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This Concept Map, created with IHMC CmapTools, has information related to: Week 39, Hannah Steepleton history of 2 miscarriages, primary follicle with granulosa cells, low levels causes negative feedback to luteinizing hormone (LH), red and powder burn lesions evidence for endometriotic implants, Hannah Steepleton presents with dysmenorrhea/ pelvic pain, follicle stimulating hormone (FSH) stimulate FSH receptors, luteinizing hormone (LH) stimulate rupture, corpus luteum secretes progesterone, GnRH agonists binds to and downregulates GnRH receptors, luteinizing hormone (LH) stimulate FSH receptors, 17b-hydroxysteroid dehydrogenase type 1 increasing overall estradiol 17 beta, growth of antral follicle, estradiol 17 beta stimulates uterine endothelial cell COX-2 enzyme, prostaglandins and reducing inflammation/pain, oral contraceptives inhibit gonadotropin release, Hannah Steepleton tested for beta HcG, retrograde menstruation increases tubal reflux, <math xmlns="http://www.w3.org/1998/Math/MathML"> <mrow> <mtext> Prostaglandin </mtext> <mmultiscripts> <mtext> E </mtext> <mtext> 2 </mtext> <none/> </mmultiscripts> <mtext> (PG </mtext> <mmultiscripts> <mtext> E </mtext> <mtext> 2 </mtext> <none/> </mmultiscripts> <mtext> ) </mtext> </mrow> </math> potent activator of aromatase, progesterone feedback inhibits hypothalamus, differentiation into primary follicle