The menstrual cycle is a complex process regulated by hormones that occurs in the female reproductive system. During the menstrual cycle, hormones such as estrogen and progesterone fluctuate in levels, helping to regulate the buildup of the endometrium (uterine lining) and the shedding of the uterine lining, resulting in a period. The menstrual cycle typically lasts 28 days and is divided into two distinct phases, the follicular phase and the luteal phase. During the follicular phase, which lasts from day 1 to day 14, estrogen levels begin to increase as an egg matures in the ovary. The increase in estrogen triggers the release of FSH (follicle stimulating hormone) from the pituitary gland, which stimulates the growth and development of the follicle. As the follicle matures, it produces increasing levels of estrogen. By day 14, the most mature follicle will rupture and release the egg, a process known as ovulation. During ovulation, levels of estrogen and progesterone peak, and the egg is available to be fertilized. The luteal phase begins after ovulation and lasts until the end of the cycle (day 28). During the luteal phase, progesterone levels remain high while estrogen levels decline. Progesterone helps to maintain the endometrium in preparation for possible implantation of a fertilized egg. If fertilization does not occur, progesterone and estrogen levels decline, triggering the shedding of the endometrium and resulting in a period. The menstrual cycle is a complex process regulated by hormones, and fluctuations in hormone levels are essential for the cycle to occur. An imbalance in hormone levels can result in irregular or absent periods, as well as other reproductive health issues.
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