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Oestrogen, progesterone and the menstrual cycle

Reproduction and inheritance · Human reproduction · note 2 of 4

Oestrogen, progesterone and the menstrual cycleSpec 3.9

In short

The menstrual cycle is a series of changes that repeats about every 28 days. Menstruation happens on days 1 to 5, the uterus lining is repaired and thickens until day 14, ovulation happens around day 14, and the lining is maintained. Oestrogen causes the repair and growth of the lining, and progesterone maintains it.

The menstrual cycle is a series of changes in a woman that repeats about every 28 days. Each cycle, an egg is released from an ovary and the lining of the uterus is prepared in case the egg is fertilised.

Stages of the menstrual cycle (days are approximate)
StageDaysWhat happens
Menstruation1 to 5The lining of the uterus breaks down and is lost through the vagina with blood
Repair5 to 14The uterus lining is repaired and thickens again
OvulationAround 14An egg is released from an ovary
Maintenance14 to 28The lining stays thick, ready for a fertilised egg. If there is no pregnancy it breaks down and the cycle starts again

The roles of two hormones

  • Oestrogen is made in the ovaries. It causes the repair and growth of the uterus lining.
  • Progesterone is made in the ovaries. It maintains the uterus lining.

If the egg is not fertilised, the level of progesterone falls. The lining is then no longer maintained, so it breaks down and menstruation begins.

Maths skill:

When you read a hormone graph, say which day the change happens on and whether the level rises, falls or peaks. Use figures from the axes.

A 28-day timeline divided into menstruation (days 1 to 5), repair (days 5 to 14) and maintenance (days 14 to 28), with ovulation at day 14 and a strip below showing the uterus lining thin after menstruation, thickening during repair and staying thick during maintenance. (opens full size in a new tab)
The stages of the menstrual cycle and how the thickness of the uterus lining changes.

Written and checked against the Edexcel IGCSE Science Double Award (4SD0) specification · Updated October 2026

Frequently asked questions

What are the roles of oestrogen and progesterone in the menstrual cycle?

Oestrogen and progesterone are both made in the ovaries. Oestrogen causes the repair and growth of the uterus lining after menstruation. Progesterone maintains the thick lining, ready for a fertilised egg. If the egg is not fertilised, progesterone falls, the lining is no longer maintained and it breaks down in menstruation.

How does the placenta provide for the developing embryo?

The placenta lets substances pass between the mother's blood and the embryo's blood by diffusion, without the bloods mixing. Oxygen and nutrients such as glucose and amino acids diffuse into the embryo's blood, while carbon dioxide and urea diffuse into the mother's blood. Villi, thin walls and a good blood supply speed up diffusion.

Where does fertilisation happen in humans?

Fertilisation usually happens in the oviduct, the tube that carries the egg from the ovary to the uterus. Sperm are made in the testes, and eggs are made in the ovaries. Cilia lining the oviduct move the egg along, and the embryo then implants in the soft lining of the uterus.

All 4 questions on Human reproduction