Describe evolution of LH + FSH throughout life
(WG p 318)
Onset: 15 weeks
Peak: 30 week → decrease to birth
Low (ish) at birth
Peak at 3 months (response to ↓ estrogen from placenta)
Low from age 1-2 until puberty
High in menopause

Describe the evolution of oovocyte numbers and mechanisms of “death”
WG p 317
5 months: 6-7 million
Birth : 1-2 million
Puberty: 300 - 500 000
In utero : apoptosis
Childhood: atresia
Definition of primary amenorrhea
(Berek)
Absence of menses by age 13 with no visible development of secondary sexual characteristics Or
Absence of menses by age 15 in presence of normal secondary sexual characteristics
Define secondary ammenorrhea
(Berek)