9. Follicular Development and Female Reproductive Tract (Dennis) Flashcards
What sort of epithelium is the ovarian surface epithelium?
Simple squamous to low cuboidal.
What is contained within the ovarian cortex?
Connective tissue and follicles with primary oocytes.
What is found within the medulla of the ovaries?
Connective tissue, interstitial cells, neurovasculature, and lymphatics.
Where is the theca interna and externa located?
Outside the basement membrane of the secondary follicle and onwards.
What is the function of the theca interna?
The theca interna is vascularized, supports the granulosa, and produces androstenedione which is then converted into estradiol.
What feature is necessary for determination of a primary follicle?
Cuboidal granulosa cells.
What feature is necessary for the determination of the secondary follicle?
Call-Exner bodies, which join together to form the antrum
From where is the follicular fluid found in the antrum derived?
From the blood vessels of the theca interna, reaching the antrum by osmotic gradient.
Identify the blanked out regions.
How does the released gamete escape from the mature follicle?
Proteolytic actions of the theca externa and the tunica albuginea.
What repairs the damage to the ovarian surface epithelium after gamete release?
The theca interna and the mural granulosa cells.
Describe luteinization.
Residual mural granulosa cells fold in on themselves and become a part of the corpus luteum.
The basal lamina of the follicle degenerates.
Blood vessels invade the empty antrum of the residual follicle and form the corpus hemorrhagicum.
The mural granulosa cells become granulosa lutein cells.
The theca interna cells become thecal lutein cells.
The structures then signal endometrial changes that support implantation and continuance of the pregnancy before the placenta is created.
What are the respective roles of the granulosa lutein cells and the theca lutein cells in luteinization?
The granulosa lutein cells secrete progesterone and estrogen with FSH/LH stimulation. They also express LH receptors, which is essential.
The theca lutein cells produce progesterone and androstenedione with LH stimulation.
What happens to the corpus luteum in the event of fertilization, and in the absence of fertilization?
If fertilization occurs, hCG signals the corpus luteum to continue producing progesterone and estrogen.
If fertilization does not occur, the corpus luteum will wait fourteen days before involuting, and then will become the corpus albicans – stromal connective tissue that has replaced degenerating luteal cells.
Which important mechanism that we studied is apoptotic?
Follicular atresia.
What are the four regions of the oviduct in the order that an egg passes through them?
Proximal infundibulum with fimbrae.
Ampulla.
Isthmus.
Intramural/intrauterine portion.
Which regions of the oviduct are lined by mucosal folds that project into the lumen?
The ampulla and the isthmus.
What sort of epithelium to be expect to find in the wall of the oviduct?
Simple columnar epithelium.
(With or without cilia depending upon the presence of estrogen and progesterone.)