A woman in her 26s visits the doctor for follow-up regarding erratic menstruation cycles (paragraph 0). Every 15-90 days, she has a period, which lasts 2-14 days and can include anything from spotting to quarter-sized clots. The patient and her husband have been trying to get pregnant, but because of the patient's irregular menstrual cycles, it has been challenging to time sexual activity. She has been working out and reducing weight; as a result, her BMI has decreased to 32 kg/m². A normal adnexa, tiny, mobile uterus, and external genitalia are seen upon gynecologic examination. A sample of the endometrium displays coiled glands producing mucus rich in carbohydrates, an edematous stroma, and twisted spiral arteries. Where on the following graph was the endometrial sample most likely taken?

Question

Quizplus · Accepted Answer

Eductional Objective: Between ovulation and menses, or days 15-28 of a typical menstrual cycle, is when the secretory phase of the cycle takes place. In order to prepare for embryo implantation, the uterine glands coil and exude glycogen-rich mucus as a result of progesterone being released by the corpus luteum. The deeper layers of the endometrial stroma become edematous, and tortuous spiral arteries that connect to the uterine lumen travel throughout the whole structure.

A Woman in Her 26s Visits the Doctor for Follow-Up