D3.1 Reproduction

D3.1 Reproduction

Overview

Reproduction is the biological process by which organisms produce offspring, ensuring the continuation of their species. There are two fundamental types:

  1. Asexual reproduction — Offspring produced from a single parent; genetically identical (clones)

  2. Sexual reproduction — Offspring produced from fusion of gametes from two parents; genetically unique

This topic covers human reproductive systems, the menstrual cycle, fertilisation, and methods of contraception.


Asexual vs Sexual Reproduction

Asexual Reproduction

Definition: Production of offspring from a single parent without fusion of gametes.

Characteristics:

  • One parent only

  • No gametes or fertilisation

  • Offspring are genetically identical to parent (clones)

  • Rapid reproduction

  • No genetic variation (except through mutation)

  • Involves mitosis only

Types of asexual reproduction:

Type

Description

Examples

Binary fission

Cell divides into two equal parts

Bacteria, Amoeba

Budding

New individual grows as outgrowth from parent

Yeast, Hydra

Fragmentation

Body breaks into pieces; each regenerates

Starfish, planaria

Vegetative propagation

New plants from vegetative parts (roots, stems, leaves)

Strawberry runners, potato tubers

Sporulation

Production of spores that develop into new individuals

Fungi, ferns

Parthenogenesis

Development of unfertilised egg

Some insects, reptiles

Advantages:

  • Fast and efficient

  • Only one parent needed

  • All individuals can reproduce

  • Successful genotype preserved

  • Good in stable environments

Disadvantages:

  • No genetic variation

  • Cannot adapt quickly to environmental changes

  • Harmful mutations passed to all offspring

  • Susceptible to disease (all genetically identical)

Sexual Reproduction

Definition: Production of offspring from fusion of haploid gametes from two parents.

Characteristics:

  • Usually two parents

  • Involves meiosis (gamete production)

  • Fertilisation (fusion of gametes)

  • Offspring genetically unique

  • Combines genetic material from both parents

  • Generates genetic variation

Advantages:

  • Genetic variation in offspring

  • Ability to adapt to changing environments

  • Harmful mutations can be "diluted" or eliminated

  • Combines beneficial alleles from both parents

Disadvantages:

  • Slower than asexual reproduction

  • Requires finding a mate

  • Only 50% of population (females) produce offspring directly

  • Energy cost of mating behaviours and gamete production

Comparison Summary

Feature

Asexual

Sexual

Number of parents

One

Usually two

Gametes

None

Required

Fertilisation

None

Required

Cell division

Mitosis

Meiosis (for gametes)

Genetic variation

None (except mutation)

High

Offspring

Clones

Genetically unique

Speed

Fast

Slower

Energy cost

Low

Higher


Human Male Reproductive System

Structure and Function

Structure

Function

Testes (singular: testis)

Produce sperm (spermatogenesis) and testosterone

Seminiferous tubules

Coiled tubes within testes where sperm are produced

Interstitial cells (Leydig cells)

Produce testosterone (between seminiferous tubules)

Sertoli cells

Support and nourish developing sperm

Epididymis

Storage and maturation of sperm

Vas deferens (sperm duct)

Transports sperm from epididymis to urethra

Seminal vesicles

Produce fructose-rich fluid (energy for sperm)

Prostate gland

Produces alkaline fluid (neutralises vaginal acidity)

Bulbourethral glands (Cowper's glands)

Produce lubricating mucus

Urethra

Carries semen (and urine at different times) out of body

Penis

Organ of copulation; delivers sperm to female reproductive tract

Scrotum

Sac holding testes outside body; keeps testes cooler than body temperature

Semen Composition

Semen = Sperm + Seminal fluid

Component

Source

Function

Sperm

Testes

Male gametes

Fructose

Seminal vesicles

Energy source for sperm

Alkaline fluid

Prostate gland

Neutralises acidic vaginal environment

Mucus

Bulbourethral glands

Lubrication

Prostaglandins

Seminal vesicles

Stimulate female contractions to aid sperm transport

Enzymes

Prostate gland

Liquify semen after ejaculation

Normal semen parameters:

  • Volume: 2–5 mL per ejaculation

  • Sperm count: >15 million/mL

  • Motility: >40% moving

  • Normal morphology: >4%

Sperm Structure

Sperm (spermatozoa) are highly specialised cells for delivering genetic material to the egg.

Part

Structure

Function

Head

Contains nucleus with haploid DNA

Carries paternal genetic information

Acrosome

Cap over nucleus containing enzymes

Penetrates egg coatings (zona pellucida)

Midpiece

Packed with mitochondria

Provides ATP for tail movement

Tail (flagellum)

Long whip-like structure

Propels sperm toward egg

Adaptations of sperm:

  • Streamlined shape for swimming

  • Haploid nucleus (half chromosome number)

  • Acrosomal enzymes for egg penetration

  • Many mitochondria for energy

  • Flagellum for motility

  • Minimal cytoplasm (reduces size)

Spermatogenesis

Spermatogenesis is the production of sperm in the seminiferous tubules.

Location: Seminiferous tubules in testes

Duration: ~74 days from start to mature sperm

Process:

Stage

Cell Type

Ploidy

Division

1

Spermatogonium (stem cell)

2n

Mitosis

2

Primary spermatocyte

2n

Meiosis I

3

Secondary spermatocyte

n

Meiosis II

4

Spermatid

n

Differentiation

5

Spermatozoon (sperm)

n

Mature gamete

Key features:

  • Continuous from puberty throughout life

  • Temperature sensitive (testes outside body at ~35°C)

  • Produces millions of sperm daily

  • Regulated by FSH and testosterone

Hormonal Control of Male Reproduction

Hormone

Source

Function

GnRH

Hypothalamus

Stimulates pituitary to release FSH and LH

FSH

Anterior pituitary

Stimulates Sertoli cells; promotes spermatogenesis

LH

Anterior pituitary

Stimulates Leydig cells to produce testosterone

Testosterone

Leydig cells (testes)

Maintains spermatogenesis; secondary sexual characteristics; libido

Inhibin

Sertoli cells

Negative feedback on FSH release

Negative feedback:

  • High testosterone inhibits GnRH and LH release

  • High inhibin inhibits FSH release

  • Maintains stable hormone levels


Human Female Reproductive System

Structure and Function

Structure

Function

Ovaries

Produce eggs (oogenesis) and hormones (oestrogen, progesterone)

Follicles

Structures in ovary containing developing oocytes

Oviducts (Fallopian tubes)

Transport egg from ovary to uterus; site of fertilisation

Fimbriae

Finger-like projections at end of oviduct; sweep egg into tube

Cilia

Line oviduct; move egg toward uterus

Uterus (womb)

Site of embryo implantation and fetal development

Endometrium

Inner lining of uterus; thickens for implantation; shed during menstruation

Myometrium

Muscular wall of uterus; contracts during labour

Cervix

Narrow opening between uterus and vagina

Vagina

Birth canal; receives penis during intercourse

Vulva

External genitalia

Egg (Ovum) Structure

Part

Function

Nucleus

Contains haploid DNA (maternal genetic information)

Cytoplasm

Contains nutrients, organelles, mRNA for early development

Cell membrane

Controls entry of sperm

Zona pellucida

Glycoprotein layer; sperm must penetrate; blocks polyspermy

Corona radiata

Layer of follicle cells; provides nutrients; sperm must pass through

Adaptations of egg:

  • Large cell with abundant cytoplasm (nutrients for early embryo)

  • Haploid nucleus

  • Non-motile (transported by cilia and muscle contractions)

  • Protective layers (zona pellucida, corona radiata)

Oogenesis

Oogenesis is the production of eggs (ova) in the ovaries.

Key differences from spermatogenesis:

Feature

Oogenesis

Spermatogenesis

Starts

Before birth (fetal development)

Puberty

Continuous

No (finite number of oocytes)

Yes (continuous production)

Products per meiosis

1 egg + 3 polar bodies

4 sperm

Completion of meiosis

Meiosis II completed after fertilisation

Before release

Number produced

~400 eggs in lifetime

Millions daily

Stages:

Stage

Cell Type

When

Ploidy

1

Oogonium

Fetal development

2n

2

Primary oocyte

Fetal development; arrested in prophase I

2n

3

Secondary oocyte + first polar body

At ovulation (meiosis I completed)

n

4

Ovum + second polar body

After fertilisation (meiosis II completed)

n

Polar bodies: Small cells with little cytoplasm; receive one set of chromosomes but degenerate; ensure egg retains most cytoplasm.


The Menstrual Cycle

The menstrual cycle is the monthly cycle of changes in the female reproductive system that prepares for pregnancy.

Average duration: 28 days (range: 21–35 days)

Phases of the Menstrual Cycle

1. Menstruation (Days 1–5)
  • Endometrium breaks down and is shed

  • Blood and tissue exit through vagina

  • Low levels of oestrogen and progesterone

  • FSH begins to rise

2. Follicular Phase (Days 1–13)

Ovarian events:

  • FSH stimulates follicle development

  • Several follicles begin to develop; usually one becomes dominant

  • Developing follicles produce oestrogen

  • Oestrogen levels rise

Uterine events:

  • Endometrium regenerates and thickens (proliferative phase)

  • Blood vessel growth in endometrium

  • Oestrogen stimulates endometrial growth

3. Ovulation (Day 14)
  • Surge in LH (triggered by high oestrogen)

  • Mature follicle ruptures

  • Secondary oocyte released from ovary

  • Oocyte swept into oviduct by fimbriae

  • Egg viable for ~24 hours

4. Luteal Phase (Days 15–28)

Ovarian events:

  • Ruptured follicle becomes corpus luteum

  • Corpus luteum produces progesterone (and some oestrogen)

  • Progesterone levels high

Uterine events:

  • Endometrium maintained and further developed (secretory phase)

  • Glands secrete nutrients for potential embryo

  • Blood supply increases

If fertilisation occurs:

  • Embryo implants in endometrium (~day 20–23)

  • Embryo produces hCG (human chorionic gonadotropin)

  • hCG maintains corpus luteum

  • Progesterone continues to support pregnancy

If no fertilisation:

  • Corpus luteum degenerates (~day 24)

  • Progesterone and oestrogen levels fall

  • Endometrium cannot be maintained

  • Menstruation begins (day 1 of next cycle)

Hormonal Control of the Menstrual Cycle

Hormone

Source

Main Functions

GnRH

Hypothalamus

Stimulates FSH and LH release

FSH

Anterior pituitary

Stimulates follicle development; stimulates oestrogen production

LH

Anterior pituitary

Triggers ovulation; stimulates corpus luteum formation

Oestrogen

Ovarian follicles

Stimulates endometrial growth; triggers LH surge; negative feedback on FSH

Progesterone

Corpus luteum

Maintains endometrium; inhibits FSH and LH; prepares for pregnancy

Feedback Mechanisms

Negative feedback (most of cycle):

  • Low/moderate oestrogen inhibits FSH and LH

  • Progesterone inhibits GnRH, FSH, and LH

  • Prevents multiple ovulations

Positive feedback (before ovulation):

  • High oestrogen (at end of follicular phase) stimulates LH surge

  • LH surge triggers ovulation

  • Only time positive feedback occurs in the cycle

Graphical Representation

Hormone                                          
Levels   │                                       
         │           ╱╲ LH surge                
         │          ╱  ╲                        
         │    ╱────╱    ╲                       
         │   ╱ Oestrogen ╲    ╱───────╲         
         │  ╱              ╲  ╱Progesterone      
         │ ╱                ╲╱          ╲       
         │╱                              ╲      
         └────────────────────────────────────→
          1    7    14    21    28  Days
              │      │      │
         Menstruation │    Luteal phase
              Follicular  Ovulation
              phase

Endometrium │                    ┌────────────┐
Thickness   │          ┌────────┤            │
            │    ┌─────┤        │            │
            │────┤     │        │            └──
            └────────────────────────────────────→
             1    7    14    21    28  Days

Fertilisation

Fertilisation is the fusion of a sperm nucleus with an egg nucleus to form a diploid zygote.

Location

  • Usually occurs in the ampulla (widest part of the oviduct)

  • Within 24 hours of ovulation

Process of Fertilisation

1. Sperm Capacitation
  • Sperm undergo changes in female reproductive tract

  • Takes 6–8 hours

  • Membrane changes allow acrosome reaction

  • Increases sperm motility

2. Acrosome Reaction
  1. Sperm reaches corona radiata

  2. Sperm binds to zona pellucida (ZP3 glycoprotein)

  3. Acrosomal membrane fuses with sperm membrane

  4. Acrosomal enzymes released (hyaluronidase, acrosin)

  5. Enzymes digest pathway through corona radiata and zona pellucida

3. Sperm-Egg Fusion
  1. Sperm membrane fuses with egg membrane

  2. Sperm nucleus enters egg cytoplasm

  3. Sperm tail and mitochondria left outside (usually)

  4. Egg is "activated"

4. Cortical Reaction (Block to Polyspermy)
  1. Egg activation triggers calcium wave

  2. Cortical granules release contents

  3. Zona pellucida hardens (zona reaction)

  4. Prevents additional sperm from entering

  5. Polyspermy (multiple sperm fertilising egg) is lethal

5. Completion of Meiosis II
  1. Egg completes meiosis II (was arrested at metaphase II)

  2. Second polar body expelled

  3. Female pronucleus forms

6. Pronucleus Formation and Fusion
  1. Sperm nucleus decondenses → male pronucleus

  2. Male and female pronuclei approach each other

  3. Nuclear membranes break down

  4. Chromosomes mix on first mitotic spindle

  5. Zygote formed (diploid, 2n = 46)

Summary of Fertilisation Events

Event

Result

Capacitation

Sperm become capable of fertilisation

Acrosome reaction

Enzymes released to penetrate egg coatings

Membrane fusion

Sperm enters egg

Cortical reaction

Blocks polyspermy

Meiosis II completion

Egg becomes haploid

Pronucleus fusion

Diploid zygote formed


Early Embryonic Development

From Zygote to Implantation

Stage

Time

Events

Zygote

Day 0

Single cell; diploid

Cleavage

Days 1–3

Rapid mitotic divisions; cells (blastomeres) get smaller

Morula

Day 3–4

Solid ball of 16–32 cells

Blastocyst

Days 5–6

Hollow ball; inner cell mass (embryo) + trophoblast (placenta)

Implantation

Days 6–10

Blastocyst embeds in endometrium

Implantation

  1. Blastocyst hatches from zona pellucida

  2. Trophoblast cells contact endometrium

  3. Trophoblast secretes enzymes

  4. Blastocyst burrows into endometrium

  5. Trophoblast forms connections with maternal blood supply

  6. Will develop into placenta

Role of hCG

Human chorionic gonadotropin (hCG):

  • Produced by trophoblast/developing placenta

  • Maintains corpus luteum

  • Corpus luteum continues producing progesterone

  • Prevents menstruation

  • Detected in pregnancy tests

  • Levels peak at ~10 weeks, then placenta takes over hormone production


Contraception

Contraception refers to methods used to prevent pregnancy.

Methods of Contraception

1. Barrier Methods

Prevent sperm from reaching egg

Method

Description

Effectiveness

Male condom

Latex/polyurethane sheath worn over penis

82–98%

Female condom

Pouch inserted into vagina

79–95%

Diaphragm

Dome-shaped cup covering cervix (used with spermicide)

88–94%

Cervical cap

Smaller cup fitting over cervix

84–91%

Advantages:

  • Protect against STIs (condoms)

  • No hormones

  • Used only when needed

Disadvantages:

  • Must be used correctly each time

  • May interrupt spontaneity

  • Can break or slip

2. Hormonal Methods

Prevent ovulation and/or alter uterine lining

Method

Hormones

How It Works

Effectiveness

Combined pill

Oestrogen + progesterone

Prevents ovulation; thickens cervical mucus

>99%

Mini-pill (POP)

Progesterone only

Thickens cervical mucus; may prevent ovulation

91–99%

Hormonal patch

Oestrogen + progesterone

Same as combined pill; worn on skin

>99%

Vaginal ring

Oestrogen + progesterone

Same as combined pill; inserted monthly

>99%

Injection

Progesterone (depot)

Prevents ovulation; lasts 8–13 weeks

>99%

Implant

Progesterone

Prevents ovulation; lasts 3 years

>99%

Hormonal IUD

Progesterone

Thickens mucus; thins endometrium

>99%

Mechanism of hormonal contraception:

  1. Suppress FSH and LH → prevent follicle development and ovulation

  2. Thicken cervical mucus → prevent sperm entry

  3. Thin endometrium → prevent implantation

Advantages:

  • Highly effective

  • Some have non-contraceptive benefits (regulate periods, reduce acne)

  • Long-acting options available

Disadvantages:

  • Side effects (mood changes, weight gain, headaches)

  • No protection against STIs

  • Requires prescription

  • Some have daily compliance requirement

3. Intrauterine Devices (IUDs)

Type

Description

Duration

Effectiveness

Copper IUD

T-shaped device with copper

5–10 years

>99%

Hormonal IUD

T-shaped device releasing progesterone

3–5 years

>99%

Copper IUD mechanism:

  • Copper is toxic to sperm

  • Creates inflammatory response in uterus

  • Prevents fertilisation and implantation

Advantages:

  • Long-lasting

  • No daily action required

  • Copper IUD is hormone-free

Disadvantages:

  • Insertion procedure required

  • May cause heavier periods (copper)

  • No STI protection

4. Natural Methods

Method

Description

Effectiveness

Fertility awareness

Track cycle; avoid intercourse during fertile window

76–88%

Withdrawal

Penis withdrawn before ejaculation

78–96%

Lactational amenorrhea

Breastfeeding suppresses ovulation

98% (first 6 months, specific conditions)

Disadvantages:

  • Require high motivation and discipline

  • Less reliable than other methods

  • No STI protection

5. Permanent Methods (Sterilisation)

Method

Description

Effectiveness

Vasectomy (male)

Vas deferens cut and sealed

>99%

Tubal ligation (female)

Oviducts cut, tied, or blocked

>99%

Advantages:

  • Permanent and highly effective

  • No ongoing action required

Disadvantages:

  • Difficult/impossible to reverse

  • Surgical procedure required

  • No STI protection

6. Emergency Contraception

Method

Timing

Mechanism

Emergency pill (levonorgestrel)

Within 72 hours

Delays/prevents ovulation

Ulipristal acetate

Within 120 hours

Delays/prevents ovulation

Copper IUD

Within 5 days

Prevents implantation

Comparison of Contraceptive Methods

Method

Effectiveness

STI Protection

Reversible

Hormones

Condom (male)

82–98%

Yes

Yes

No

Combined pill

>99%

No

Yes

Yes

Copper IUD

>99%

No

Yes

No

Hormonal IUD

>99%

No

Yes

Yes

Implant

>99%

No

Yes

Yes

Sterilisation

>99%

No

No*

No

Natural methods

76–88%

No

Yes

No

*Sterilisation reversal is difficult and not always successful


In Vitro Fertilisation (IVF)

IVF is an assisted reproductive technology where fertilisation occurs outside the body.

Indications for IVF

  • Blocked or damaged oviducts

  • Low sperm count or motility

  • Endometriosis

  • Unexplained infertility

  • Genetic testing requirements

  • Same-sex couples or single parents

IVF Process

1. Ovarian Stimulation
  • FSH injections stimulate multiple follicle development

  • GnRH agonists prevent premature ovulation

  • Monitoring by ultrasound and blood tests

2. Egg Retrieval
  • hCG injection triggers final egg maturation

  • Eggs collected ~36 hours later

  • Ultrasound-guided needle aspiration through vagina

  • Usually 10–15 eggs retrieved

3. Sperm Collection and Preparation
  • Sperm sample collected

  • Washed and concentrated

  • Best quality sperm selected

4. Fertilisation

Standard IVF:

  • Eggs and sperm incubated together

  • Sperm naturally fertilise eggs

ICSI (Intracytoplasmic Sperm Injection):

  • Single sperm injected directly into egg

  • Used for severe male factor infertility

5. Embryo Culture
  • Fertilised eggs cultured in incubator

  • Monitored for development

  • Typically cultured to blastocyst stage (day 5)

6. Embryo Transfer
  • One or two embryos transferred to uterus

  • Via catheter through cervix

  • Remaining embryos may be frozen

7. Luteal Support and Pregnancy Test
  • Progesterone supplements support implantation

  • Pregnancy test ~2 weeks after transfer

Success Rates

  • Varies by age and cause of infertility

  • Average ~30–40% per cycle for women under 35

  • Decreases with maternal age

  • May require multiple cycles

Ethical Considerations

Issue

Considerations

Embryo status

When does life begin? What is the moral status of embryos?

Spare embryos

What to do with unused embryos? Storage, donation, destruction?

Multiple births

Higher risk with multiple embryo transfer

Access and cost

Expensive; not available to all

Genetic selection

PGD/PGS allows embryo selection; concerns about "designer babies"

Age limits

Should there be upper age limits for treatment?


Practical Investigations

Examining Reproductive Cells

Microscopy of sperm:

  • Observe structure (head, midpiece, tail)

  • Assess motility

  • Count concentration

Microscopy of eggs (model organisms):

  • Sea urchin or frog eggs commonly used

  • Observe zona pellucida, corona radiata

Hormone Level Analysis

Interpreting hormone graphs:

  • Identify phases of menstrual cycle

  • Explain hormonal interactions

  • Predict events (ovulation, menstruation)


Common Exam Questions

Typical Question Types

  1. Compare sexual and asexual reproduction (4 marks)

    • Sexual: two parents; meiosis; fertilisation; genetic variation

    • Asexual: one parent; mitosis; no fertilisation; clones

    • Sexual slower but more adaptable

    • Asexual faster but no variation

  2. Describe the hormonal control of the menstrual cycle (6 marks)

    • FSH stimulates follicle development

    • Follicles produce oestrogen

    • Oestrogen stimulates endometrial growth

    • High oestrogen triggers LH surge

    • LH surge causes ovulation

    • Corpus luteum produces progesterone

    • Progesterone maintains endometrium

    • Negative feedback controls hormone levels

  3. Explain the events of fertilisation (5 marks)

    • Sperm undergoes capacitation

    • Acrosome reaction releases enzymes

    • Sperm penetrates zona pellucida

    • Membranes fuse; sperm enters egg

    • Cortical reaction prevents polyspermy

    • Meiosis II completed

    • Pronuclei fuse to form diploid zygote

  4. Compare the structure of sperm and egg (4 marks)

    • Sperm: small, streamlined, flagellum for motility

    • Egg: large, non-motile, abundant cytoplasm

    • Both haploid

    • Sperm has acrosome; egg has zona pellucida

  5. Explain how different contraceptive methods prevent pregnancy (5 marks)

    • Barrier: physically prevent sperm reaching egg

    • Hormonal: prevent ovulation; thicken cervical mucus

    • IUD: toxic to sperm (copper); thin endometrium (hormonal)

    • Natural: avoid intercourse during fertile period

    • Sterilisation: prevent gamete transport

  6. Describe the stages of oogenesis (4 marks)

    • Oogonia divide by mitosis (before birth)

    • Primary oocytes begin meiosis I (arrested in prophase I)

    • At ovulation: meiosis I completed → secondary oocyte + polar body

    • At fertilisation: meiosis II completed → ovum + polar body


Key Terminology Glossary

Term

Definition

Gamete

Sex cell (sperm or egg); haploid

Fertilisation

Fusion of sperm and egg nuclei

Zygote

Cell formed by fertilisation; diploid

Spermatogenesis

Production of sperm

Oogenesis

Production of eggs

Ovulation

Release of egg from ovary

Menstrual cycle

Monthly cycle preparing for pregnancy

Follicle

Structure in ovary containing developing oocyte

Corpus luteum

Structure formed from ruptured follicle; produces progesterone

Endometrium

Inner lining of uterus

Capacitation

Changes in sperm enabling fertilisation

Acrosome reaction

Release of enzymes from sperm head

Cortical reaction

Egg response preventing polyspermy

Implantation

Embedding of embryo in endometrium

hCG

Hormone produced by embryo; maintains corpus luteum

Contraception

Methods to prevent pregnancy

IVF

In vitro fertilisation; fertilisation outside body


Summary Comparison Tables

Male vs Female Gametes

Feature

Sperm

Egg

Size

Very small (~60 μm long)

Large (~120 μm diameter)

Number produced

Millions per day

~1 per month

Motility

Motile (flagellum)

Non-motile

Cytoplasm

Minimal

Abundant

Production timing

Continuous from puberty

Before birth (arrested)

Lifespan in tract

3–5 days

12–24 hours

Hormones of Reproduction

Hormone

Source

Male Function

Female Function

FSH

Pituitary

Spermatogenesis

Follicle development

LH

Pituitary

Testosterone production

Ovulation; corpus luteum

Testosterone

Testes

Spermatogenesis; secondary characteristics

Oestrogen

Ovaries

Endometrial growth; LH surge

Progesterone

Corpus luteum

Endometrial maintenance

Menstrual Cycle Phases

Phase

Days

Ovarian Event

Uterine Event

Dominant Hormone

Menstruation

1–5

Endometrium shed

Low all

Follicular

1–13

Follicle develops

Endometrium grows

Oestrogen

Ovulation

14

Egg released

LH surge

Luteal

15–28

Corpus luteum forms

Endometrium maintained

Progesterone