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Multiple Choice
Normally, menstruation occurs when which of the following events takes place?
A
The fertilized egg implants successfully in the uterine lining
B
The levels of estrogen and progesterone decrease due to the degeneration of the corpus luteum
C
Ovulation is triggered by a surge in luteinizing hormone (LH)
D
The endometrial lining thickens in preparation for implantation
Verified step by step guidance
1
Understand the menstrual cycle: The menstrual cycle is divided into phases, including the follicular phase, ovulation, luteal phase, and menstruation. Menstruation occurs when the uterine lining (endometrium) is shed due to hormonal changes.
Identify the role of the corpus luteum: After ovulation, the corpus luteum forms from the ruptured follicle and secretes estrogen and progesterone. These hormones maintain the thickened endometrial lining in preparation for a potential pregnancy.
Recognize the trigger for menstruation: If fertilization does not occur, the corpus luteum degenerates, leading to a significant drop in estrogen and progesterone levels. This hormonal decrease causes the endometrial lining to break down and shed, resulting in menstruation.
Eliminate incorrect options: Implantation of a fertilized egg in the uterine lining prevents menstruation by maintaining high levels of progesterone. Similarly, ovulation and endometrial thickening are preparatory steps in the cycle, not triggers for menstruation.
Conclude the correct answer: Menstruation occurs when the levels of estrogen and progesterone decrease due to the degeneration of the corpus luteum, as this hormonal drop initiates the shedding of the uterine lining.