The menstrual cycle involves the thickening and shedding of the uterine lining each month from puberty to menopause except when pregnant. It occurs in phases regulated by hormones from the pituitary gland and ovaries. In the follicular phase, follicle stimulating hormone (FSH) causes follicle development and estrogen release, thickening the uterine lining. Near ovulation, luteinizing hormone (LH) triggers follicle rupture and egg release. If no fertilization, progesterone levels fall and menstruation begins as the lining is shed. Fertilization usually occurs in the fallopian tubes as an egg fuses with sperm. The fertilized egg may then implant in the uterine lining during the luteal phase if pregnancy occurs.