Embed Size (px)
DESCRIPTION
mc
Citation preview
MENSTRUAL CYCLEMENSTRUAL CYCLE
TRIONO ADI SUROSO, MD,SpOGTRIONO ADI SUROSO, MD,SpOG
Menstrual CycleMenstrual Cycle
Menarche – MenopauseMenarche – MenopauseRange : 25 – 36 daysRange : 25 – 36 days10 - 15%: 28 days10 - 15%: 28 daysMenstrual bleeding: 3 – 7 days ( 5 days)Menstrual bleeding: 3 – 7 days ( 5 days)Blood loss: 0.5 – 2.5 ouncesBlood loss: 0.5 – 2.5 ouncesRegulated by hormonesRegulated by hormones3 phases: follicular – ovulatory – luteal 3 phases: follicular – ovulatory – luteal
Endocrine SystemEndocrine System
1.1. Pineal glandPineal gland
2.2. Pituitary glandPituitary gland
3.3. Thyroid glandThyroid gland
4.4. Thymus Thymus
5.5. Adrenal glandAdrenal gland
6.6. Pancreas Pancreas
7.7. Ovary Ovary
8.8. Testes Testes
Hypothalamus – Pituitary – Ovaries Hypothalamus – Pituitary – Ovaries
Hormones Hormones
GnRHGnRH FSHFSH LHLH Estrogen Estrogen Progesterone Progesterone
Endometrium Endometrium
Menstrual Phase: 1-4, Menstrual Phase: 1-4, thin, no epitheliumthin, no epithelium
Proliferative Phase: 4-Proliferative Phase: 4-14, intermediate, 14, intermediate, columnarcolumnar
Secretory Phase: 15-Secretory Phase: 15-28, thick, columnar + 28, thick, columnar + helicine uterine arteryhelicine uterine artery
Follicular phaseFollicular phase
Follicle developmentFollicle development 13 – 14 days13 – 14 days FSHFSH Estrogen productionEstrogen production LH surgeLH surge Egg release Egg release
Ovulation Ovulation
LH surgeLH surge Egg releaseEgg release 16 – 32 hours16 – 32 hours
Luteal phase Luteal phase
Lasts about 14 daysLasts about 14 days Rupture follicle / Rupture follicle /
corpus luteumcorpus luteum ProgesteroneProgesterone Estrogen Estrogen
