A woman will, on average, menstruate 450 times during her lifetime. Menstruation corresponds to the shedding of the uterine lining (endometrium) when fecundation has not occurred. This physiological process affects half of the human species and is associated with severe gynecological conditions. Yet, the molecular pathways responsible for menstruation remain relatively understudied despite its tremendous importance for human health and reproduction. Menstruation is a recent evolutionary innovation in primates: the trait is present in humans, apes and some monkeys (macaques, baboons, capuchins), but not in closely related others (marmosets, saimiris). Female non-menstruating primates experience a similar hormonal cycle to humans, but their endometrium is reabsorbed by the uterine wall at the end of the cycle, as is the case in most other mammals. In this project, we leverage these differences in uterine endometrium function between primate species to understand the molecular mechanisms of menstruation, and to illuminate how menstruation evolved during the diversification of the primate clade. The objectives of the project are to (i) profile how gene expression has changed in the different cell types that compose the endometrium along the evolution of primates, to identify functional transitions associated with the acquisition of menstruation; (ii) detect new gene regulatory elements associated with those changes in gene expression, to characterize the regulatory networks that control this new phenotype in primates; (iii) understand how these regulatory changes became embedded in the primate genome when menstruation was acquired; and (iv) compare the evolutionary dynamics of the uterine endometrium to other organs and tissues in primates, to test whether reproductive tissues evolve faster than other organs. Overall, this project utilizes comparative signatures detected in the uterus and in the genome across related primate species to illuminate how menstruation works at the functional level in humans, and how such reproductive traits appear during evolution. This project has far-reaching implications for human reproductive health and evolutionary genomics, and will significantly advance our understanding of uterine functions and the evolution of the female genital tract in the human lineage.