriole. • Distal ischemia. • Bleeding ceases after 5-10 days.
  • 18.
  • 19.