to respond or may be resistant to FSh. In this case FSh
levels are very high and the estrogen level very low. It
occurs between 45 to 55 years (In some individuals it is
between 40 to 50 years).
Table : Phases of menstrual cycle
Phases Days Events
menstrual
phase
1 st-5th Endometrium breaks down,
menstruation begins. The cells of
endometrium, secretions, blood and
the unfertilised ovum constitute
the menstrual flow. Progesterone
production is reduced.
Follicular
phase
(Proliferative
phase)
6 th-13th Endometrium rebuilds, FSh
secretion and estrogen’s secretion
increase.
Ovulatory
phase
14 th Both Lh and FSh attain a peak
level. concentration of estrogen in
the blood is also high and reaches
its peak. Ovulation occurs.
Luteal phase
(Secretory
phase)
15 th-28th corpus luteum secretes
progesterone. Endometrium
thickens and uterine glands
become secretory.
• Since there are no developing follicles, the supply of
estrogen and progesterone is reduced. This may lead to
temporary depression, hot flushes and other physiological
and psychological problems in menopause.
• Other common symptoms are fatigue, vaginal dryness and
softening of bones due to loss of minerals particularly
calcium.
Fig.:Female’s fertility
Optimal
fertility
End of
fertility
Irregular
cycles
0 18 5145413731
Age (yrs)
Menopause
1,000
10,000
100,000
1,000,000
Follicle
number
Birth
Decreased
fertility
• menstrual cycle is controlled by FSH, LH, estrogen and
progesterone.
• Dysmenorrhoea is painful menses.
• Menorrhagia is excessive menstruation.
• Oligomenorrhoea is sparse or infrequent menstruation.
• Amenorrhoea is non-occurrence of menses.
• Oestrus cycle is a series of cyclic changes that are found
in the ovaries, reproductive tract and hormones of female
nonprimate mammals, e.g., cows, dogs, cats, horse,
buffalo. During this period the female receives the male.
at the end of oestrus, the lining of reproductive tract
is sloughed off. however, there is no menstruation. The
sloughed off tissues are absorbed. Oestrus is followed by
a passive period called anoestrus.
Infertility in women is the inability to become pregnant.
It may be due to failure to ovulate or to some
anatomical factor that prevents the union of egg and
sperm.
It is inflammation of ovary, usually caused by an infection.
Oophoritis
It is implantation of embryo ataplace other
than uterus, generally in the oviduct.
Ectopic pregnancy
Ovarian cysts are fluid filled tumours of the ovary. Such
cysts sometimes rupture and regress (get smaller)
during pregnancy.
Oophorocystosis (Ovarian cysts)
It is relatively slow-growing cancer. Its main risk is that it is
unnoticed until it has invaded other tissues.
Cervical cancer
It is the growth of endometrial tissue outside the
uterus. Symptoms include premenstrual pain or
unusual menstrual pain.
Endometriosis
Infertility
Breast cancer is rarely seen before the age of thirty. Its
incidence increases after menopause.
Breast cancer
Disorders of female
reproductive system
- Why children born to older women have high chances of chromosomal abnormality?
- What is the role of granulosa cells in female reproductive system?