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In the fascinating blend of art and science, I aimed to convey the complex processes of hormonal regulation within the menstrual cycle through a dynamic dance performance. This creative undertaking serves as a vibrant visualization of the hormonal fluctuations crucial to female reproductive health. By anchoring my choreography in scientific principles, I aspire to enlighten my peers and nurture a deeper appreciation for the intricate rhythms of human life.

The menstrual cycle is an amazing physiological process finely tuned by a complex interaction of hormones, mainly estrogen and progesterone. These hormones, produced by the ovaries, play a critical role in orchestrating bodily changes triggered by signals from the hypothalamus and pituitary gland (Murray & Orr, 2019). Generally, the cycle spans about 28 days and can be broken down into distinct phases: the menstrual phase, the follicular phase, ovulation, and the luteal phase. Each phase is marked by specific hormonal fluctuations that guide reproductive health.

During the follicular phase, which kicks off with the first day of menstruation, low estrogen levels trigger the anterior pituitary gland to release follicle-stimulating hormone (FSH). FSH acts as a guiding light for the ovarian follicles, helping them grow and mature while encouraging the granulosa cells to begin producing estrogen (Murray & Orr, 2019). As time goes on in the cycle, estrogen levels gradually rise, boosting the development of the follicles and preparing the endometrium for implantation. This increasing estrogen returns to the hypothalamus, amplifying the pulsatile release of the gonadotropin-releasing hormone (GnRH)—the essential conductor of this hormonal symphony (Murray & Orr, 2019). My dance begins with slow, flowing movements that reflect the gradual rise of these hormonal levels, embodying the potential and growth inherent in this process.

Inclusion of Polycystic Ovary Syndrome (PCOS)

A key factor in hormonal regulation during the menstrual cycle is the influence of Polycystic Ovary Syndrome (PCOS), an endocrine disorder that affects a significant percentage of women of reproductive age—ranging from 5% to 15% globally (Rasquin, Anastasopoulou, & Mayrin, 2022). PCOS is marked by hormonal imbalances that often lead to irregular menstrual cycles, hyperandrogenism (elevated androgen levels), and polycystic ovaries. To convey the challenges faced by those with PCOS, I plan to incorporate movements that express the internal conflict of struggle and frustration, along with resilience. These movements will symbolise the emotional journey of living with PCOS, which frequently includes symptoms like irregular cycles, weight gain, acne, and difficulties with fertility.

In this segment, for instance, I will use sharp, disjointed movements to reflect the emotional distress and physical hurdles linked to irregular ovulation. This will be contrasted with moments of grace and strength, representing the resilience and empowerment of individuals as they navigate these challenges.

According to Rasquin et al. (2022), PCOS can lead to chronic anovulation, making it challenging to maintain a typical rhythmic cycle. This hormonal imbalance often results in higher androgen levels, hindering follicle maturation and disrupting the delicate hormonal balance essential for ovulation. By emphasizing these elements in my choreography, I hope to raise awareness about PCOS—its prevalence, symptoms, and the emotional and physical struggles faced by those dealing with it.

Ovulation

The transition into ovulation marks a vital moment in the menstrual cycle, characterized by a significant spike in luteinising hormone (LH) triggered by peak estrogen levels. This surge in LH is essential as it signals the release of a mature egg from the ovary (Holesh, Bass, & Lord, 2023). As noted by Holesh et al., ovulation involves the rupture of the dominant follicle and subsequent release of an egg for potential fertilization. This crucial moment can be likened to a powerful choreography, with dynamic movements—like jumps and lifts—that embody the egg’s energy and release. It is here that biological potential intertwines with physical expression.

After ovulation, we enter the luteal phase—a time when the corpus luteum releases increased levels of estrogen and progesterone. This phase is crucial as it prepares the endometrium for a possible pregnancy. As Holesh et al. (2023) elaborate, progesterone acts on the endometrium, promoting the growth of blood vessels and the production of glycogen and other essential nutrients needed for embryo development if fertilization occurs. In my choreography, this delicate dance embodies the harmonious flow of these hormones. The movements are fluid and layered, reflecting a nurturing process—the dance imitates the rush of blood and the differentiation of cells in the endometrium, creating a welcoming environment for a potential embryo (Kumar & Magon, 2012).

When fertilization does not occur, the corpus luteum starts to break down, causing a drop in estrogen and progesterone levels. This hormonal shift leads to the shedding of the endometrial lining, resulting in menstruation. To express this slowdown, the dance shifts into movements that reflect a sense of release, moving away from the previous nurturing flow and embracing the idea of letting go. This period is partly marked by the contraction of spiral arteries in the endometrium, leading to reduced blood flow and, eventually, tissue shedding (Murray & Orr, 2019). As the choreography gradually slows down, the audience sees the cyclical nature of the menstrual process—a reminder that every ending brings the opportunity for a new beginning.

Integrating science and art can deeply enrich our approach to health education, making it more relatable and human. Dance uniquely turns complex biological processes into engaging, emotional experiences. By bringing to life the hormonal journey of the menstrual cycle alongside the experience of PCOS, I hope to foster a greater understanding and reduce the stigma surrounding reproductive health issues.

My dance performance is not just an artistic expression; it is a thoughtful exploration of how hormones regulate the menstrual cycle and the challenges of conditions like PCOS. Through movement and sound, I want to reveal the intricate interplay of ovulation, menstruation, and pregnancy while highlighting the essential role of hormones in these natural phases. This project is both an educational experience and a celebration of the beauty and complexity of the human body.

References
Hanna, G., Rollins, J., & Lewis, L. (2017). Arts in medicine literature review. GIA Research. https://www.americansforthearts.org/node/100864
Holesh, J. E., Bass, A. N., & Lord, M. (2023). Physiology, ovulation. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441996/
Kumar, P., & Magon, N. (2012). Hormones in pregnancy. Nigerian Medical Journal, 53(4), 179–183. https://doi.org/10.4103/0300-1652.107549
Murray, C. M., & Orr, C. J. (2019). Hormonal regulation of the menstrual cycle and ovulation. In Handbook of endocrinology (pp. 341–367). Elsevier. https://doi.org/10.1016/B978-0-12-814823-5.00012-X
Rasquin, L. I., Anastasopoulou, C., & Mayrin, J. V. (2022). Polycystic ovarian disease. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459251/