UNSW Embryology

Human Menstrual Cycle Smears


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Menstrual Cycle

Human Stages

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Human Vaginal Smears

Stratum corneum (eosinophilic, red) and stratum spinosum (basophilic, blue) cells throughout the menstral cycle.

Observe cell size, proportion of pyknotic nuclei, stain intensity and cell morphology. Leukocyte number is variable, but not a reliable criteria.

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Menstrual

Early Proliferative

Mid Proliferative

Late Proliferative, Ovulatory

Secretory

Late Secretory, Premenstral

day 1-4

day 5-9

day 9-13

day 13-14

day 15-22

day 23-28

Both stratum corneum (red) and stratum spinosum (blue) epithelial cells will mostly blood. Leukocytes and bacteria may also be present.

 

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mainly large and small basophilic (blue) stratum spinosum cells.

stratum spinosum (blue) increase in size. Dark precipate outside cells are bacteria.

mainly stratum corneum (red) which are large and flat, appear due to high estrogen levels.

stratum spinosum cells (blue) which are folded or with curled edges, appear immediately after ovulation due to increase in progesterone. Leukocytes (small black cells) becoming more numerous.

stratum spinosum cells (blue) mainly with a few stratum corneum cells (red). Clustering of cells occurs at this stage and both leukocytes and bacteria are prevelant.