Question Video: Outlining the Role of Progesterone in Maintaining the Thickness of the Uterine Lining during the Menstrual Cycle | Nagwa Question Video: Outlining the Role of Progesterone in Maintaining the Thickness of the Uterine Lining during the Menstrual Cycle | Nagwa

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Question Video: Outlining the Role of Progesterone in Maintaining the Thickness of the Uterine Lining during the Menstrual Cycle Biology • Third Year of Secondary School

The diagram provided shows the changes in the lining of the uterus wall over a typical 28-day cycle. What is the role of progesterone in relation to the uterus lining?

03:28

Video Transcript

The diagram provided shows the changes in the lining of the uterus wall over a typical 28-day cycle. What is the role of progesterone in relation to the uterus lining? (A) A peak in progesterone initiates the breakdown of the uterus lining on day one of the menstrual cycle. (B) A decrease in progesterone stimulates the buildup of the lining after day five of the menstrual cycle. (C) A relatively high level of progesterone helps maintain the uterus lining between day 14 and day 28, approximately, of the menstrual cycle. Or (D) progesterone is responsible for initiating ovulation, so it does not affect the uterus lining.

This question asks about a specific hormone, progesterone, and its effect on the menstrual cycle in biological females. We are provided with a graph that displays the changes in the lining of the uterus over the course of a typical 28-day menstrual cycle. Let’s take a look at these changes and some of the hormones that influence them in order to work out the correct answer to this question.

Between approximately day zero and six of the menstrual cycle, menstruation, which is sometimes called a period, occurs. And the thickness of the uterine lining decreases. During menstruation, the uterine lining is broken down and shed through the vagina along with blood, an unfertilized egg cell, and other materials. After menstruation, a hormone called estrogen is released from the ovaries, which stimulates the uterine lining to begin to thicken again.

Around day 14, estrogen levels peak and ovulation occurs. This is when a mature egg cell is released from an ovary, into the corresponding fallopian tube where it might be fertilized by a sperm cell. Until this point, progesterone levels remained fairly low but have been slowly increasing as this hormone is gradually released from the ovaries.

After ovulation, estrogen levels drop, while progesterone levels increase further. The increase in progesterone acts to maintain the thickness of the uterine lining to prepare for the potential implantation of the embryo that might result from the fertilization of an egg cell. The levels of progesterone remain high until the menstrual cycle approaches its end just before day 28. At this point, if the egg cell is not fertilized by a sperm cell, the levels of progesterone and estrogen drop. So the thickness of the uterine lining is no longer maintained, and it is shed once more through menstruation. Then, the menstrual cycle can begin again.

Now we have enough information about some of the different hormones involved in the regulation of the menstrual cycle to answer our question correctly. First, we can eliminate answer option (D), as we know that progesterone does affect the uterus lining, and this option suggests otherwise. We can also eliminate answer option (B), as the hormone responsible for stimulating the buildup of the uterus lining is estrogen, not progesterone. Progesterone decreasing, not peaking, is partly what stimulates the breakdown of the uterus lining on day one of the menstrual cycle. So answer option (A) is also incorrect.

Instead, high levels of progesterone are responsible for maintaining the thickness of the uterine lining, which occurs approximately between day 14 when ovulation occurs and day 28 of the menstrual cycle. This means that the correct answer to this question is (C). A relatively high level of progesterone helps maintain the uterus lining between day 14 and 28, approximately, of the menstrual cycle.

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