Page 858 - Atlas of Histology with Functional Correlations
P. 858

In response to both follicle-stimulating hormone (FSH) and LH, the cells of

                 the corpus lutein secrete estrogen and large amounts of progesterone. High
                 levels of both hormones further stimulate the development of the uterus and
                 mammary glands in anticipation of the implantation of a fertilized egg and
                 pregnancy.

                     Rising  levels  of  estrogen  and  progesterone  produced  by  the  corpus

                 luteum eventually inhibit further release of FSH and LH, by its action on the
                 neurons in the hypothalamus and gonadotrophs in the adenohypophysis. This
                 effect prevents further ovulation.

                     If  the  ovulated  secondary  oocyte  is  not  fertilized,  the  corpus  luteum

                 continues to secrete its hormones for about another 12 days and then begins
                 to  regress.  After  its  regression,  it  is  called  the  corpus  luteum  of
                 menstruation,  eventually  becoming  a  connective  tissue  scar  corpus
                 albicans.  With  decreased  functions  of  the  corpus  luteum,  estrogen  and
                 progesterone levels decline, affecting the blood vessels in the endometrium

                 of  the  uterus  and  inducing  the  shedding  of  the  stratum  functionalis  of  the
                 endometrium in the menstrual flow.

                     As the corpus luteum ceases function, the inhibitory effects of estrogen,
                 progesterone, and inhibin on the hypothalamus and pituitary gland cells are

                 removed.  As  a  result,  FSH  is  again  released  from  the  adenohypophysis,
                 initiating a new ovarian cycle of follicular development and maturation.


                 Corpus Luteum and Pregnancy


                 If  fertilization  of  the  oocyte  and  implantation  of  the  embryo  occurs,  the
                 corpus  luteum  increases  in  size  and  becomes  the  corpus  luteum  of

                 pregnancy. The hormone human chorionic gonadotropin (hCG), secreted
                 by the trophoblast cells of the developing placenta in the implanting embryo,
                 continues to stimulate luteal functions of the corpus luteum and prevents its
                 regression. The influence of hCG is similar to that by LH from the pituitary

                 gland  and  extends  its  function  of  progesterone  secretion.  As  a  result,  the
                 corpus luteum of pregnancy persists for several months. As the pregnancy
                 progresses,  however,  the  function  of  the  corpus  luteum  diminishes  and  is
                 taken  over  by  the  placenta  after  about  6  weeks  of  pregnancy.  During

                 pregnancy,  the  placenta  functions  as  a  temporary  endocrine  organ  and
                 continues  to  secrete  sufficient  amounts  of  estrogen  and  progesterone  to
                 maintain the pregnancy until parturition.





                                                          857
   853   854   855   856   857   858   859   860   861   862   863