Menstrual Cycle Phases | Female Reproductive System | Follicular Luteal Proliferative Secretory

RegisteredNurseRN
29 Dec 201615:33

Summary

TLDRIn this educational video, Sarah Thread Sterner explains the menstrual cycle, focusing on its 28-day duration and the phases: follicular, ovulation, and luteal. She emphasizes the hormonal changes, particularly FSH and LH, which drive the cycle and prepare the body for potential fertilization. The video also covers uterine changes, including the menstrual, proliferative, and secretory phases, and how they support the cycle's reproductive goal. Viewers are encouraged to take a quiz for review and explore related videos in the series.

Takeaways

  • 📅 The typical menstrual cycle lasts for 28 days, with ovulation occurring around day 14.
  • 🌱 The primary purpose of the reproductive cycle is to prepare the body for potential fertilization and pregnancy.
  • 🔍 Nursing students should focus on understanding each phase of the cycle, the hormones involved, and their timing.
  • 🌼 The ovary undergoes three phases: follicular, ovulation, and luteal, while the uterus experiences menstrual, proliferative, and secretory phases.
  • 🔗 The follicular phase (cycle days 1-13) involves maturing a follicle for egg release, facilitated by hormones like FSH and LH.
  • 📈 Estrogen levels rise as the follicle matures, signaling the body that the egg is getting ready for ovulation.
  • 💉 The LH surge triggers the release of the egg from the follicle, which then becomes the corpus luteum, secreting progesterone and estrogen.
  • 🩸 The menstrual phase (cycle days 1-6) involves shedding the endometrium, preparing for a potential pregnancy.
  • 🌡️ Basal body temperature can dip before ovulation and rise afterwards, which can be a sign of ovulation.
  • 🚫 If fertilization does not occur, the corpus luteum degenerates, leading to a drop in progesterone and estrogen, and the cycle restarts.
  • 🤰 If fertilization occurs, the corpus luteum continues to function until the placenta takes over, maintaining progesterone and estrogen levels for the pregnancy.

Q & A

  • What is the typical length of a woman's menstrual cycle?

    -A typical woman's menstrual cycle is 28 days.

  • When does ovulation occur in the menstrual cycle?

    -Ovulation occurs at the midpoint of the menstrual cycle, which is around day 14.

  • What are the three phases of the ovarian cycle?

    -The three phases of the ovarian cycle are the follicular phase, ovulation, and the luteal phase.

  • What is the role of the follicular phase in the menstrual cycle?

    -The follicular phase prepares a follicle to release a mature egg that can be fertilized.

  • How do hormones play a role in the development and release of an egg during the follicular phase?

    -Hormones such as FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone) stimulate the growth and maturation of the follicle, leading to the release of a mature egg during ovulation.

  • What is the LH surge and why is it significant?

    -The LH surge is a massive peak of luteinizing hormone that signals the egg is ready to be released from the follicle, allowing it to potentially be fertilized.

  • What happens to the follicle that released the egg during ovulation?

    -The follicle that released the egg turns into a structure called the corpus luteum, which plays a role in secreting progesterone and estrogen to prepare the endometrium for potential implantation.

  • What are the three phases of the uterine cycle and how do they correspond to the ovarian phases?

    -The uterine cycle has three phases: the menstrual phase, the proliferative phase, and the secretory phase. These correspond to the follicular, ovulation, and luteal phases of the ovarian cycle, respectively.

  • Why is the menstrual phase significant in the uterine cycle?

    -The menstrual phase is significant because it involves the shedding of the endometrium, preparing the body for a new cycle in case fertilization does not occur.

  • What happens if fertilization occurs during the luteal phase?

    -If fertilization occurs, the corpus luteum continues to secrete progesterone and estrogen to support the pregnancy until the placenta takes over, which happens around 8 weeks into the pregnancy.

  • What is the significance of the secretory phase of the uterine cycle?

    -The secretory phase prepares the endometrium for the potential implantation of a fertilized ovum. During this phase, the endometrium becomes receptive to implantation due to the influence of progesterone and estrogen.

Outlines

00:00

🌱 Introduction to the Menstrual Cycle

Sarah Thread Sterner introduces the topic of the video, which is the menstrual cycle, specifically focusing on the woman's reproductive cycle. She mentions that this video is part of a maternity review series and encourages viewers to check out other videos in the series for a comprehensive understanding. The video aims to guide nursing students through the menstrual cycle, emphasizing the importance of understanding each phase, the hormonal changes, and their timing. Sarah outlines the typical 28-day menstrual cycle, highlighting ovulation at day 14, and explains the purpose of the cycle, which is to prepare the body for potential fertilization and pregnancy. The video then delves into the ovarian changes, detailing the follicular phase that occurs from cycle days 1 to 13, focusing on the maturation of a follicle for egg release.

05:01

🔍 Hormonal Changes During the Menstrual Cycle

This paragraph discusses the hormonal changes that occur during the menstrual cycle, particularly the role of estrogen. As the follicle matures, estrogen levels rise, leading to a negative feedback loop that causes a temporary dip in FSH and LH. However, as the egg matures and is ready for release, estrogen levels peak, triggering a positive feedback loop that results in an LH surge. This LH surge is crucial for the release of the egg from the follicle. The paragraph also explains the transformation of the ruptured follicle into the corpus luteum, which plays a vital role in secreting progesterone and estrogen to prepare the endometrium for potential implantation. The discussion also covers the fertile window for women, which is around the last five days of the follicular phase and the first 24 hours post-ovulation.

10:02

🌡 Uterine Changes and Ovulation

The paragraph explains the uterine changes that correspond with the ovarian cycle. It starts with the menstrual phase, which occurs from cycle days 1 to 6, where the endometrium sheds its functional layer due to the drop in progesterone and estrogen levels. The next phase is the proliferative phase, from cycle days 7 to 14, where the endometrium rebuilds in anticipation of a fertilized egg. This rebuilding is facilitated by estrogen from the maturing follicle. The paragraph also discusses the impact of estrogen on cervical mucus, making it more sperm-friendly to facilitate fertilization. The ovulation phase is then detailed, explaining the release of the egg after the LH surge, its journey into the fallopian tube, and the brief lifespan of the ovum. It also mentions the significance of basal body temperature changes as an indicator of ovulation.

15:03

🌕 The Luteal Phase and Potential Pregnancy

This paragraph covers the luteal phase, which spans from cycle days 15 to 28, and the corresponding secretory phase of the endometrium. It explains the role of the corpus luteum, formed from the follicle that released the egg, in supporting potential pregnancy by secreting progesterone and estrogen. These hormones prepare the endometrium for implantation and maintain the necessary environment for a fertilized ovum. The paragraph also discusses what happens if fertilization does not occur, leading to the disintegration of the corpus luteum and the start of a new cycle. In contrast, if fertilization occurs, the corpus luteum remains active, supported by the embryo's release of HCG, which prevents its degeneration. The corpus luteum continues to function until the placenta takes over at around eight weeks, after which it is no longer needed.

📝 Conclusion and Resource Invitation

Sarah concludes the video by inviting viewers to test their knowledge on the menstrual cycle through a free quiz available on her website. She also encourages viewers to check out other videos in the series and to subscribe to her YouTube channel for more educational content.

Mindmap

Keywords

💡Menstrual Cycle

The menstrual cycle is a roughly 28-day process that occurs in the female reproductive system, preparing the body for potential pregnancy. In the video, Sarah Thread Sterner uses this term to describe the cycle's various phases, including menstruation, ovulation, and the luteal phase. It's central to the video's theme as it sets the stage for discussing the reproductive cycle's intricacies.

💡Ovulation

Ovulation is the release of a mature egg from the ovary, typically around day 14 of the menstrual cycle. It is a critical event in the menstrual cycle and is highlighted in the script as the midpoint of the cycle. The video explains that ovulation is when the egg is released into the fallopian tube, ready for potential fertilization, which is a key aspect of the reproductive process.

💡Follicular Phase

The follicular phase is the first phase of the ovarian cycle, occurring from cycle day 1 to 13. It involves the maturation of the follicle containing the egg. The video script mentions that the goal of this phase is to prepare a mature egg for release, which is essential for understanding the preparation for ovulation.

💡Luteal Phase

The luteal phase follows ovulation and lasts until the start of the next menstrual period. It is marked by the formation of the corpus luteum, which is responsible for producing progesterone to support the uterine lining for a potential pregnancy. The video script uses this term to explain the post-ovulation phase, emphasizing the role of hormones in preparing for implantation.

💡Hormones

Hormones such as FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone), estrogen, and progesterone play a significant role in regulating the menstrual cycle. The script discusses how these hormones interact to stimulate follicle growth, trigger ovulation, and prepare the endometrium for implantation. Understanding these hormones is crucial for grasping the video's discussion on the menstrual cycle.

💡Endometrium

The endometrium is the lining of the uterus that builds up in response to hormonal changes during the menstrual cycle. If fertilization occurs, it provides the necessary environment for the embryo to implant and grow. The video script describes the endometrium's preparation during the proliferative phase and its role in potential implantation.

💡Corpus Luteum

The corpus luteum is a temporary endocrine structure that forms from the ruptured follicle after ovulation. It secretes progesterone, which helps maintain the uterine lining for a potential pregnancy. The script explains that if fertilization does not occur, the corpus luteum degenerates, leading to the start of a new menstrual cycle.

💡Fertilization

Fertilization is the process where sperm meets and combines with the egg to form a zygote. The video script mentions that fertilization typically occurs in the fallopian tube and is a pivotal event in the reproductive cycle. It is the goal of the menstrual cycle, as the body prepares for this event.

💡Menstrual Phase

The menstrual phase is the shedding of the endometrium, which results in bleeding. It occurs at the beginning of the cycle, from cycle day 1 to 6. The script uses this term to describe the start of the cycle, where the body clears the endometrium in preparation for a new cycle.

💡Proliferative Phase

The proliferative phase is part of the uterine cycle, occurring from cycle day 7 to 14. It is marked by the rebuilding of the endometrium in anticipation of a fertilized egg. The video script explains that estrogen from the growing follicle stimulates this rebuilding process, which is essential for potential implantation.

💡Cervical Mucus

Cervical mucus is a fluid produced by the cervix that changes in consistency throughout the menstrual cycle. The script mentions that estrogen affects the cervical mucus, thinning it to become more sperm-friendly during the fertile window. This change facilitates sperm's journey towards the egg for potential fertilization.

Highlights

Introduction to the menstrual cycle and its significance in reproductive health

The menstrual cycle is typically 28 days with ovulation occurring at mid-cycle

The goal of the reproductive cycle is to prepare for potential fertilization and pregnancy

Ovarian changes occur in three phases: follicular, ovulation, and luteal

Uterine changes occur in three phases: menstrual, proliferative, and secretory

The follicular phase involves maturing a follicle for egg release

Hormones play a crucial role in the development and release of the egg

The LH surge triggers the release of the egg from the follicle

The corpus luteum forms after egg release and is essential for potential pregnancy

The menstrual phase involves shedding the endometrium if pregnancy did not occur

The proliferative phase rebuilds the endometrium in preparation for a fertilized egg

Estrogen from the maturing follicle thins cervical mucus to facilitate sperm migration

Ovulation occurs 24 to 36 hours after the LH surge

The luteal phase involves the secretory phase of the endometrium preparing for implantation

If fertilization occurs, the corpus luteum continues to secrete progesterone and estrogen

The cycle restarts if there is no fertilization, with a drop in progesterone and estrogen

Human chorionic gonadotropin (hCG) from the embryo prevents the corpus luteum from degeneration

The placenta takes over hormone production at around 8 weeks, signaling the end of the corpus luteum's function

Encouragement to take a quiz for self-assessment and to subscribe for more educational content

Transcripts

play00:00

hey everyone it's sarah thread sterner

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sorry and calm and in this video I'm

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going to be going over the reproductive

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cycles specifically the woman's

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menstrual cycle this video will be part

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of an in klux review series for

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maternity so if you're studying this

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section be sure to check out my other

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videos in this series and as always in

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the description below or at the end of

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the video you can access the quiz to

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review your knowledge on this material

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so let's get started okay behind me I

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have the whole menstrual cycle laid out

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for you and what I want to do is I'm

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going to walk you through it by cycle

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day so you can understand what is going

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on now as a nursing student what you

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specifically want to pay attention to

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during this lecture because it's things

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ass on your exam are the following you

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want to pay attention to each phase what

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is happening in that phase and when that

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phase is occurring specifically those

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cycle days then you want to pay

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attention to hormones because tests Club

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to ask about the hormones like the role

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of the hormone what it's doing to the

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body so first let's look at what's going

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on okay a typical woman's menstrual

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cycle is 28 days so here we have our

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timeline 1 to 28 and mid cycle is when

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ovulation occurs so that is day 14 now

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the whole roll the whole goal of a

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reproductive cycle is to reproduce so

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what the body is doing it's taking your

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ovaries and your uterus they are working

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together in case an egg is fertilized

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and you have the development of a baby

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that is the whole goal and if that

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doesn't happen then the cycle will start

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all over again which monthly cycles

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women have monthly cycles so that is

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what why all this is happening and what

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is going on so what happens is that you

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will have ovary changes and changes in

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the uterus and E

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Faye's each each stage has three phases

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the ovary will have three phases the

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follicular ovulation and luteal and then

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your uterine will have three phases the

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minstrel the proliferative and the

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secrete Ettore now some of these phases

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overlap with each other with a like with

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a follicular will overlap with the

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minstrel and proliferative and then

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ovulation will happen and then the

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luteal and the secrete Ettore will

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overlap together because as you're going

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to see these phases are actually helping

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each other what's happened with the

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changes that are going on in the ovaries

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is actually helping the uterus get

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prepared for that potential baby that

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may be formed so let's start with

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ovarian changes okay we have follicular

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follicular faith' happen cycle days 1

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through 13 and the whole goal of the

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follicular stage is to prepare a

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follicle to be released a mature egg let

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the name help you for each stage so

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follicular follicle that is the big goal

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of the ovary it wants to mature a

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follicle in the egg to be released so it

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can be fertilized and implant in the

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endometrium so what happens what is a

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follicle ok you have two ovaries you

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have your right ovary and your left

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ovary and you have little fluid-filled

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sacs in each ovary lots of them a woman

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is born with lot of them and they

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contain little immature eggs and what

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happens is that your body will release

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hormones to cause some of those

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follicles to mature and then you'll

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release it during ovulation so the body

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is doing that during the cycle so how

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does it do it okay your hypothalamus it

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will release gonna tropen

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gonadotropin-releasing hormone which

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will cause your anterior pituitary gland

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to release follicle stimulating hormone

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also called FSH and luteinizing hormone

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LH and these two hormones play a huge

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role in getting that egg

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developed and released so what happens

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is whenever your ovary senses the

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anterior pituitary gland releasing FSH

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it starts to stimulate those follicles

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to grow

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now several follicles will start to grow

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but only one will mature into what's

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called a graphing follicle crabbin

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follicle is the mature follicle that

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will release the egg and all those other

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follicles will die they will not release

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an egg now as this follicle grows and

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gets bigger and more mature you will

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notice if you're charting hormones that

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estrogen will start start increasing

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because that follicle is releasing

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estrogen and whenever estrogen is

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released it's slowly going as that egg

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maturing you will have a negative

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feedback loop from your hypothalamus to

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the ovary which is going to cause a

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little dip in FSH and luteinizing

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hormone because it's signaling to your

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body

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the estrogen rises is that that egg is

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maturing so your body doesn't really

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need all the FSH and LH right now

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because that egg is doing its job so

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you'll have a slight dip but then as

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that egg matures and it's ready it's

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ripe it's ready to come out you will

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have that massive peak of estrogen

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because it's signaling that egg is ready

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whenever you have that massive peak of

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estrogen you will have a positive

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feedback loop which is going to cause

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your anterior pituitary gland to release

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a massive amount of luteinizing hormone

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called the LH surge LH plays a huge role

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in getting that egg out of that graph

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and follicle to go into the fallopian

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tubes to possibly get fertilized so LH

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is rolled is the cause the egg to be

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released to mature and it does this

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whenever you get that huge surge it's

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going to break that wall of that graph

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and follicle that has that much

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egg and that eggs want to come out of

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there and then it's going to call that

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follicle that released that egg that

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grass and follicle to turn into a very

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important structure called the corpus

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luteum now here in the luteal phase you

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will see what the corpus luteum does it

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plays a role in secreting progestogen

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progesterone and estrogen and what those

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hormones do is it's going to make your

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body your endometrium specifically

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receptive for potential implantation of

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a fertilized ovum so that's what it's

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going to do now after you had this LH

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surge about 24 to 36 hours after that

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surge the egg will be released so you

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have the surge then a little bit later

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the egg will be relief now the most

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fertile days for a woman are about the

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last five days of the follicular phase

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and in 24 hours after ovulation

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so about cycle days 9 through 16

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depending on when the woman ovulate and

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everything because this stuff is not

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clear cut and dry every woman varies so

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about 9 to 16 days of the cycle is

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whenever she is fertile because remember

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and your LH surge happens 24 to 36 hours

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and then the eggs release so typically

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the LH surge can happen days 11 through

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13 and then you have the release of the

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egg and sperm if a sperm is present it

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can live in the reproductive tract in

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ideal conditions up to five days so it

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can be there and hanging out until that

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egg is released now corresponding with

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your follicular phase remember we got

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some uterine changes going on and the

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first phase of the uterine cycle is the

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menstrual phase and this is cycle days

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one through six this is when the woman

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will have bleeding and

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she is shedding a layer of the

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endometrium and this layer is called the

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stratum function Alice of the

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endometrium and what's happened is that

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lot last cycle pregnancy did not occur

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so the protest region and estrogen

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levels dropped that caused the body to

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cycle all this back over so hypothalamus

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releases gonadotropin-releasing hormone

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then causes the anterior pituitary gland

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to release FSH LH which is going to

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start stimulating those follicles and

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the menstrual phase is happening during

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the follicular phase all this is working

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hand-in-hand so after about 1 to 6 days

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we will go into the proliferative phase

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and this is cycle days 7 through 14 so

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here in the menstrual phase she shed the

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layer now the goal is to rebuild the

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stratum function Alice in case the egg

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is fertilized and it needs a place to

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implant so it can grow which is in the

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endometrium so it will start rebuilding

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how does it rebuild it rebuilds with due

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to estrogen being secreted and where as

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estrogen being secreted from that

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growing follicle that's fixing to

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release the egg because it knows hey a

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mature egg is coming we've got to get

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ready we've got to rebuild this layer in

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case it implants so it's working hand in

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hand and also that estrogen will cause

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you know the layer to rebuild but it

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also will affect the cervical mucus will

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cause the cervical mucus to thin become

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more sperm friendly which a sperm does

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present at the thin mucus will allow it

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to migrate easier easier to the

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fallopian tubes for potential

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implantation

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okay so we've had our LH surge we're now

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on day 14 and this is the ovulation

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phase of the ovarian space so we have

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ovulation the egg is released after LH

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surge now the ovum it's now called an

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ovum it's released into the

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- neil cavity then it's swept into the

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fallopian tube with the help of the

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fimbriae the fimbriae have cilia on them

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and these will cilia act like little

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fingers and move in a wave type motion

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and whenever that ovum is released from

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that ovary into the peritoneal cavity

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the fimbriae cilia get that ovum and

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sweep it in to the fallopian tube so it

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can get fertilized and the egg will only

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live for 24 hours and then it

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disintegrates now a woman if she's

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charting her basal body temperatures she

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may notice a dip in basal body

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temperature and then around ovulation

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and increase 0.4 to 1 degrees Fahrenheit

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now if sperm is present to fertilize the

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most common site of fertilization I

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would remember this is the em and put em

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Pugh lobe of the fallopian tube the

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ampulla is most commonly where the sperm

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and the egg will meet up and

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fertilization will occur now so let's

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move to day 15 through 28 rest of our

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cycle we're in the second half of our

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cycle we just did the first half we had

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our midway point of ovulation now we're

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in the last part of it okay it's called

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the luteal phase and this is cycle days

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15 through 28 it also corresponds with

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the uterine phase phase changes which is

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the secrete Ettore which is 15 through

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28 as well and again you're going to see

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they're working hand-in-hand because the

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whole goal of this whole face is to

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prepare the endometrium for potential

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implantation of this hopefully

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fertilized ovum but if it doesn't there

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isn't any fertilization of that ovum

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what will happen is that our cycle will

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restart again and we'll come all the way

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back over here and I'll just repeat

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itself ok so what's happening here is

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that our corpus luteum has formed

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remember it's formed from that follicle

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that released the egg and this is going

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to

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act as a temporary endocrine structure

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that is going to help support pregnancy

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it is very very interesting how it works

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so I'm the endocrine what is going to

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release is a lot of progesterone which

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is going to play a role in this credit

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or e phase of the endometrium which um

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it will cause the endometrium to be

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receptive for implantation of that

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fertilized ovum and it stimulates

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estrogen production which are your two

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main hormones that keep pregnancy viable

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and going good so your corpus luteum

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will stay in place for 14 days and if

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there was no pregnancy at all and it

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will disintegrate and turn into the

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corpus albicans now what will happen is

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because your corpus luteum is secreting

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progestogen and estrogen that's its goal

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and you have no FSH and LH because that

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negative feedback loop it's suppressed

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that because we don't want that if we

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have that or menstrual cycles going to

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start over and if we have a fertilized

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ovum we don't want that because we need

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progesterone and estrogen so if it dies

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you're going to have a major drop in

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progesterone and estrogen and the cycle

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is going to start all over LH and FSH is

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going to come back now let's say that

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fertilization did occur well the corpus

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luteum will stay in place because it has

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a very important job of keeping that

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progesterone and estrogen in the system

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so that fertilized egg can implant into

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the endometrium so what will happen what

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causes it to stay in place is that the

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embryo will start to release HCG which

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is human chorionic gonna troponin

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which is what pregnancy tests pick up

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and this prevents the corpus luteum from

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dying so it will stay in place and the

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corpus luteum will stay in place until

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the placenta takes over and your

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placenta produces massive amounts of

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progesterone and estrogen to keep the

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pregnancy and it will take over the

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placenta will take over at about 8

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time and then your corpus luteum has

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done its job and it will die so that is

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the menstrual cycle now be sure to go to

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my website registered nurse or en comm

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and take the free quiz that will test

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your knowledge on this material and

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don't forget to check out my other

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videos in this series and please

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