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Ovary: follicles, ovulation and corpus luteum !

  • Organ

The ovary keeps immature eggs in follicles; each cycle one matures, is released and leaves a corpus luteum that makes progesterone.

Updated 2026-11-01

See it in 3D: Ovaries

What it is

The ovary has a cortex with follicles at different stages and a medulla with vessels. Each follicle is an oocyte surrounded by granulosa cells and, as it grows, by theca. Every month the gonadotropins recruit follicles; one becomes dominant, ovulates and its wall turns into the corpus luteum. The follicle stages and their hormones are the basis of the menstrual cycle and of diseases such as polycystic ovary syndrome.

Structure

  • Surface: simple cuboidal epithelium (misnamed germinal) over a dense tunica albuginea.
  • Cortex: primordial follicles at the periphery and growing follicles deeper, in a very cellular stroma.
  • Corpus luteum: a folded mass of granulosa lutein cells (large, pale) and theca lutein cells (small, at the edges).

Function

  • Make mature oocytes, usually one per cycle.
  • Make estradiol in the follicular phase and progesterone in the luteal phase.
  • Support early pregnancy through the corpus luteum, kept alive by hCG, until the placenta takes over hormone production.

Follicle stages

StageWhat it looks likeKey point
PrimordialPrimary oocyte with one layer of flat cellsOvarian reserve; the most numerous
PrimaryCuboidal granulosa, first one layer then several; the zona pellucida appearsGrowth begins
Secondary (antral)Fluid spaces that form an antrum; theca interna and externaTheca makes androgens and granulosa makes estradiol
Mature (Graafian)Large antrum; oocyte on the cumulus oophorus, ringed by the corona radiataOvulates with the LH surge; if it fails to ovulate it may persist as a follicular cyst
Corpus luteumLarge, pale, lipid-rich lutein cells in a folded wallProgesterone; kept alive by hCG in pregnancy
Corpus albicansWhite hyaline scarEnd of the corpus luteum without pregnancy

Clinical notes

  • Polycystic ovary syndrome: many small antral follicles at the periphery, hyperplastic theca and androgen excess, with anovulation.
  • Functional cysts (follicular or corpus luteum): common and almost always benign; they can rupture or twist the ovary.
  • Most ovarian cancers are surface epithelial; high-grade serous carcinoma is the deadliest.

Test yourself

Think of the answer, then tap the question to see it.

In which phase of meiosis is the oocyte of a primordial follicle arrested?

In prophase of meiosis I (diplotene), from fetal life until shortly before ovulation.

Which follicle cell makes androgens and which turns them into estradiol?

The theca interna makes androgens under LH; the granulosa aromatises them to estradiol under FSH.

What does the follicle become after ovulation, and what does it secrete?

The corpus luteum, which secretes mainly progesterone and some estradiol.

What keeps the corpus luteum alive in early pregnancy?

The hCG made by the trophoblast.

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See it in 3D

The structures of Durgical's 3D anatomy where it is found.

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Educational content on normal microscopic structure and its clinical relevance; no substitute for studying slides or for a health professional's advice.

Sources: 27.2 Anatomy and Physiology of the Ovarian Reproductive System (OpenStax, Rice University, 2022); Ovaries (National Cancer Institute, SEER Training Modules, 2026).

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