FSH receptors determine which follicle ovulates

Early in the ovarian cycle several follicles begin to develop, but only one reaches full maturity. What determines which one will survive? There are two types of follicle cells, arranged in two layers. The inner layer immediately surrounding the ovum is made up of granulosa cells, and the outer layer consists of thecal cells. Thecal cells are stimulated by LH to produce testosterone (similar to Leydig cells in the male). Testosterone diffuses into the granulosa cells, where the enzyme aromatase converts the testosterone to estrogen. Estrogen, along with FSH, stimulates the growth and maturation of the granulosa cells (similar to the Sertoli cells in the male). The estrogen plays two important roles in the selection of the follicle that will ovulate: (1) estrogen stimulates the granulosa cells to express more FSH and LH receptors, and (2) estrogen entering the circulation feeds back on the pituitary to decrease the production of FSH. The granulosa cells also produce inhibin (similar to Sertoli cells in the male), and inhibin also decreases the production of FSH. As FSH and LH levels fall, the follicle with the most FSH and LH receptors survives and matures while the others regress.