Ovarian and Menstrual Cycles

Secondary 3

  • The ovarian cycle is a series of changes that the ovaries undergo. The purpose of the ovarian cycle is the release of an oocyte ready for fertilization.

  • The menstrual cycle, also called uterine cycle, is a series of changes that the uterus undergoes. The purpose of the menstrual cycle is to prepare the uterus for the implantation of an embryo.

The ovarian and menstrual cycles are distinct but related. The cycles occur at the same time. The first day of the ovarian cycle corresponds to the first day of the menstrual cycle.

On average, the ovarian and menstrual cycles last 28 days, but they can range from 20 to 40 days.

Structures and Hormones Involved in the Ovarian and Menstrual Cycles

The pituitary gland, ovaries, ovarian follicle, oocyte, corpus luteum and endometrium are involved in the ovarian and/or menstrual cycles.

The pituitary gland, located in the brain, and the ovaries and endometrium, located in the female reproductive system, are structures involved in the ovarian and menstrual cycles.

Pituitary gland, endometrium and ovary

The oocyte is composed of a nucleus, cytoplasm and cell membrane. The ovarian follicle is a layer of small cells surrounding the oocyte.

The oocyte in its ovarian follicle

The corpus luteum is a small yellow mass with a slightly darker centre.

Corpus luteum

Structures Description
Pituitary gland The pituitary gland is a small gland located at the base of the brain. It secretes several hormones including the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH).
Ovaries Ovaries are the glands of the female reproductive system. The steps of the ovarian cycle usually take place in one ovary at a time.
Oocyte An oocyte is an immature female gamete. It is one of the stages in ovum development.
Ovarian follicle The ovarian follicle is a cell mass that protects and nourishes the oocyte. As it grows in the ovary, the ovarian follicle secretes estrogen.
Corpus luteum The corpus luteum (pl. corpora lutea) is a small gland that forms from the cells of the ruptured ovarian follicle after ovulation. The corpus luteum is located in the ovary and secretes progesterone and some estrogen.
Endometrium The endometrium is a tissue rich in blood vessels. It covers the inner lining of the uterus. If fertilization occurs, this is where the embryo implants.

The processes of the ovarian and menstrual cycles are caused by the action of FSH, LH, estrogen and progesterone.

Hormones in the Ovarian Cycle

  • The follicle-stimulating hormone (FSH) enables the growth of the ovarian follicle.

  • The luteinizing hormone (LH) enables the growth of the ovarian follicle, ovulation and healing of the corpus luteum.

  • Estrogen enables the regulation of FSH and LH.

Hormones in the Menstrual Cycle

  • Estrogen and progesterone enable the thickening and preservation of the endometrium.

The Relationship Between the Ovarian and Menstrual Cycles

The following graph shows the variation in the levels of FSH, LH, estrogen and progesterone over 28 days when the produced oocyte is not fertilized. The corresponding phases of the menstrual and ovarian cycles are identified below the graph.

The ovarian cycle can be broken down into the follicular phase (days 1 to 14) and the luteal phase (days 15 to 28). The menstrual cycle can be broken down into the menstrual phase (days 1 to 5), proliferation phase (days 6 to 14) and secretory phase (days 15 to 28). Ovulation occurs around day 14.

Based on a 28-day cycle, the highest level of FSH and LH is around day 14. The level of estrogen first peaks at the end of the follicular phase (proliferation phase of the menstrual cycle) and again during the luteal phase (secretory phase of the menstrual cycle). The level of progesterone peaks during the luteal phase (secretory phase of the menstrual cycle).

The following concept map relates the ovarian cycle to the menstrual cycle. It outlines the main changes in the pituitary gland, one of the two ovaries and the uterus.

The pituitary gland, one of the ovaries and the uterus undergo a series of changes during the ovarian and menstrual cycles.

The Ovarian Cycle

During the ovarian cycle, one of the two ovaries undergoes several changes. First, an ovarian follicle grows and an oocyte matures inside it. When it is ready, the ovarian follicle ruptures and the mature oocyte is released towards the fallopian tube. Eventually, the remaining ovarian follicle becomes the corpus luteum. If the egg is not fertilized, the corpus luteum disintegrates and a new cycle begins. However, if the oocyte is fertilized, pregnancy begins. In this case, the corpus luteum remains for a few weeks.

 

The Follicular Phase

Based on a 28-day ovarian cycle, the follicular phase, also known as the preovulatory phase, generally corresponds to days 1 to 14.

During the follicular phase, the pituitary gland secretes FSH and LH to stimulate the growth of the ovarian follicle and the maturation of an oocyte.

As the ovarian follicle grows, it secretes more and more estrogen.  

The ovarian follicle is growing under the effects of FSH and LH.

The follicular phase

The increase in estrogen levels leads to a temporary decrease in FSH and LH levels.

By the end of the follicular phase, the ovarian follicle forms a bump on the surface of the ovary.

The ovarian follicle reaches its maximum size and forms a bump on the surface of the ovary.

The end of the follicular phase.

Ovulation

Ovulation is the release of a mature oocyte from the ovary towards the fallopian tube.

Based on a 28-day ovarian cycle, ovulation usually occurs around day 14.

When estrogen levels reach a certain point, FSH and LH levels peak: they rise drastically and then suddenly drop. This is called the hormonal surge. This rapid hormonal change strains the ovarian follicle, eventually causing it to rupture and release the oocyte towards the fallopian tube.

The ovarian follicle is ruptured and the oocyte is released towards the fallopian tube.

Ovulation

Find out more!

The fertility period refers to the days in the cycle when successful fertilization of an oocyte by a spermatozoon is most likely. This period depends on the lifespan of the spermatozoon released into the female reproductive system, as well as the lifespan of the oocyte released towards the fallopian tube. The fertility period lasts approximately 5 days.

  • Since spermatozoa can survive for about 72 hours (sometimes up to 120 hours), the fertility period starts approximately 3 days before ovulation.

  • Since the oocyte can survive for about 24 hours, the fertility period ends approximately 1 day after ovulation.

The following table describes the likely fertility period based on the duration of the ovarian cycle.

Cycle duration Ovulation day Likely fertility period
21 days Day 7 Days 4 to 8
28 days Day 14 Days 11 to 15
35 days Day 21 Days 18 to 22

Be careful!

The fertility period varies greatly from person to person and from cycle to cycle. Tracking cycles and fertility periods should not be used as the sole method of contraception.

The Luteal Phase

Based on a 28-day ovarian cycle, the luteal phase, also known as the postovulatory phase, generally corresponds to days 15 to 28.

During the luteal phase, the cells of the ruptured ovarian follicle form a small gland, called corpus luteum. The corpus luteum secretes progesterone, a key hormone of the menstrual cycle, and some estrogen.

During this phase, the very low levels of FSH and LH prevent the growth of other ovarian follicles.

Corpus luteum only remains in the ovary temporarily. If the oocyte released during ovulation is not fertilized, the corpus luteum disintegrates after approximately 10 days due to the very low FSH and LH levels.

However, if the oocyte is fertilized, the corpus luteum remains active during the first weeks of the pregnancy.

The cells of the ruptured ovarian follicle form a small yellow mass.

Corpus luteum during the luteal phase.

The Menstrual Cycle

During the menstrual cycle, the uterus undergoes a number of changes. First, the outer layer of the endometrium breaks down and flows out through the vagina. Then, the endometrium rebuilds itself by thickening more and more. By the end of the menstrual cycle, the endometrium is thick and full of blood vessels that supply it with blood and nutrients. It is ready to receive an embryo.

 

The Menstrual Phase

Based on a 28-day menstrual cycle, the menstrual phase usually corresponds to days 1 to 5.

During the menstrual phase, estrogen and progesterone levels are at their lowest. This leads to the breakdown of the surface layer of the endometrium. This layer contains, among other things, epithelial tissue, blood vessels and blood. This is called menses.

The muscle contractions force the menses out of the uterus. They leave the body by flowing out through the vagina.

Blood, mixed with disintegrating endometrial tissue, flows from the uterus through the vagina.

The menstrual phase

The Proliferation Phase

Based on a 28-day menstrual cycle, the proliferation phase generally corresponds to days 6 to 14.

During the proliferation phase, the endometrium is rebuilt under the effects of estrogen secreted by the growing ovarian follicle. The endometrium thickens and new blood vessels form.

The endometrium is thickening.

The proliferation phase

The Secretory Phase

Based on a 28-day menstrual cycle, the secretory phase generally corresponds to days 15 to 28.

During the secretory phase, the endometrium prepares to receive an embryo. Under the effects of the progesterone secreted by the corpus luteum, the endometrium produces a fluid rich in nutrients for the potential embryo.

When fertilization does not occur, the very low LH level leads to the loss of the corpus luteum and simultaneous decrease in estrogen and progesterone levels. The thickening of the endometrium stops. The blood vessels of the endometrium contract and stop supplying it with nutrients and oxygen (O2). This marks the end of this menstrual cycle and the beginning of a new cycle (return to the menstrual phase).

The endometrium reaches the maximum thickness.

The secretory phase

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Ovarian and Menstrual Cycles

Science and Technology SecondaryNaN