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the menstrual cycle is an important biological process that prepares a womanamp;#39;s body for the possibility of pregnancy the cycle takes place over roughly 28 days and is driven by four main hormones follicle stimulating hormone luteinizing hormone estrogen and progesterone they work in synchronized waves coordinated by the hypothalamus the pituitary and the gonads or ovaries also called the hypothalamic pituitary gonadal axis the cycle begins with the release of gonadotrophin releasing hormone from the hypothalamus in the brain which tells the pituitary gland in the head to release follicle stimulating hormone which travels in the blood to the ovaries follicle stimulating hormone causes the small sacs in the ovaries called follicles to grow each follicle contains a single immature egg and as they grow they pump out high levels of estrogen which feeds back through the hypothalamic pituitary gonadal axis to tell the pituitary gland to produce luteinizing hormone stops the growth of