Menstrual Cycle and Spermatogenesis · Physiology

In the absence of fertilization, why does menstruation occur?

  1. The corpus luteum degenerates and progesterone falls
  2. High LH levels directly force the endometrial lining to shed
  3. Rising prolactin triggers uterine vasoconstriction
  4. The pituitary gland abruptly stops secreting GnRH
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Correct answer: The corpus luteum degenerates and progesterone falls

The drop in progesterone and estrogen following the involution of the corpus luteum causes the spiral arteries to constrict. This leads to ischemia and the subsequent sloughing of the functional layer of the endometrium.

Difficulty: Medium Question 28 of 40

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