D3.1.19 (HL)—Hormonal control
Hormonal control of reproduction includes feedback in the menstrual cycle, progesterone support during pregnancy and oxytocin positive feedback during birth.
- Syllabus
- First assessment 2025
- Objective
- D3.1.19
- Level
- HL
Hormonal control of reproduction includes feedback in the menstrual cycle, progesterone support during pregnancy and oxytocin positive feedback during birth.

Coverage 2014–2024 · Updated 16 Jul 2026
Reproductive hormones act in regulatory loops that coordinate gamete maturation, ovulation, uterine preparation and pregnancy maintenance.
GnRH, FSH, LH, oestrogen and progesterone change one another’s targets and regulation. A temporary positive-regulation event can trigger ovulation, while negative regulation stabilizes most of the cycle.
Draw the direction of each regulatory link before predicting what happens when one hormone rises or falls.
High oestrogen shortly before ovulation switches to positive regulation on the pituitary, producing an LH surge.
Do not label every reproductive regulatory loop positive; most control is negative outside the ovulatory switch.
This objective is assessed through structured response, commonly using Identify / Describe.
Identify / Describe
Build the answer around this relationship: Oxytocin uses positive feedback to intensify uterine contractions during birth.
Confusing positive oxytocin feedback in childbirth with negative feedback in the menstrual cycle.
Representative question
Describe the hormone feedback mechanisms that help to prepare a woman's body for pregnancy, sustain the pregnancy and then give birth.
Preparing the woman's body for pregnancy:
a. FSH stimulates estrogen secretion by the developing follicle.
b. Estrogen increases FSH receptors, boosting estrogen production/causing positive feedback.
c. Estrogen stimulates repair/thickening of the endometrium/uterus lining.
d. High levels of estrogen stimulate LH production/inhibit FSH secretion (negative feedback).
e. LH surge/peak stimulates ovulation.
Sustaining pregnancy:
f. LH stimulates development of the corpus luteum / corpus luteum secretes progesterone.
g. Progesterone inhibits FSH/LH secretion (negative feedback).
h. Progesterone maintains the lining of the uterus/endometrium for pregnancy/implantation of the embryo.
i. Progesterone inhibits uterine contractions.
j. HCG secreted by the embryo stimulates maintenance of the corpus luteum.
Childbirth:
k. Oxytocin stimulates uterine/myometrial contractions which stimulate oxytocin secretion.
l. Positive feedback mechanism is used to stimulate childbirth.
[7 max]
HL D3.1 is about ordered mechanisms and evidence judgment: endocrine control, gametogenesis contrast, one-sperm fertilization, early embryo stages, hCG detection, placental exchange, birth feedback, and HRT evaluation.
HL D3.1 moves from reproductive events into control and evidence. The strongest answers keep sequences in order: endocrine axis at puberty, gametogenesis outcomes, fertilization blocks, blastocyst implantation, hCG testing, placental exchange, childbirth feedback, and HRT evaluation.