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Page Title: FEMALE REPRODUCTIVE CYCLE
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Chapter 2 Fundamentals of Patient Care

in preparation for lactation. After childbirth, hormones secreted  by  the  anterior  lobe  of  the  pituitary  gland stimulate production for 6 to 9 months. FEMALE REPRODUCTIVE CYCLE Females  around  age  11  begin  to  experience  the female  reproductive  cycle  and  continue  into  middle age,  after  which  it  ceases.  The  female  reproductive cycle, or menstrual cycle, is characterized by regular, recurring  changes  in  the  uterine  lining,  resulting  in menstrual  bleeding  (menses).  The  first  phase  of  the recurring  reproductive  cycle  is  menstrual  bleeding. Menstrual   bleeding   begins   when   the   endometrial lining starts to slough off from the walls of the uterus, and  it  is  characterized  by  bleeding  from  the  vagina. This is day 1 of the cycle, and this phase usually lasts through day 5. The time between the last day of the menses and ovulation is known as the postmenstrual phase. It lasts from day 6 through day 13 or 14 and is characterized by proliferation of endometrial cells in the uterus, which develop under the influence of the hormone estrogen. Ovulation, as discussed earlier in this section, is the rupture of a primordial follicle with the release of a mature ovum into the fallopian tubes. It usually   occurs   on   day   14   or   15   of   the   cycle.   The postovulatory   (premenstrual)   phase   is   the   time between   ovulation   and   the   onset   of   the   menstrual bleeding and normally lasts 14 days. During this phase the  ovum  travels  through  the  fallopian  tubes  to  the uterus.   If   the   ovum   becomes   fertilized   during   this passage, it will become implanted in and nurtured by the newly developed endometrial lining. However, if fertilization does not take place, the lining deteriorates and eventually sloughs off, marking day 1 of the next cycle. SUMMARY In this chapter, you have learned about the basic structures of the cell to the many complex systems of the  human  body.  In  addition,  you  have  acquired  the understanding of how each body system functions and how  each  system  is  interdependent  upon  each  other. You will use this knowledge of human anatomy and physiology   throughout   your   career   in   the   medical services.   For   example,   the   anatomical   terminology will   be   used   in   describing   location   of   injuries   or conditions.   Also,   when   you   perform   patient assessments,  a  clear  and  thorough  understanding  of anatomy   and   physiology   is   essential.   Patient assessment   and   documentation   procedures   will   be discussed in the next chapter, entitled “Fundamentals of Patient Care.” 1-63

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