During the early follicular phase, your body begins preparing for a new cycle by developing primordial follicles surrounded by granulosa cells. These cells guide the oocyte (immature egg) through its development and produce important hormones like LH receptors and steroids that aid in the reproductive process.
At the start of the follicular phase—marked by the first day of your period—your body begins releasing follicle-stimulating hormone (FSH). This hormone stimulates the maturation of ovarian follicles, with five to seven follicles (also called antral follicles or sacs) emerging in the early phase. As the phase progresses, one dominant follicle develops, fueled by its ability to express the highest number of FSH receptors. This dominant follicle prepares to release a mature egg during ovulation, while your body increases cervical mucus production and makes other changes to support fertilization.
If the mature egg is not fertilized, the uterine lining is shed during your menstrual period, and the normal menstrual cycle resets. During the luteal phase, which begins after ovulation, progesterone levels rise to support the uterine lining. If progesterone declines too early due to a luteal phase defect, it can result in difficulties maintaining pregnancy. Symptoms like breast tenderness, mood swings, and bloating can also occur as levels of estrogen and progesterone fluctuate.
The average length of the follicular phase is approximately 14 days, but cycle length can vary. Understanding the connection between LH levels, estrogen fluctuations, and your body’s preparation for pregnancy can help you better manage your health throughout this phase.