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| + | === The Follicular Wave === |
| + | |
| + | * At the beginning of each cycle, a few primary follicles begin to develop into antral follicles. |
| + | * What causes the selection of particular follicles is unknown, but it is thought to be due to the paracrine action of growth factors such as EGF and IGFs. |
| + | * Major enlargement of the follicle is not due to the oocyte increasing in size, but down to the gain in follicular fluid secreted by the granulosa cells. |
| + | * A further selection process occurs whereby a single follicle (the dominant follicle) is selected for continued development. |
| + | * What causes this single follicle to be chosen is unknown. |
| + | * For complete follicular development to occur at this stage, LH and FSH are essential. The development of a tertiary follicle cannot happen in the absence of these gonadotrophins. |
| + | * The rest of the follicles which had started to enlarge undergo a degenerative process called atresia. |
| + | * The dominant follicle enlarges, mainly as a result of its expanding antrum. |
| + | * Growth of the dominant follicle is dependent on LH as the granulosa cells acquire LH receptors. |
| + | * Ovulation occurs in response to a dramatic increase in LH levels. |
| + | * The role of FSH is superceeded by LH in the dominant follicle. |