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By Caroline Hollins-Martin, Olga Van Den Akker, Colin Martin, Victor R. Preedy

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Extra info for Handbook of Diet and Nutrition in the Menstrual Cycle, Periconception and Fertility

Example text

M. Hokama of the luteal phase, both steroid hormones rapidly decline. The plummeting of estrogen and progesterone during the late luteal phase initiates menstrual bleeding, signaling the completion of one menstrual cycle and the start of another. In addition to the roles of estrogen and progesterone in a woman’s monthly reproductive cycle, these gonadal hormones have vast effects on a woman’s physical and psychological well-being. With regard to physical well-being, estrogen and progesterone have effects on cardiovascular, skeletal, neuromuscular, and cognitive brain systems.

Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study. Fertility and Sterility 74, 1029-1034. N. , 2003. Age is a better predictor of pregnancy potential than basal follicle-stimulating hormone levels in women undergoing in vitro fertilization. Fertility and Sterility 79, 63-68. , 1988. Diagnostic Assessment Of The Infertile Female Partner. Current Problems in Obstetrics, Gynaecology, and Fertility 11, 6-42.

The sudden increase in the local concentrations of prostaglandins and proteolytic enzymes leads to perforation of the mature follicle’s wall and the release of the oocyte. After ovulation, the corpus luteum forms from the remaining follicular shell and regulate the luteal phase. The luteal phase is 14 days long and ends by the onset of menses. Menstruation and endometrial shedding follow hormonal deprivation and uterine ischaemia. , 2006). 1 Endocrine factors Ovulation dysfunction is usually indicated by absence of menstruation (amenorrhoea), infrequent menstruation (oligomenorrhoea) or frequent menstruation (polymenorrhoea), accounting for 21% of causes of infertility.

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