Page 1
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
30
Fig. 17: Vasculature of Human uterine endometrium.
Source: ILLL in house
Cyclic Changes in the Endometrium
Both the structure and function of the endometrium, including the epithelium, lamina
propria, glands and blood vessels are subjected to the influence of ovarian steroid hormones
(Figure 18). Generally, three stages of cellular reorganization are observed during each
menstrual cycle.
These are 1) a proliferative phase, 2) a secretory phase, and 3) a menstruation
phase. During the estrous cycle the uteri also undergo progressive enlargement and
become distended owing to the accumulation of luminal fluid (next chapter).
The endometrium of the uterus undergoes pronounced cyclical changes every month during
a woman’s reproductive years (Figure 18). These changes consist of a gradual building of
tissue in preparation for receiving a fertilized egg followed by abrupt breakdown of this layer
and a menstrual flow if pregnancy does not occur. The endometrial and superficial
connective tissue layers of the uterine lining are at their maximum height (nearly 6-mm)
during the fourteenth to twenty-sixth days of menstrual cycle. At this time, the endometrial
glands are well developed and secrete a fluid that nourishes the embryo. Therefore, this
period is referred to as the secretory phase. There are abundant blood vessels present in
the superficial layer of endometrium at this stage. These are elongated and follow a spiral
course as they extend from the basal portion to the surface epithelium. If no pregnancy
occurs, drop in estrogen and progesterone levels makes the terminal portions of these
vessels constrict. This deprives the superficial layers of the uterine lining of a supply of
oxygen (ischemia) and results in their degeneration. About two days after the
vasoconstriction takes place, the affected parts of the uterine lining begin to shed resulting
in bleeding called the menstrual flow. This constitutes the menstruation phase. The
menstrual fluid consists of epithelium, connective tissue, and blood. This blood normally
clots in the uterus and the clots are broken up by enzyme action before flowing from the
cervix. However, if menstruation at any given time is abnormally rapid, the blood may clot
in the vagina. The normal blood loss during a menstrual period is variable, with an average
of about 50 ml. Menstruation normally takes four days, with an average of three to six
days. At this stage, the endometrium is only about 1 mm thick (Figure 10). It goes in to a
three-day repair phase during which i) continuity of the epithelium is re-established, ii) the
Page 2
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
30
Fig. 17: Vasculature of Human uterine endometrium.
Source: ILLL in house
Cyclic Changes in the Endometrium
Both the structure and function of the endometrium, including the epithelium, lamina
propria, glands and blood vessels are subjected to the influence of ovarian steroid hormones
(Figure 18). Generally, three stages of cellular reorganization are observed during each
menstrual cycle.
These are 1) a proliferative phase, 2) a secretory phase, and 3) a menstruation
phase. During the estrous cycle the uteri also undergo progressive enlargement and
become distended owing to the accumulation of luminal fluid (next chapter).
The endometrium of the uterus undergoes pronounced cyclical changes every month during
a woman’s reproductive years (Figure 18). These changes consist of a gradual building of
tissue in preparation for receiving a fertilized egg followed by abrupt breakdown of this layer
and a menstrual flow if pregnancy does not occur. The endometrial and superficial
connective tissue layers of the uterine lining are at their maximum height (nearly 6-mm)
during the fourteenth to twenty-sixth days of menstrual cycle. At this time, the endometrial
glands are well developed and secrete a fluid that nourishes the embryo. Therefore, this
period is referred to as the secretory phase. There are abundant blood vessels present in
the superficial layer of endometrium at this stage. These are elongated and follow a spiral
course as they extend from the basal portion to the surface epithelium. If no pregnancy
occurs, drop in estrogen and progesterone levels makes the terminal portions of these
vessels constrict. This deprives the superficial layers of the uterine lining of a supply of
oxygen (ischemia) and results in their degeneration. About two days after the
vasoconstriction takes place, the affected parts of the uterine lining begin to shed resulting
in bleeding called the menstrual flow. This constitutes the menstruation phase. The
menstrual fluid consists of epithelium, connective tissue, and blood. This blood normally
clots in the uterus and the clots are broken up by enzyme action before flowing from the
cervix. However, if menstruation at any given time is abnormally rapid, the blood may clot
in the vagina. The normal blood loss during a menstrual period is variable, with an average
of about 50 ml. Menstruation normally takes four days, with an average of three to six
days. At this stage, the endometrium is only about 1 mm thick (Figure 10). It goes in to a
three-day repair phase during which i) continuity of the epithelium is re-established, ii) the
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
31
remaining blood vessels start to grow upward again, and iii) development of glands is
initiated as invaginations of epithelium. Rapid growth of the epithelium, blood vessels, and
connective tissue takes place during the next week. This is called the proliferative phase.
It is followed by another secretory phase. All these changes are closely timed with those
occurring in the maturing follicle of the ovary.
Page 3
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
30
Fig. 17: Vasculature of Human uterine endometrium.
Source: ILLL in house
Cyclic Changes in the Endometrium
Both the structure and function of the endometrium, including the epithelium, lamina
propria, glands and blood vessels are subjected to the influence of ovarian steroid hormones
(Figure 18). Generally, three stages of cellular reorganization are observed during each
menstrual cycle.
These are 1) a proliferative phase, 2) a secretory phase, and 3) a menstruation
phase. During the estrous cycle the uteri also undergo progressive enlargement and
become distended owing to the accumulation of luminal fluid (next chapter).
The endometrium of the uterus undergoes pronounced cyclical changes every month during
a woman’s reproductive years (Figure 18). These changes consist of a gradual building of
tissue in preparation for receiving a fertilized egg followed by abrupt breakdown of this layer
and a menstrual flow if pregnancy does not occur. The endometrial and superficial
connective tissue layers of the uterine lining are at their maximum height (nearly 6-mm)
during the fourteenth to twenty-sixth days of menstrual cycle. At this time, the endometrial
glands are well developed and secrete a fluid that nourishes the embryo. Therefore, this
period is referred to as the secretory phase. There are abundant blood vessels present in
the superficial layer of endometrium at this stage. These are elongated and follow a spiral
course as they extend from the basal portion to the surface epithelium. If no pregnancy
occurs, drop in estrogen and progesterone levels makes the terminal portions of these
vessels constrict. This deprives the superficial layers of the uterine lining of a supply of
oxygen (ischemia) and results in their degeneration. About two days after the
vasoconstriction takes place, the affected parts of the uterine lining begin to shed resulting
in bleeding called the menstrual flow. This constitutes the menstruation phase. The
menstrual fluid consists of epithelium, connective tissue, and blood. This blood normally
clots in the uterus and the clots are broken up by enzyme action before flowing from the
cervix. However, if menstruation at any given time is abnormally rapid, the blood may clot
in the vagina. The normal blood loss during a menstrual period is variable, with an average
of about 50 ml. Menstruation normally takes four days, with an average of three to six
days. At this stage, the endometrium is only about 1 mm thick (Figure 10). It goes in to a
three-day repair phase during which i) continuity of the epithelium is re-established, ii) the
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
31
remaining blood vessels start to grow upward again, and iii) development of glands is
initiated as invaginations of epithelium. Rapid growth of the epithelium, blood vessels, and
connective tissue takes place during the next week. This is called the proliferative phase.
It is followed by another secretory phase. All these changes are closely timed with those
occurring in the maturing follicle of the ovary.
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
32
Page 4
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
30
Fig. 17: Vasculature of Human uterine endometrium.
Source: ILLL in house
Cyclic Changes in the Endometrium
Both the structure and function of the endometrium, including the epithelium, lamina
propria, glands and blood vessels are subjected to the influence of ovarian steroid hormones
(Figure 18). Generally, three stages of cellular reorganization are observed during each
menstrual cycle.
These are 1) a proliferative phase, 2) a secretory phase, and 3) a menstruation
phase. During the estrous cycle the uteri also undergo progressive enlargement and
become distended owing to the accumulation of luminal fluid (next chapter).
The endometrium of the uterus undergoes pronounced cyclical changes every month during
a woman’s reproductive years (Figure 18). These changes consist of a gradual building of
tissue in preparation for receiving a fertilized egg followed by abrupt breakdown of this layer
and a menstrual flow if pregnancy does not occur. The endometrial and superficial
connective tissue layers of the uterine lining are at their maximum height (nearly 6-mm)
during the fourteenth to twenty-sixth days of menstrual cycle. At this time, the endometrial
glands are well developed and secrete a fluid that nourishes the embryo. Therefore, this
period is referred to as the secretory phase. There are abundant blood vessels present in
the superficial layer of endometrium at this stage. These are elongated and follow a spiral
course as they extend from the basal portion to the surface epithelium. If no pregnancy
occurs, drop in estrogen and progesterone levels makes the terminal portions of these
vessels constrict. This deprives the superficial layers of the uterine lining of a supply of
oxygen (ischemia) and results in their degeneration. About two days after the
vasoconstriction takes place, the affected parts of the uterine lining begin to shed resulting
in bleeding called the menstrual flow. This constitutes the menstruation phase. The
menstrual fluid consists of epithelium, connective tissue, and blood. This blood normally
clots in the uterus and the clots are broken up by enzyme action before flowing from the
cervix. However, if menstruation at any given time is abnormally rapid, the blood may clot
in the vagina. The normal blood loss during a menstrual period is variable, with an average
of about 50 ml. Menstruation normally takes four days, with an average of three to six
days. At this stage, the endometrium is only about 1 mm thick (Figure 10). It goes in to a
three-day repair phase during which i) continuity of the epithelium is re-established, ii) the
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
31
remaining blood vessels start to grow upward again, and iii) development of glands is
initiated as invaginations of epithelium. Rapid growth of the epithelium, blood vessels, and
connective tissue takes place during the next week. This is called the proliferative phase.
It is followed by another secretory phase. All these changes are closely timed with those
occurring in the maturing follicle of the ovary.
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
32
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
33
Fig.18: Changes in uterine endometrium during menstrual cycle of
women.
Source:
http://www.lab.anhb.uwa.edu.au/mb140/CorePages/FemaleRepro/femalerepro.htm#Uterus ©
Lutz Slomianka
Free for educational purpose
Page 5
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
30
Fig. 17: Vasculature of Human uterine endometrium.
Source: ILLL in house
Cyclic Changes in the Endometrium
Both the structure and function of the endometrium, including the epithelium, lamina
propria, glands and blood vessels are subjected to the influence of ovarian steroid hormones
(Figure 18). Generally, three stages of cellular reorganization are observed during each
menstrual cycle.
These are 1) a proliferative phase, 2) a secretory phase, and 3) a menstruation
phase. During the estrous cycle the uteri also undergo progressive enlargement and
become distended owing to the accumulation of luminal fluid (next chapter).
The endometrium of the uterus undergoes pronounced cyclical changes every month during
a woman’s reproductive years (Figure 18). These changes consist of a gradual building of
tissue in preparation for receiving a fertilized egg followed by abrupt breakdown of this layer
and a menstrual flow if pregnancy does not occur. The endometrial and superficial
connective tissue layers of the uterine lining are at their maximum height (nearly 6-mm)
during the fourteenth to twenty-sixth days of menstrual cycle. At this time, the endometrial
glands are well developed and secrete a fluid that nourishes the embryo. Therefore, this
period is referred to as the secretory phase. There are abundant blood vessels present in
the superficial layer of endometrium at this stage. These are elongated and follow a spiral
course as they extend from the basal portion to the surface epithelium. If no pregnancy
occurs, drop in estrogen and progesterone levels makes the terminal portions of these
vessels constrict. This deprives the superficial layers of the uterine lining of a supply of
oxygen (ischemia) and results in their degeneration. About two days after the
vasoconstriction takes place, the affected parts of the uterine lining begin to shed resulting
in bleeding called the menstrual flow. This constitutes the menstruation phase. The
menstrual fluid consists of epithelium, connective tissue, and blood. This blood normally
clots in the uterus and the clots are broken up by enzyme action before flowing from the
cervix. However, if menstruation at any given time is abnormally rapid, the blood may clot
in the vagina. The normal blood loss during a menstrual period is variable, with an average
of about 50 ml. Menstruation normally takes four days, with an average of three to six
days. At this stage, the endometrium is only about 1 mm thick (Figure 10). It goes in to a
three-day repair phase during which i) continuity of the epithelium is re-established, ii) the
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
31
remaining blood vessels start to grow upward again, and iii) development of glands is
initiated as invaginations of epithelium. Rapid growth of the epithelium, blood vessels, and
connective tissue takes place during the next week. This is called the proliferative phase.
It is followed by another secretory phase. All these changes are closely timed with those
occurring in the maturing follicle of the ovary.
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
32
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
33
Fig.18: Changes in uterine endometrium during menstrual cycle of
women.
Source:
http://www.lab.anhb.uwa.edu.au/mb140/CorePages/FemaleRepro/femalerepro.htm#Uterus ©
Lutz Slomianka
Free for educational purpose
Female Reproductive System: Structure of Organs and Duct System
Institute of Life Long Learning, University of Delhi
34
Many other tissues of the reproductive tract of the female also undergo changes during the
menstrual cycle, but to a much less extent. These changes are i) in motility of cilia of the
oviduct (it is maximal at ovulation), ii) in the viscosity of the cervical mucus, and iii) in the
cells of vaginal epithelium (next chapter).
In general, the secretions that line the uterine mucosa during the progestational (secretary)
phase are rich in carbohydrates, mucopolysaccharide, and proteins. Ionic composition of
the uterus also undergoes marked alteration during the preimplantation stages of
pregnancy. Also, in species in which capacitation of spermatozoa is a prerequisite for
fertilization, the uterine secretions may be involved in an alteration of the plasma
membrane overlying the spermatozoa acrosome, and change it to the fertilizable state.
Unlike the oviduct, the uterus contains a reduced population of ciliated cells. Although the
function of the ciliated cells of the uterus is not as apparent as that of the oviduct, it seems
likely that these elements participate in the release and distribution of secretory material
throughout the mucosa.
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