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Part IV: Systems Galore! Animal Structure and Function
The hypothalamus can detect when the levels of estrogen and progesterone
have reached the point where the lining of the uterus is ready for implanta-
tion. If fertilization
✓ Has occurred: The fertilized egg implants in the lining of the uterus
and an embryo begins developing. That embryo immediately starts to
secrete the hormone human chorionic gonadotropin (hCG). The presence
of hCG ensures that estrogen and progesterone production continue so
the lining of the uterus remains nourished by larger blood vessels. After
the placenta (a blood-filled, nutrient-rich temporary organ) has formed,
the embryo gets its nutrients and blood supply through the umbilical
cord connecting the embryo to the placenta, which is connected to the
mother’s blood supply. Therefore, the production of hCG by the embryo
declines after the placenta is up and running.
Pregnancy tests detect the presence of hCG. Because hCG is produced
solely by fertilized eggs, only women with a fertilized egg in their bodies
should have detectable levels of hCG.
✓ Hasn’t occured: No hCG is produced, and the hypothalamus tells the
pituitary gland to stop producing FSH and LH. The lack of FSH and LH
stops the production of estrogen and progesterone, which causes the
lining of the uterus, sometimes referred to as the endometrium, to stop
receiving all that extra nourishment. The endometrium then starts to
disintegrate and eventually sloughs off and is carried out of the body by
the menstrual flow. The first day of menstrual flow is the first day of the
menstrual cycle (pictured in Figure 19-1). The drop in LH also causes the
corpeus luteum to disintegrate, ending the ovarian cycle.
The ovarian cycle and the menstrual cycle occur simultaneously and are synchro-
nized to each other by hormones, but each cycle consists of different events.
✓ The ovarian cycle includes the development of the follicle, the secretion
of hormones by the follicle, ovulation, and the formation of the corpus
luteum. It occurs in the ovary, takes about 28 days to go from beginning
to end, and is controlled by GnRH, FSH, LH, and estrogen.
✓ The menstrual cycle includes the thickening of the endometrium to
prepare for possible implantation and the shedding of the endometrium
if there’s no implanted embryo. It occurs in the uterus, takes about 28
days, and is controlled by the levels of progesterone and estrogen.
Many more eggs are fertilized in a woman’s lifetime than she may realize.
Not every fertilized egg results in a bouncing baby boy or girl. If the hormone
levels aren’t right from the start, a fertilized egg may never implant or may
implant but not secrete enough hormones to maintain the pregnancy. If an
embryo doesn’t produce a sufficient amount of hCG, the pregnancy fails to
continue, and the embryo aborts itself (a spontaneous abortion is another term
for a miscarriage). An unusually heavy menstrual period that started a few
days late is often really the spontaneous abortion of a fertilized egg that didn’t
work out.
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