Which hormone initiates ovulation




















Around the time of ovulation, some women feel a dull pain on one side of the lower abdomen. This pain is known as mittelschmerz literally, middle pain. The pain may last for a few minutes to a few hours. The pain is usually felt on the same side as the ovary that released the egg, but the precise cause of the pain is unknown. The pain may precede or follow the rupture of the follicle and may not occur in all cycles.

Egg release does not alternate between the two ovaries and appears to be random. If one ovary is removed, the remaining ovary releases an egg every month. The luteal phase begins after ovulation. It lasts about 14 days unless fertilization occurs and ends just before a menstrual period. In this phase, the ruptured follicle closes after releasing the egg and forms a structure called a corpus luteum, which produces increasing quantities of progesterone.

The progesterone produced by the corpus luteum does the following:. Causes the endometrium to thicken, filling with fluids and nutrients to nourish a potential embryo. Causes the mucus in the cervix to thicken, so that sperm or bacteria are less likely to enter the uterus. Causes body temperature to increase slightly during the luteal phase and remain elevated until a menstrual period begins this increase in temperature can be used to estimate whether ovulation has occurred Overview of Infertility Infertility is usually defined as the inability of a couple to achieve a pregnancy after repeated intercourse without contraception for 1 year.

Frequent intercourse without birth control usually During most of the luteal phase, the estrogen level is high. Estrogen also stimulates the endometrium to thicken. The increase in estrogen and progesterone levels causes milk ducts in the breasts to widen dilate. As a result, the breasts may swell and become tender. If the egg is not fertilized or if the fertilized egg does not implant, the corpus luteum degenerates after 14 days, levels of estrogen and progesterone decrease, and a new menstrual cycle begins.

If the embryo is implanted, the cells around the developing embryo begin to produce a hormone called human chorionic gonadotropin. This hormone maintains the corpus luteum, which continues to produce progesterone , until the growing fetus can produce its own hormones. Pregnancy tests are based on detecting an increase in the human chorionic gonadotropin level. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.

The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Follicular phase. Ovulatory phase. Luteal phase. Biology of the Female Reproductive System. Test your knowledge.

Maternal infections that develop after the delivery of a baby usually begin in the uterus. The ovulation process starts in the brain. The hypothalamus — a gland in the brain tasked with maintaining hormone levels in your body — secretes gonadotropin-releasing hormone GnRH at the beginning of the follicular phase that is, the first day of your menstrual cycle. GnRH then signals the pituitary gland, another gland in the brain, to release follicle stimulating hormone FSH.

FSH sends a signal to the undeveloped eggs in your uterus and these eggs start maturing. However, only one egg will become dominant and reach full maturity; the others will disintegrate. At the same time, your maturing follicles release estrogen , a hormone that builds your uterine lining to prepare for possible conception. The heightened levels of estrogen also cause your pituitary gland to release luteinizing hormone LH. Anywhere from 24 to 36 hours after your pituitary gland has released LH into your system, the egg ruptures the ovary wall and heads into the fallopian tubes where it waits for the sperm.

The corpus luteum, the follicle the egg was released from, then begins to produce progesterone. If conception does not occur, progesterone production stops, and the thick lining is shed during menstruation. If a woman becomes pregnant, the corpus luteum continues to produce progesterone until the placenta takes over the task. For a woman with a day cycle, ovulation should occur around day 14 of the cycle.

However, we know that most women have cycles that can last anywhere from days in length. If this is the case, a day ovulation date may not always be accurate. This is why it is so important to track ovulation and predict when it is going to occur.

There are a few different methods you can use to predict ovulation :. Ovulation tests: Ovulation tests or ovulation predictor kits measure LH levels in urine to detect the LH surge that triggers ovulation.

After a positive ovulation test, you can assume that ovulation may occur in the next hours. Cervical mucus monitoring: Cervical mucus monitoring involves tracking changes in cervical mucus consistency throughout your cycle. Gonadotrophin-releasing hormone is released from the hypothalamus and binds to receptors in the anterior pituitary gland to stimulate both the synthesis and release of follicle stimulating hormone and luteinising hormone.

The released follicle stimulating hormone is carried in the bloodstream where it binds to receptors in the testes and ovaries. Using this mechanism follicle stimulating hormone, along with luteinising hormone, can control the functions of the testes and ovaries. In women, when hormone levels fall towards the end of the menstrual cycle , this is sensed by nerve cells in the hypothalamus.

These cells produce more gonadotrophin-releasing hormone, which in turn stimulates the pituitary gland to produce more follicle stimulating hormone and luteinising hormone, and release these into the bloodstream.

The rise in follicle stimulating hormone stimulates the growth of the follicle in the ovary. With this growth, the cells of the follicles produce increasing amounts of oestradiol and inhibin.

In turn, the production of these hormones is sensed by the hypothalamus and pituitary gland and less gonadotrophin-releasing hormone and follicle stimulating hormone will be released. However, as the follicle grows, and more and more oestrogen is produced from the follicles, it simulates a surge in luteinising hormone and follicle stimulating hormone, which stimulates the release of an egg from a mature follicle — ovulation.

Thus, during each menstrual cycle, there is a rise in follicle stimulating hormone secretion in the first half of the cycle that stimulates follicular growth in the ovary. After ovulation the ruptured follicle forms a corpus luteum that produces high levels of progesterone. This inhibits the release of follicle stimulating hormone. Towards the end of the cycle the corpus luteum breaks down, progesterone production decreases and the next menstrual cycle begins when follicle stimulating hormone starts to rise again.

In men, the production of follicle stimulating hormone is regulated by the circulating levels of testosterone and inhibin, both produced by the testes. Follicle stimulating hormone regulates testosterone levels and when these rise they are sensed by nerve cells in the hypothalamus so that gonadotrophin-releasing hormone secretion and consequently follicle stimulating hormone is decreased.

The opposite occurs when testosterone levels decrease. This is known as a ' negative feedback ' control so that the production of testosterone remains steady.

The production of inhibin is also controlled in a similar way but this is sensed by cells in the anterior pituitary gland rather than the hypothalamus. Most often, raised levels of follicle stimulating hormone are a sign of malfunction in the ovary or testis.



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