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Question

The growth and differentiation of primordial follicles is under the control of which hormone?

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

FSH

FSH (follicle stimulating hormone) controls the growth and differentiation of ovarian follicles. This anterior pituitary glycoprotein acts on FSH receptors on granulosa cells, driving their proliferation through the primary, preantral and antral stages, inducing antral fluid formation, and critically inducing aromatase, which converts theca-derived androgens to oestradiol — the essence of the two-cell two-gonadotropin theory. FSH also induces LH receptors on the dominant follicle. The intercycle FSH rise, caused by falling luteal oestradiol, progesterone and inhibin A, recruits each new cohort; the follicle richest in FSH receptors becomes dominant while the rest undergo atresia.

Why the others are wrong: LH acts on theca cells to make androgen precursors and its mid-cycle surge triggers ovulation and luteinisation, not early follicular growth. Growth hormone, via IGF-1, only amplifies the granulosa response to FSH and is an ART adjuvant. Progesterone is a corpus luteum product that prepares the endometrium and suppresses GnRH pulsatility, thereby inhibiting follicular development.

Key point: FSH acts on granulosa cells (aromatase, oestrogen, follicular growth); LH acts on theca cells and triggers ovulation.

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Important Questions from Physiology of Menstruation & Fertilization

  1. Implantation of a fertilised ovum occurs on which day following fertilisation?
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  5. Which one of the following is true about Basal body temperature?
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    2. Increase in the level of progesterone and norepinephrine
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