“…Indeed, pathologies that affect motile cilia activity (e.g., primary ciliary dyskinesia) are characterized by impaired fertility along with impaired airway mucociliary clearance [ 69 ]. Ciliary beat frequency (CBF) is regulated by several stimuli (e.g., calcium levels, adenosine triphosphate, angiotensin II, and β-adrenergic stimuli) [ 70 , 71 ]; high levels of estrogen in the pre-ovulatory phase increase CBF and ciliogenesis, whereas high levels of progesterone induce deciliation and decrease CBF [ 71 , 72 , 73 , 74 , 75 , 76 , 77 ]. Remarkably, follicular fluid generates a genotoxic stress in fallopian epithelial cells due to an oxidative burst after ovulation [ 50 , 57 , 78 ]; at the same time, CBF increases immediately after ovulation, as does the speed of laminal fluid flow above the FTE [ 76 ].…”