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Preconception
Week 1-2
Conception
Week 3
Implantation
Week 4
Steps in Ovulation
Hypothalamus releases gonadotropin
FSH & LH mature + stimulate the release of oocyte
Ruptured follicle becomes corpus luteum
Gonadotropin
Stimulates pituitary gland to release FSH + LH
FSH
Matures follicle/oocyte
Stimulates ovary to produce estrogen
LH
Stimulates mature oocyte to be released (ovulation)
Fertilized Corpus Luteum
Produces progesterone + estrogen

Unfertilized Corpus Luteum
Becomes corpus luteum cyst
Progesterone + estrogen levels drop -> menstruation
How long can a corpus luteum cyst be seen?
Up to 12 weeks
Estrogen & Progesterone
Thicken endometrium
Decidualization
Changes in endometrium that allow for implantation
hCG
Human chorionic gonadotropin
Hormone produced by immature placenta
hCG Trends
3-8 weeks - rises rapidly
8-12 weeks - peaks
12-20 weeks - decreases
20 weeks - plateaus
hCG levels peak at...
~150,000 mIU/ml