Corpus luteum insufficiency (CLI), which leads to the development of o
ut-of-phase endometria, results from the inadequate production of prog
esterone from the corpus luteum, We have hypothesized that the cellula
r components of the corpus luteum, which include the steroid-producing
cells, the ''large cells'' and the ''small cells,'' as well as nonste
roid producing cells, the endothelial cells, fibrocytes, and macrophag
es, communicate with each other in the adequate production of progeste
rone. Because only one cell type (the small cell in the human and babo
on corpus luteum) responds to pituitary luteinizing hormone (LH), cros
s talk between cells must occur. Established evidence indicates that p
ituitary LH orchestrates the functioning of these cells. It is also cl
ear, however, that factors produced by the cellular components moderat
e the activity of the corpus luteum, Oxytocin is likely to be such a f
actor, Oxytocin and its receptor both are synthesized by human and bab
oon (Pa (Papio anubis) corpora lutea, Studies of the direct effect of
oxytocin on progesterone synthesis in several in vitro models have pro
duced conflicting data, The reason for this is likely to be that ''con
tact dependent'' communication between cells is necessary for the prod
uction and secretion of progesterone. Evidence is provided for the pre
sence of gap junctions, which allow electrical and metabolic coupling
between cells. The role of oxytocin in the regulation of the gap junct
ion protein connexin-43 expression, and progesterone production by the
corpus luteum cells, is discussed in the context of CLI.