“…Much attention has focused on apoptosis (Vaskivuo et al 2001, Fulton et al 2005, Poljicanin et al 2012, although emerging evidence also suggests that the mode of germ cell elimination, especially in meiosis, may be ovary specific and occurs by several mechanisms not limited to the classical apoptotic pathways (Abir et al 2002). Efforts to identify and quantitate the characteristics of apoptosis as a principal or coherent explanation for oocyte depletion in the human fetal ovary often demonstrate the difficulties and inconsistencies in interpretation of cause and effect, probably due to differential gene expression among cell populations that may be at rest, proliferating, maturing, dying, or phagocytosing (Kurilo 1981, De Pol et al 1997, Vaskivuo et al 2001, Abir et al 2002, Fulton et al 2005, Stoop et al 2005, Albamonte et al 2008, Jaaskelainen et al 2010, Boumela et al 2011, Poljicanin et al 2012. Nevertheless, these and other studies demonstrate that the Bcl2 gene family is an important regulator (among other factors) of the balance between survival or death of oocytes prior to primordial follicle formation.…”