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The menstrual cycle

The menstrual cycle is a monthly series of changes in a woman's reproductive system. It lasts about 28 days and is controlled by hormones, mainly oestrogen and progesterone, which are made in the ovaries.

The stages are:

  • Days 1 to 5: menstruation. The lining of the uterus breaks down and is lost through the vagina.
  • Days 5 to 14: the lining of the uterus repairs and thickens. Oestrogen causes this.
  • Around day 14: ovulation. A mature egg is released from an ovary.
  • Days 15 to 28: the lining is maintained, ready for a fertilised egg to implant. Progesterone maintains it.

If the egg is not fertilised, the level of progesterone falls, the lining breaks down and a new cycle begins with menstruation.

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