Student Answer
Main text: For in reproduction when the egg is matured by FSH and released by LH into the uterus. Oestrogen must rebuild the uterus lining to allow progesterone to maintain the lining. This is important so that the sperm cell can swim to the egg cell to fertilise the egg. However in the case of pregnancy the female may take pills with LH in it to stop the maturing of the egg (inhibits maturity of egg). Some infertile men may attempt to try sperm cell clinics if their sperm is infertile.
Margin notes (left): -> Master gland, FSH ↓, LH ↓, { Oestrogen ↓, Progesterone ↓
Margin notes (bottom): hormonal contraception
Strengths
- Identifies that 'pills' are used for contraception.
- Correctly identifies the roles of FSH (maturing the egg) and LH (releasing the egg) in the normal menstrual cycle.
Misconceptions
- States that contraceptive pills contain LH; they typically contain oestrogen and/or progesterone.
- States that LH stops the maturing of the egg; LH actually triggers ovulation, while inhibiting FSH is what stops egg maturation.
- The discussion of male infertility and sperm clinics is not relevant to the use of hormones for treatment as specified in the mark scheme.
Missing Points
- A correct explanation of how hormonal contraceptives work (e.g., by inhibiting FSH and/or LH to prevent egg maturation and ovulation).
- Any discussion of the use of hormones (FSH, LH, progesterone) to treat infertility (e.g., stimulating egg production for IVF).
Examiner Feedback
The answer is awarded a Level 1 mark as it identifies a method of hormonal contraception ('pills') but does not explain it correctly. The second part of the question, on the treatment of infertility using hormones, has not been addressed. The response mainly describes the normal menstrual cycle rather than how hormones are used to control it.
Model Answer (full marks)
Contraception: The pill contains oestrogen and/or progesterone, which inhibit the release of FSH and LH. Without FSH, eggs/follicles do not mature; without LH, ovulation does not occur - so there is no egg available to be fertilised. Infertility treatment: FSH is given to stimulate the maturation of several eggs/follicles, increasing the number of eggs available. LH is then given to trigger ovulation, allowing eggs to be collected for IVF, where they are fertilised outside the body and the embryo is implanted into the uterus. Progesterone may also be given to maintain the uterus lining and increase the chance of successful implantation.