Endocrinology & Reproduction · NEET PG Preparation Physiology

During the mid-menstrual cycle surge of gonadotropins, which of the following paradoxical feedback effects does estrogen exert on the anterior pituit…

Practice question from Endocrinology & Reproduction (NEET PG Preparation Physiology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-DEE476

During the mid-menstrual cycle surge of gonadotropins, which of the following paradoxical feedback effects does estrogen exert on the anterior pituitary and hypothalamus?

  1. A.Negative feedback inhibition of both FSH and LH
  2. B.Positive feedback stimulation of both FSH and LH secretionCorrect answer
  3. C.Inhibition of GnRH pulse frequency while stimulating GnRH amplitude
  4. D.Direct suppression of pituitary gonadotroph responsiveness

Solution

Throughout most of the ovarian cycle, estrogen exerts negative feedback on gonadotropin secretion. However, just before ovulation, sustained high levels of estrogen (above a critical threshold for more than 36 hours) exert a paradoxical positive feedback effect, triggering the massive preovulatory luteinizing hormone (LH) and follicle-stimulating hormone (FSH) surge.

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