02.2 Menstrual Cycle Flashcards

1
Q

In the menstrual cycle which part is the follicular phase?

A

The beginning immediately after menses and before ovulation

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2
Q

What phase begins after ovulation?

A

The luteal phase

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3
Q

Which is the first hormone to begin rising and why?

A

FSH due to low levels of Oestrogen and Progesterone not negatively feeding back on it

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4
Q

How does FSH act?

A

Binds on granulosa cells

Follicular development continues

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5
Q

What hormones does the follicle secrete?

A

Inhibin

Oestrogen

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6
Q

After the follicle begins secreting inhibin and oestrogen, which hormone is next affected and why is it the only hormone that increases?

A

LH

Oestrogen feeds back on the HPG axis however inhibin selectively inhibits FSH secretion

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7
Q

Following the LH surge, production of which hormone begins?

A

Progesterone

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8
Q

Post ovulation what does the corpus luteum secrete?

A

Oestrogen and Progesterone (and inhibin)

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9
Q

What happens to LH levels after ovulation?

A

Decrease due to the presence of progesterone

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10
Q

What does the reduction of LH post-ovulation lead to?

A

Regression of the corpus luteum and a fall in gonadal horomes (cycle resets)
UNLESS fertilisation occurs and hCG luteinises the corpus luteum

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11
Q

What produces hCG?

A

Syncytiotrophoblast

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12
Q

What are the actions of oestrogen?

A

Increase fallopian tube motility
Endometrial thickening
Growth of myometrium
Thin, alkaline cervical mucus (good for sperm)

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13
Q

What are the actions of progesterone?

A

Further thickening of endometrium and myometrium
Makes endometrium secrete more mucus (good for implantation)
Thick, acidic cervical mucus (spermicidal)
Changes in mammary tissue
Increased body temperature

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14
Q

How long does the luteal phase last?

A

14 days

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15
Q

How much does the luteal phase vary?

A

Not very much

+/- 2 days

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16
Q

How long does the menstrual cycle last?

A

21-35 days

17
Q

How much does the follicular phase very?

A

Large variation