Uterine Cycle

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Uterine Cycle

The uterine cycle refers to changes within the endometrium the innermost lining of the uterus. The endometrium is subdivided into two layers. The functional zone lines the lumen of the uterine cavity. The basal zone lies beneath it between the myometrium and the functional zone. The functional zone is the layer of the endometrium that thickens and sheds each month. The entire cycle averages about 28 days. The cycle is divided into 3 phases the menstrual proliferative and secretory phases. These three phases can be aligned with the ovarian cycle via ovulation.  Remember that the uterine cycle discusses only the events in the uterus. The ovarian cycle talks only about the events in the ovary.  Yes, the events of the ovarian cycle dictate the events of the uterine cycle.


Menstrual Phase

The menstrual phase occurs in days one through 5 of the uterine cycle. During this phase, blood flow to the endometrium is reduced. This reduction starves the tissues in the functional zone of their oxygen and other nutrients. As a result these tissues deteriorate. When they break away from the uterine lining it causes blood loss.  The sluffing off of these tissues and associated blood is called menstruation lasts one to seven days. During menstruation the functional zone is reduced but the basal zone remains intact.

Estrogen and progesterone are dropping at this point in the ovarian cycle.  The drop in progesterone triggers spasms in those coiled arteries. These spasms cause menstrual cramps, which can sometimes be so debilitating in the first few days of the menstrual phase.  As these two hormones drop, so does body temperature. 


Proliferative Phase

The proliferative phase Is day 6 through 13. Estrogens induce all the changes throughout this phase. During this phase of the uterine cycle, estrogen is rising as follicles are growing.  As mitosis creates new cells, estrogen inserts receptors for progesterone into the endometrial cells.  The end of the proliferative phase corresponds with ovulation, after which, progesterone will rule.

The major event is to reestablish the functional zone loss during menstruation via mitosis.  The word “proliferation” is often used to refer to cells that are doing lots of mitosis.  Blood vessels grow back into the functional zone, creating the coiled arteries. Endometrial glands appear which produce a mucus containing the starch glycogen


Secretory Phase

The secretory phase is days fifteen through 28 of the uterine cycle. This last and longest phase covers about 14 days.  Progesterone is very high in this phase and spends its time inserting receptors for estrogen into endometrial tissue.

Think of this phase form the uterus’s point of view.  The uterus knows an ovum has been ovulated. It is hopeful there has been a copulatory event to bring spermatozoa to the uterine tubes.  The uterus wants to prepare for the implantation of the zygote.  More coiled arteries spring up to deliver more blood to the endometrium.  The endometrial glands get bigger and produce more mucus. The glycogen in the mucus on the endometrial glands will serve to nourish the developing embryo if implanted. In general, the endometrial layer thickens with blood and mucus, getting ready for a hopeful implantation.

If no implantation occurs, the corpus luteum in the ovary dies. Estrogen and progesterone levels fall. GnRH is released from inhibition to start the cycle over again.


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