QUESTION IMAGE
Question
the diagram shows the changes in thickness of the uterine lining during one menstrual cycle.
when would the levels of progesterone and oestrogen be highest?
\
$$\begin{tabular}{|c|c|c|}
\\hline
& progesterone & oestrogen \\\\
\\hline
a & between day 12 and 16 & between day 25 and 28 \\\\
b & between day 19 and 23 & on day 13 \\\\
c & on day 5 & between day 1 and 5 \\\\
d & on day 13 & on day 10 \\\\
\\hline
\\end{tabular}$$
Analyze the uterine lining graph
The graph shows the thickness of the uterine lining over a 28-day menstrual cycle.
- Days 1 to 5: The lining thickness drops sharply, representing menstruation.
- Days 6 to 14: The lining gradually thickens, representing the proliferative phase.
- Days 15 to 28: The lining remains thick and highly vascularized, representing the secretory phase.
Determine peak oestrogen timing
Oestrogen is primarily secreted by the developing follicles in the ovary during the proliferative phase.
- Its level rises steadily to stimulate the repair and growth of the uterine lining.
- It reaches its peak concentration just before ovulation, which typically occurs around day 14.
- Looking at the options, "on day 13" (Option B) or "on day 10" (Option D) are during this pre-ovulatory window.
Determine peak progesterone timing
Progesterone is secreted by the corpus luteum, which forms from the ruptured follicle after ovulation (around day 14).
- Progesterone maintains the thick uterine lining for potential embryo implantation.
- Its levels rise during the luteal/secretory phase, peaking around the middle of this phase (typically between days 19 and 23).
- Looking at the options, "between day 19 and 23" (Option B) matches this peak luteal phase perfectly.
Correlate and select the correct option
Let's evaluate the combined hormone peaks:
- Progesterone peak: between day 19 and 23.
- Oestrogen peak: on day 13 (just before ovulation).
- This combination corresponds exactly to option B.
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- (A) progesterone: between day 12 and 16 | oestrogen: between day 25 and 28
- (B) progesterone: between day 19 and 23 | oestrogen: on day 13 (Correct answer)
- (C) progesterone: on day 5 | oestrogen: between day 1 and 5
- (D) progesterone: on day 13 | oestrogen: on day 10