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Chapter 16

            occur, the embryo produces Human Chorionic Gonadotropin (HCG), which maintains the corpus
            luteum and causes it to continue producing progesterone until the placenta can take over production of
            progesterone. Hence, progesterone is "pro gestational" and maintains the uterine lining during all of
            pregnancy. If fertilization and implantation do not occur the corpus luteum degenerates into a corpus
            albicans, and progesterone levels fall. This fall in progesterone levels cause the endometrium lining to
            break down and sluff off through the vagina. This is called menstruation, which marks the low point for
            estrogen activity and is the starting point of a new cycle.

                 Common usage refers to menstruation and menses as a period. This bleeding serves as a sign that a
            woman has not become pregnant. However, this cannot be taken as certainty, as sometimes there is
            some bleeding in early pregnancy. During the reproductive years, failure to menstruate may provide the
            first indication to a woman that she may have become pregnant.


                 Menstruation forms a normal part of a natural cyclic process occurring in healthy women between
            puberty and the end of the reproductive years. The onset of menstruation, known as menarche, occurs
            at an average age of 12, but is normal anywhere between 8 and 16. Factors such as heredity, diet, and
            overall health can accelerate or delay the onset of menarche.


                 Signs of ovulation

                 The female body produces outward signs that can be easily recognized at the time of ovulation.
            The two main signs are thinning of the cervical mucus and a slight change in body temperature.

                 Thinning of the Cervical Mucus


                 After menstruation and right before ovulation, a woman will experience an increase of cervical
            mucus. At first, it will be thick and yellowish in color and will not be very plentiful. Leading up to
            ovulation, it will become thinner and clearer. On or around the day of ovulation, the cervical mucus
            will be very thin, clear and stretchy. It can be compared to the consistency of egg whites.

                 Temperature Change


                 A woman can also tell the time of ovulation by taking her basal body temperature daily. This is a
            temperature taken with a very sensitive thermometer first thing in the morning before the woman gets
            out of bed. The temperature is then tracked to show changes. In the uterine cycle, a normal temperature
            will be around 97.0 – 98.0. The day of ovulation the temperature spikes down, usually into the 96.0 –
            97.0 range and then the next morning it will spike up to normal of around 98.6 and stay in that range
            until menstruation begins.


                 Both of these methods are used for conception and contraception. They are more efficient in
            conception due to the fact that sperm can live for two to three days inside of the fallopian tubes. A
            woman could be off by a couple of days in her calculations and still become pregnant.

                 Menopause  is the physiological cessation of menstrual cycles associated with advancing age.
            Menopause is sometimes referred to as "the change of life" or climacteric. Menopause occurs as the
            ovaries stop producing estrogen, causing the reproductive system to gradually shut down. As the body
            adapts to the changing levels of natural hormones, vasomotor symptoms such as hot flashes and
            palpitations, psychological symptoms such as increased depression, anxiety, irritability, mood swings
            and lack of concentration, and atrophic symptoms such as vaginal dryness and urgency of urination


            310 | Human Physiology
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