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What are the two major gonadotropins?
FSH and LH
What hormone stimulates FSH and LH release?
GnRH
What hormone causes follicular growth?
FSH
What hormone is dominant during the follicular phase?
Estradiol
What ends the follicular phase?
Ovulation
Low levels of estradiol cause what type of feedback?
Negative feedback
High levels of estradiol cause what type of feedback?
Positive feedback
What is needed to activate the surge center?
High estradiol
What two conditions are required for the preovulatory surge?
High estradiol and low progesterone
What hormone is produced by small follicles to keep everything in check?
Inhibin
What is the main function of inhibin?
Suppresses FSH
Why is inhibin important?
Prevents premature ovulation.
What hormone surge directly causes ovulation?
LH surge
What hormone surge causes the LH surge?
GnRH surge
What does the tonic center release?
Basal pulses of GnRH
How often does the tonic center release GnRH?
Every 4-6 hours
Does the tonic center stop during the GnRH surge? y/n
No
What is a follicular wave?
group of follicles recruited and growing together
What is the sequence of follicular development?
Recruitment → Selection → Dominance → Ovulation/Atresia
What is the fate of follicles in the first wave?
Atresia
Why can't first-wave follicles ovulate?
High progesterone blocks the LH surge
What is the progesterone block?
Progesterone preventing ovulation and surge center activation
What are the two primary causes of atresia?
Decreased blood supply and decreased FSH
What is angiogenesis?
Formation of new blood vessels
What hormone causes luteolysis?
PGF₂α
Where is PGF₂α produced?
endometrium of a non-pregnant uterus
Why is estradiol both positive and negative feedback?
Low E2 = neg, high E2 = pos
Why can't follicles engage the surge center during diestrus?
Progesterone prevents enough estradiol production