4.9

4.9: Oestrogen and progesterone in the menstrual cycle

Oestrogen and progesterone coordinate growth and maintenance of the uterine lining during the menstrual cycle.

LEARNING GOALS

By the end of this lesson

  • Describe uterine-lining changes during the cycle.
  • Explain the roles of oestrogen and progesterone.
  • Interpret hormone and lining graphs.

BIG QUESTION

How do changing hormone concentrations prepare the uterus for a possible pregnancy?

The cycle is a coordinated sequence, not a rigid timetable identical in every person.

Menstruation resets the uterine lining

At the start of a cycle, low ovarian hormone concentrations are associated with breakdown and shedding of part of the uterine lining: .

Cycle length varies among and within individuals; day numbers shown on diagrams are models rather than guarantees.

Oestrogen rebuilds the lining

A developing ovarian follicle releases increasing . Oestrogen stimulates repair and thickening of the endometrium after menstruation.

Oestrogen also participates in feedback control of pituitary hormones.

Progesterone maintains the lining

After ovulation, the corpus luteum secretes , maintaining a thick, vascular uterine lining.

If pregnancy does not occur, the corpus luteum degenerates, progesterone falls and menstruation follows. During pregnancy, progesterone remains high, later supported by the placenta.

Hormones and the uterine lining

Read concentration changes alongside tissue response.

Menstrual-cycle coordination
Phase/signalHormone patternUterine effect
MenstruationOestrogen and progesterone low.Part of lining is shed.
Follicular phaseOestrogen rises.Lining repairs and thickens.
After ovulationProgesterone rises.Lining is maintained.
No pregnancyProgesterone and oestrogen fall.Maintenance ends; menstruation begins.
PregnancyProgesterone remains elevated.Lining is maintained.
KEY TERMS

Language that earns precision

menstruation
Shedding of part of the uterine lining with blood and tissue.
endometrium
Inner lining of the uterus.
corpus luteum
Temporary ovarian structure formed from the follicle after ovulation.
menstrual cycle
Recurring ovarian and uterine changes coordinated by hormones.

Common misconceptions

Claim: Menstruation is the release of an egg.

Correction: Ovulation releases an egg; menstruation sheds uterine lining.

Claim: Every cycle lasts exactly 28 days.

Correction: Length and timing vary naturally.

Claim: Progesterone creates the lining from nothing.

Correction: Oestrogen promotes rebuilding; progesterone mainly maintains and develops it after ovulation.

EXAM LANGUAGE

Match the answer to the command word

Interpret graphs

Describe rise/fall and link it to a named uterine event.

Avoid absolutes

Use “typically” for cycle timing; explain the hormone mechanism.

CHECK YOUR UNDERSTANDING

Recall, apply, then justify

01Explain4 marks

Explain the roles of oestrogen and progesterone in the uterine cycle.

Hint

Rebuild, maintain, then hormone fall.

Suggested marking points
  • Oestrogen from the developing follicle stimulates repair/thickening of the uterine lining.
  • Progesterone is released by the corpus luteum after ovulation.
  • Progesterone maintains the thick uterine lining.
  • A fall in ovarian hormones when no pregnancy occurs leads to menstruation.
02Explain3 marks

Explain why menstruation usually does not occur during pregnancy.

Hint

Progesterone and maintenance of the endometrium.

Suggested marking points
  • Progesterone concentration remains elevated.
  • The uterine lining continues to be maintained.
  • The lining is therefore not shed in the normal menstrual pattern.
STRETCH AND CHALLENGE

A graph shows progesterone remaining low after ovulation should have occurred. Predict likely uterine effects.

Planning hint

Corpus luteum → progesterone → lining.

What a strong design includes
  • Low progesterone suggests limited corpus-luteum activity or no ovulation.
  • The endometrium receives less maintenance signal.
  • It may fail to become or remain fully supportive.
  • Hormone concentrations may fall earlier than expected.
  • Menstruation may occur or timing may be altered.
  • Implantation and maintenance of an early pregnancy would be less likely.
END OF THE LESSON

What next?

Choose an activity, or move on to the next lesson.

Practise 4.9: 18 recall questions · 20 exam questions