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Themenstrualcycle 120606211927 Phpapp02

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THE MENSTRUAL CYCLE

Candidate should be able to describe the menstrual cycle

When a female reaches puberty she usually


has a menstrual period every month.

The start of periods is known as menarche.

Menarche doesn't happen until all the parts of


a girl's reproductive system have matured and
are working together.

This event occurs until the woman reaches


menopause

This period is apart of a cyclical process


which prepares the woman's body for the
development of a fertilized egg.

The process is controlled by several


hormones.

What is a hormone?
A chemical substance produced by an
endocrine gland to coordinate one or more
specific processes in the body.

The process is controlled by several


hormones.

GONADOTROPIN-RELEASING HORMONE GnRH


FOLLICLE STIMULATING HORMONE FSH
LEUTENIZING HORMONE LH
LUTEOTROPPIC HORMONE
OESTROGEN
PROGESTERONE

Each month, the ovary releases an egg cell. It


travels down the fallopian tube towards the
uterus.

The egg matures when


FSH from the
pituitary gland
reaches the ovary.
The mature egg is
surrounded by a fluid
and a jacket of cells
known as the
Graafian follicle.

Graafian Folllicle

OVULATION

The mature Graafian follicle moves toward the


surface of the ovary and ruptures releasing
the egg(ovum) from the follicle and the ovary.

This process, ovulation occurs about the 14 th


day after the beginning of the menstrual
period.

When the ovum is released it enters the


oviduct and passes along the oviduct to the
uterus

After ovulation, the pituitary gland secretes


lutenizing hormone (LH).

LH changes the remains of the follicle into the


corpus luteum/yellow body.

Corpus luteum produces the hormone


progesterone.

Progesterone further thickens the uterus lining


and increases blood supply

If fertilization does occur the corpus luteum


enlarges and continues to produce progesterone.
The lining of the uterus thickens and blood
supply increases.

Progesterone also causes the breast to enlarge.

These are pregnancy changes, progesterone is


also known as the pregnancy hormone.

Both oestrogen and progesterone slow down FSH


production when their concentrations become
high. Thus no more eggs develop. *negative
feedback *

If fertilization does not occur the corpus


luteum degenerates to ordinary ovary tissue
and the progesterone level falls.

The lining of the uterus breaks down and the


egg dies.

Lining along with blood passes out the vagina


as the menstrual period.

Cycle continues with increased FSH production


and egg development.

Cycle lasts approximately 28days

Normal Menstrual Cycle


What is the mean duration of the MC?
Mean 28 days (only 15% of )
Range 21-35
What is the average duration of menses?
3-8 days
What is the normal estimated blood loss?
Approximately 30 ml
When does ovulation occur?
Usually day 14
36 hrs after the onset of mid-cycle LH surge

Menstrual Cramps

Menstrual cramps are pains in the abdominal


(belly) and pelvic areas that are experienced by
a woman as a result of her menstrual period.

Menstrual cramps can range from mild to quite


severe. Mild menstrual cramps may be barely
noticeable and of short duration - sometimes felt
just as a sense of light heaviness in the belly.
Severe menstrual cramps can be so painful that
they interfere with a woman's regular activities
for several days.

What causes menstrual cramps

When the old uterine lining begins to break


down, molecular compounds called
prostaglandins are released. These compounds
cause the muscles of the uterus to contract.
When the uterine muscles contract, they
constrict the blood supply to the endometrium.
This contraction blocks the delivery of oxygen to
the tissue of the endometrium which, in turn,
breaks down and dies. After the death of this
tissue, the uterine contractions literally squeeze
the old endometrial tissue through the cervix
and out of the body by way of the vagina.

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