HOSA Pathophysiology Endocrine Practice Test

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What is the main effect of progesterone in the menstrual cycle?

Stimulates ovulation

Prepares the uterine lining for implantation

Progesterone plays a crucial role during the menstrual cycle, particularly in preparing the uterine lining for potential implantation of a fertilized egg. After ovulation, which is when an egg is released from the ovary, progesterone levels rise significantly due to its secretion from the corpus luteum. This hormone promotes the thickening and vascularization of the endometrial lining, making it rich and suitable for implantation. If fertilization occurs, progesterone continues to support the uterine environment. If implantation does not occur, progesterone levels will drop, leading to menstruation.

The other choices do not accurately capture the primary role of progesterone. While ovulation is primarily stimulated by luteinizing hormone and not directly by progesterone, it does occur before progesterone secretion increases. Likewise, progesterone does help regulate estrogen levels indirectly, but this is not its main effect in the context of the menstrual cycle. The inhibition of menstruation is a secondary effect that results from sustained progesterone levels in the presence of pregnancy, but it does not directly apply to the primary function of the hormone during the menstrual cycle. Thus, the correct choice emphasizes the hormone's fundamental role in preparing the uterine lining for implantation.

Regulates estrogen levels

Inhibits menstruation

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