The ovarian cycle consists of several stages that are essential for the process of ovulation. The follicular phase is the first stage of the ovarian cycle, and it is characterized by the following six stages.
Stage 1: The follicular phase begins with the secretion of follicle-stimulating hormone (FSH) from the pituitary gland, which is stimulated by gonadotropin-releasing hormone (GnRH) release.
Stage 2: FSH causes the maturation of tertiary follicles, which then secrete oestrogens, the most important of which is estradiol. Estradiol regulates FSH secretion from the pituitary gland.
Stage 3: Inhibin is also released from Graafian follicles, and it inhibits FSH secretion from the pituitary gland. The levels of inhibin are low at the start of the ovarian cycle.
Stage 4: In the early follicular phase, both estradiol and inhibin downregulate FSH secretion from the pituitary gland, causing FSH concentrations to decrease after the initial spike that leads to follicle maturation.
Stage 5: After 10 days, estradiol secretion from the Graafian follicle rises sharply, causing GnRH release from the hypothalamus. FSH and luteinizing hormone (LH) are then released from the pituitary gland, and estradiol no longer inhibits FSH secretion.
Stage 6: Estradiol peaks at 14 days just prior to ovulation, causing a surge of LH from the pituitary gland that ruptures the follicle wall and ovulation occurs.