North American Registry of Midwives (NARM) Practice Exam

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What function does FSH serve in the body during pregnancy?

Maintains luteal function
Stimulates the growth of the uterus
Promotes development and enlargement of follicles
Inhibits ovulation

The correct answer is: Promotes development and enlargement of follicles

Follicle-stimulating hormone (FSH) plays a crucial role in the menstrual cycle and reproductive processes, primarily in stimulating the growth and maturation of ovarian follicles. During pregnancy, FSH is not the primary hormone at work, as the dynamics of the reproductive system change significantly. However, before pregnancy, FSH is essential in preparing the ovaries for ovulation by promoting the development of follicles, which contain the eggs. This is relevant in the context of fertility and the early stages of pregnancy, as it ensures that the ova are mature and ready for fertilization when ovulation occurs. After conception, the role of FSH declines and is overshadowed by hormones such as human chorionic gonadotropin (hCG), estrogen, and progesterone, which are more critical for maintaining the pregnancy. This shift highlights the preparatory role of FSH in the reproductive cycle leading up to pregnancy. Therefore, recognizing FSH’s function in stimulating the growth of follicles is essential, as it underscores the foundation laid for successful conception and the initial stages of gestation.