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Proestrus

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed7 referencesApproximately 5 min read

A phase of the estrous cycle that precedes estrus.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,053 words), 7 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A phase of the estrous cycle that precedes estrus. During proestrus, the Graafian follicles undergo maturation.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Estrous Cycle

Related concepts

  • Estrous Cycle
  • Estrus

Research landscape

PubMed indexes 1,539 records tagged with the MeSH heading “Proestrus” (counts retrieved 2026-10-31). 35 of them (2.3%) were published from 2020 onward, and the busiest period so far is through 1999 with 1,118 records.

Reviews account for 10 records (0.6%) and meta-analyses for 0. Randomized controlled trials number 8 (0.5%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 1,118 records; 2000-2009: 263 records; 2010-2019: 123 records; 2020 onward: 35 records1,118through 19992632000-20091232010-2019352020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,118
2000-2009263
2010-2019123
2020 onward35
Share of records by publication typeReviews: 0.6 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.5 percentReviews0.6% (10)Meta-analyses0.0% (0)Randomized controlled trials0.5% (8)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,539 PubMed records
TypeRecordsShare
Reviews100.6%
Meta-analyses00.0%
Randomized controlled trials80.5%

Method: PubMed query "Proestrus"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Gene expression profiles of intracellular and membrane progesterone receptor isoforms in the mediobasal hypothalamus during pro-oestrus
Liu B, Arbogast LA
2009Research article
Design not recorded in structured metadata
31cc by
PMID 19807848 · DOI · PMC2788049
Estradiol Increases Glutamate and GABA Neurotransmission into GnRH Neurons via Retrograde NO-Signaling in Proestrous Mice during the Positive Estradiol Feedback Period
Farkas I, Bálint F, Farkas E, Vastagh C, Fekete C, Liposits Z
2018Research article
Design not recorded in structured metadata
28cc by
PMID 30079374 · DOI · PMC6073979
Enhanced glutamatergic and decreased GABAergic synaptic appositions to GnRH neurons on proestrus in the rat: modulatory effect of aging
Khan M, De Sevilla L, Mahesh VB, Brann DW
2010Research article
Design not recorded in structured metadata
17cc by
PMID 20418960 · DOI · PMC2854717
Ultrastructure of the Epithelium of the Vaginal Complex During the Proestrus and Luteal Phases of the Estrous Cycle in the White-Eared Opossum (Didelphis albiventris)
Schimming BC, Sasahara THC, Matheus SMM
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42523028 · DOI · PMC13417940

Gene expression profiles of intracellular and membrane progesterone receptor isoforms in the mediobasal hypothalamus during pro-oestrus [1]

Research article Liu B, Arbogast LA · · 2009 · cited 31 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Progesterone action is mediated by its binding to specific receptors.
Closing excerpt
These findings suggest that the higher expression of PRB, mPRalpha and mPRbeta in the MBH on pro-oestrous afternoon may influence both genomic and nongenomic mechanisms of progesterone action during the critical pre-ovulatory period.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (307 words)

Progesterone action is mediated by its binding to specific receptors. Two progesterone receptor (PR) isoforms (PRA and PRB), three membrane progesterone receptor (mPR) subtypes (mPRalpha, mPRbeta and mPRgamma) and at least one progesterone membrane-binding protein [PR membrane component 1 (PRmc1)] have been identified in reproductive tissues and brain of various species. In the present study, we examined gene expression patterns for PR isoforms, mPR subtypes and PRmc1 in the rat mediobasal hypothalamus (MBH) during pro-oestrus. The mRNA level for each receptor subtype was quantified by a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) at the time points: 13.00 h on dioestrous day 2; 09.00, 13.00, 17.00 and 22.00 h on pro-oestrus; and 13.00 h on oestrus. For PR, one primer set amplified PRA+PRB, whereas a second primer set amplified PRB. As expected, PRA+PRB mRNA expression was greater than PRB in MBH tissue. PRB mRNA levels increased throughout the day on pro-oestrus, with the highest levels being observed at 17.00 h. PRB mRNA levels in the MBH were increased by 2.4- and 3.0-fold at 13.00 and 17.00 h, respectively, on pro-oestrus compared to 13.00 h on dioestrous day 2. There were differential mRNA expression levels for mPRs and PRmc1 in the MBH, with the highest expression for PRmc1 and the lowest for mPRgamma. The mPRalpha mRNA contents at 13.00 and 17.00 h on pro-oestrus were increased by 1.5-fold compared to that at 13.00 h on dioestrous day 2. The mPRbeta mRNA levels at 13.00 and 17.00 h on pro-oestrus were 2.5- and 2.4-fold higher compared to that at 13.00 h on dioestrous day 2, respectively. PRA+PRB, mPRgamma and PRmc1 mRNA levels did not vary on pro-oestrus. These findings suggest that the higher expression of PRB, mPRalpha and mPRbeta in the MBH on pro-oestrous afternoon may influence both genomic and nongenomic mechanisms of progesterone action during the critical pre-ovulatory period.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 19807848 · DOI · PMC2788049

Estradiol Increases Glutamate and GABA Neurotransmission into GnRH Neurons via Retrograde NO-Signaling in Proestrous Mice during the Positive Estradiol Feedback Period [2]

Research article Farkas I, Bálint F, Farkas E, Vastagh C, Fekete C, Liposits Z · · 2018 · cited 28 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Surge release of gonadotropin-releasing hormone (GnRH) is essential in the activation of pituitary gonadal unit at proestrus afternoon preceded by the rise of serum 17β-estradiol (E2) level during positive feedback period.
Closing excerpt
The newly explored mechanism might contribute to the regulation of the GnRH surge, a fundamental prerequisite of the ovulation.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (221 words)

Surge release of gonadotropin-releasing hormone (GnRH) is essential in the activation of pituitary gonadal unit at proestrus afternoon preceded by the rise of serum 17β-estradiol (E2) level during positive feedback period. Here, we describe a mechanism of positive estradiol feedback regulation acting directly on GnRH-green fluorescent protein (GFP) neurons of mice. Whole-cell clamp and loose patch recordings revealed that a high physiological dose of estradiol (200 pM), significantly increased firing rate at proestrus afternoon. The mPSC frequency at proestrus afternoon also increased, whereas it decreased at metestrus afternoon and had no effect at proestrus morning. Inhibition of the estrogen receptor β (ERβ), intracellular blockade of the Src kinase and phosphatidylinositol 3 kinase (PI3K) and scavenge of nitric oxide (NO) inside GnRH neurons prevented the facilitatory estradiol effect indicating involvement of the ERβ/Src/PI3K/Akt/nNOS pathway in this fast, direct stimulatory effect. Immunohistochemistry localized soluble guanylate cyclase, the main NO receptor, in both glutamatergic and GABAergic terminals innervating GnRH neurons. Accordingly, estradiol facilitated neurotransmissions to GnRH neurons via both GABAA-R and glutamate/AMPA/kainate-R. These results indicate that estradiol acts directly on GnRH neurons via the ERβ/Akt/nNOS pathway at proestrus afternoon generating NO that retrogradely accelerates GABA and glutamate release from the presynaptic terminals contacting GnRH neurons. The newly explored mechanism might contribute to the regulation of the GnRH surge, a fundamental prerequisite of the ovulation.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 30079374 · DOI · PMC6073979

Enhanced glutamatergic and decreased GABAergic synaptic appositions to GnRH neurons on proestrus in the rat: modulatory effect of aging [3]

Research article Khan M, De Sevilla L, Mahesh VB, Brann DW · · 2010 · cited 17 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundPrevious work by our lab and others has implicated glutamate as a major excitatory signal to gonadotropin hormone releasing hormone (GnRH) neurons, with gamma amino butyric acid (GABA) serving as a potential major inhibitory signal.
Closing excerpt
In contrast, middle-aged diestrous and proestrous animals show a significant increase in both VGAT and VGLUT synaptic terminal appositions on GnRH neurons as compared to young animals, and the cycle-related change in these appositions between diestrus and proestrus that is observed in young animals is lost.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (283 words)

BackgroundPrevious work by our lab and others has implicated glutamate as a major excitatory signal to gonadotropin hormone releasing hormone (GnRH) neurons, with gamma amino butyric acid (GABA) serving as a potential major inhibitory signal. However, it is unknown whether GABAergic and/or glutamatergic synaptic appositions to GnRH neurons changes on the day of the proestrous LH surge or is affected by aging.Methodology/principal findingsTo examine this question, synaptic terminal appositions on GnRH neurons for VGAT (vesicular GABA transporter) and VGLUT2 (vesicular glutamate transporter-2), markers of GABAergic and glutamatergic synaptic terminals, respectively, was examined by immunohistochemistry and confocal microscopic analysis in young and middle-aged diestrous and proestrous rats. The results show that in young proestrous rats at the time of LH surge, we observed reciprocal changes in the VGAT and VGLUT2 positive terminals apposing GnRH neurons, where VGAT terminal appositions were decreased and VGLUT2 terminal appositions were significantly increased, as compared to young diestrus control animals. Interestingly, in middle-aged cycling animals this divergent modulation of VGAT and VGLUT2 terminal apposition was greatly impaired, as no significant differences were observed between VGAT and VGLUT2 terminals apposing GnRH neurons at proestrous. However, the density of VGAT and VGLUT2 terminals apposing GnRH neurons were both significantly increased in the middle-aged animals.Conclusions/significanceIn conclusion, there is an increase in glutamatergic and decrease in GABAergic synaptic terminal appositions on GnRH neurons on proestrus in young animals, which may serve to facilitate activation of GnRH neurons. In contrast, middle-aged diestrous and proestrous animals show a significant increase in both VGAT and VGLUT synaptic terminal appositions on GnRH neurons as compared to young animals, and the cycle-related change in these appositions between diestrus and proestrus that is observed in young animals is lost.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 20418960 · DOI · PMC2854717

Ultrastructure of the Epithelium of the Vaginal Complex During the Proestrus and Luteal Phases of the Estrous Cycle in the White-Eared Opossum (Didelphis albiventris) [4]

Research article Schimming BC, Sasahara THC, Matheus SMM · · 2026

Abstract reading summary — source excerpts
Opening excerpt
The white-eared opossum (Didelphis albiventris) is a Neotropical opportunistic marsupial widely distributed in the Brazilian territory, occupying both open and forest formations.
Closing excerpt
Moreover, this description makes available data that is fundamental to the studies of Neotropical marsupials reproductive biology.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (242 words)

The white-eared opossum (Didelphis albiventris) is a Neotropical opportunistic marsupial widely distributed in the Brazilian territory, occupying both open and forest formations. The anatomy of the marsupial female genital tract consists of two ovaries, oviducts, double uterus, two lateral vaginae, vaginal sinus and a urogenital sinus. The two lateral vaginae, vaginal sinus and urogenital sinus constitute the called vaginal complex that is the most variable part of the anatomy of the marsupial female tract. Thus, this study aimed to investigate the ultrastructure of the vaginal complex in the proestrus and luteal phases in the five females of D. albiventris. The vaginal surface is thrown into numerous longitudinal folds separated by furrows. The same morphological architecture was observed in the lining epithelium of the cranial, middle and caudal portions of the lateral vaginae. The lining epithelium of the lateral vaginae presented morphological changes according to the period of the estrous cycle studied: proestrus and luteal phases. The lining epithelium was formed by four cellular strata in the proestrus phase: basale, spinosum, granulosum and corneum. Keratin was present in the lumen of the lateral vaginae in the proestrus phase. The stratum corneum and keratin were not observed in the luteal phase. These findings agree with the previous studies in the Grey short-tailed opossum which is another Neotropical marsupial that inhabits Brazil and belongs to the Family Didelphidae. Moreover, this description makes available data that is fundamental to the studies of Neotropical marsupials reproductive biology.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42523028 · DOI · PMC13417940

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Mandatory neuropeptide-steroid signaling for the preovulatory luteinizing hormone-releasing hormone discharge [5]
    Kalra SP · Endocr Rev · 1993 · cited 246 times (Europe PMC)
  • Research article Oxytocin and the control of LH [6]
    Evans JJ · J Endocrinol · 1996 · cited 12 times (Europe PMC)
  • Research article Changes in ambient temperature and oxygenation during the proestrus do not affect duration, regularity and repeatability of the estrus cycle in female rats [7]
    Baran A, Jakiel G, Wójcik G · Folia Histochem Cytobiol · 2009 · cited 3 times (Europe PMC)

References

  1. Liu B, Arbogast LA. Gene expression profiles of intracellular and membrane progesterone receptor isoforms in the mediobasal hypothalamus during pro-oestrus. . 2009. PMID 19807848 · DOI · PMC2788049
  2. Farkas I, Bálint F, Farkas E, Vastagh C, Fekete C, Liposits Z. Estradiol Increases Glutamate and GABA Neurotransmission into GnRH Neurons via Retrograde NO-Signaling in Proestrous Mice during the Positive Estradiol Feedback Period. . 2018. PMID 30079374 · DOI · PMC6073979
  3. Khan M, De Sevilla L, Mahesh VB, Brann DW. Enhanced glutamatergic and decreased GABAergic synaptic appositions to GnRH neurons on proestrus in the rat: modulatory effect of aging. . 2010. PMID 20418960 · DOI · PMC2854717
  4. Schimming BC, Sasahara THC, Matheus SMM. Ultrastructure of the Epithelium of the Vaginal Complex During the Proestrus and Luteal Phases of the Estrous Cycle in the White-Eared Opossum (Didelphis albiventris). . 2026. PMID 42523028 · DOI · PMC13417940
  5. Kalra SP. Mandatory neuropeptide-steroid signaling for the preovulatory luteinizing hormone-releasing hormone discharge. Endocr Rev. 1993. PMID 8262004 · DOI
  6. Evans JJ. Oxytocin and the control of LH. J Endocrinol. 1996. PMID 8958776 · DOI
  7. Baran A, Jakiel G, Wójcik G. Changes in ambient temperature and oxygenation during the proestrus do not affect duration, regularity and repeatability of the estrus cycle in female rats. Folia Histochem Cytobiol. 2009. PMID 19995706 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Related research topics

  • EstrusAnatomy and Physiology
  • Estrous CycleAnatomy and Physiology
  • EndometriumAnatomy and Physiology
  • Follicular PhaseAnatomy and Physiology
  • MenstruationAnatomy and Physiology
  • Luteal PhaseAnatomy and Physiology

All 542 articles in Anatomy and Physiology →

At a glance

1,539
PubMed records on this heading
2%
published since 2020
10
review articles
8
randomized trials
7
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • EstrusAnatomy and Physiology
  • Estrous CycleAnatomy and Physiology
  • EndometriumAnatomy and Physiology
  • Follicular PhaseAnatomy and Physiology
  • MenstruationAnatomy and Physiology

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