Ch. 28: Reproductive System (Female) Flashcards

1
Q

_____ are considered part of both the integumentary system and female reproductive system.

A

Mammary glands.

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2
Q

Ovaries.

A

Produce secondary oocytes that develop into mature ova after fertilization. Also produce progesterone, estrogens, inhibin and relaxin. Descend to the superior pelvic cavity during the 3rd month of development.

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3
Q

Which ligaments hold the ovaries in position?

A

Broad ligament: fold of parietal peritoneum, attaches to ovaries by a double-layered fold of peritoneum (mesovarium).

Ovarian ligament: anchors ovaries to uterus.

Suspensory ligament: attaches ovaries to pelvic wall.

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4
Q

Each ovary contains a ____ , which is a point of entrance and exit for blood vessels and nerves.

A

Hilum.

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5
Q

Ovarian mesothelium.

A

Surface epithelium. Layer of simple cuboidal or squamous epithelium. Covers ovary surface.

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6
Q

Tunica albuginea (female).

A

White capsule of dense irregular connective tissue. Deep to ovarian mesothelium.

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7
Q

Ovarian cortex.

A

Deep to tunica albuginea. Consists of ovarian follicles surrounded by dense irregular connective tissue that contains collagen fibres and fibroblast-like cells (stromal cells).

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8
Q

Ovarian medulla.

A

Deep to ovarian cortex. Loosely arranged connective tissue. Blood vessels, lymphatic vessels, nerves.

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9
Q

Ovarian follicles.

A

In ovarian cortex. Consist of oocytes in various stages of development plus the cells surrounding them. When the surrounding cells form a single layer, they are called follicular cells. Later in development when the surrounding cells form several layers, they are called granulosa cells. Surrounding cells nourish the developing oocyte and begin to secrete estrogens as the follicle grows larger.

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10
Q

Mature follicle.

A

A large fluid-filled follicle that is ready to rupture and expel its secondary oocyte (ovulation).

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11
Q

Corpus luteum.

A

Contains the remnants of a mature follicle after ovulation. Produces progesterone, estrogens, relaxin, and inhibin until it degenerates into fibrous scar tissue (corpus albicans).

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12
Q

During early fetal development, primordial germ cells migrate from _____ to the ovaries.

A

The yolk sac. Germ cells then differentiate into oogonia.

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13
Q

Oogonia.

A

Diploid stem cells. Divide mitotically to produce millions of germ cells. Even before birth, these germ cells degenerate via atresia.

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14
Q

Germ cells develop into larger cells called _____ that enter prophase of meiosis I during fetal development, but do not complete that phase until after puberty.

A

Primary oocytes. During this arrested stage of development, each primary oocyte is surrounded by a single layer of flat follicular cells, and the entire structure is called primordial follicle.

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15
Q

Each month after puberty and before menopause, what happens?

A

1) FSH and LH stimulate the development of several primordial follicles. A few primordial follicles start to grow, developing into primary follicles. Each primary follicle consists of a primary oocyte that is surrounded in a later stage by several layers of granulosa cells. The outermost granulosa cells rest on the basement membrane. As the primary follicle grows, it forms a clear glycoprotein layer (zona pellucida) between the primary oocyte and granulosa cells. Stromal cells surrounding the basement membrane begin to form an organized layer (theca folliculi). With continuing maturation, a primary follicle develops into a secondary follicle.

2) In a secondary follicle, the theca differentiates into two layers. The granulosa cells begin to secrete follicular fluid which builds up in the antrum in the center of the secondary follicle. The innermost layer of granulosa cells becomes firmly attached to the zona pellucida and is now called the corona radiata. The secondary follicle eventually becomes larger, turning into a mature follicle. Only 1 primary follicle a month will mature.

3) While inside the mature follicle, and just before ovulation, the diploid primary oocyte completes meiosis I to produce 2 haploid cells of unequal size. The first polar body is a packet of discarded nuclear material. The secondary oocyte receives most of the cytoplasm. Once this secondary oocyte is formed, it begins meiosis II and then stops in metaphase.

4) The mature follicle ruptures and releases its secondary oocyte. The secondary oocyte is expelled into the pelvic cavity together with the first polar body and corona radiata.

5) Meiosis II will resume if a sperm cell penetrates the secondary oocyte. It will split into 2 haploid cells of unequal size (mature egg and second polar body). The nuclei of the sperm cell and ovum then unite, forming a diploid zygote.

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16
Q

What are the 2 layers of the theca folliculi in a secondary follicle?

A

1) Theca interna: highly vascularized internal layer of cuboidal secretory cells that secrete androgens.

2) Theca externa: outer layer of stromal cells and collagen fibres.

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17
Q

What happens if the first polar body undergoes another division?

A

Produces 2 polar bodies, so the primary oocytes ultimately give rise to 3 haploid polar bodies which all degenerate.

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18
Q

Uterine/Fallopian tubes.

A

Extend laterally from the uterus. Lie within folds of the broad ligaments of the uterus. Provide a route for sperm to reach an ovum and transport secondary oocytes and fertilized ova from the ovaries to the uterus.

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19
Q

Infundibulum.

A

Funnel-shaped part of each uterine tube. Closed to ovary. Open to pelvic cavity. Ends in a fringe of fimbriae, one of which is attached to the lateral end of the ovary.

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20
Q

Ampulla of uterine tube.

A

Widest and longest region.

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21
Q

Isthmus of uterine tube.

A

Medial, short, narrow, thick-walled part that joins the uterus.

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22
Q

Mucosa of uterine tube.

A

Ciliated simple columnar cells function as a ciliary conveyor belt to help move a fertilized ovum within the uterine tube toward the uterus and nonciliated cells (peg cells), which have microvilli and secrete a fluid that provides nutrition for the ovum. Lamina propria.

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23
Q

Muscularis of uterine tube.

A

Inner thick circular smooth muscle. Outer thin longitudinal smooth muscle.

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24
Q

What moves the oocyte towards the uterus?

A

Peristaltic contractions of the muscularis, and the ciliary action of the mucosa.

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25
Q

After ovulation, _____ are produced by movements of fimbriae, which surround the surface of the mature follicle just before ovulation occurs.

A

Local currents. These currents sweep the ovulated secondary oocyte from the peritoneal cavity into the uterine tube.

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26
Q

Fertilization can occur up to ____ hours after ovulation.

A

24

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27
Q

The zygote arrives in the uterus _____ after ovulation.

A

6-7 days

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28
Q

Uterus.

A

Site of menstrual flow, implantation, fetal development, and labor. Between urinary bladder and rectum.

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29
Q

What are the 3 anatomical subdivisions of the uterus?

A

Fundus: dome-shaped part superior to uterine tubes.

Body: tapering central part.

Cervix: inferior narrow part that opens into vagina.

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30
Q

Isthmus of uterus.

A

Between the body and cervix. Constricted region.

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31
Q

Uterine cavity.

A

Inferior of the body.

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32
Q

Cervical canal.

A

Inferior of the cervix. Opens into uterine cavity at the internal os, and opens into the vagina at the external os.

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33
Q

What maintains the position of the uterus?

A

Ligaments that are either extensions of the parietal peritoneum or fibromuscular cords.

Board ligaments: paired, double folds of peritoneum, attach the uterus to either side of the pelvic cavity.

Uterosacral ligaments: paired, peritoneal extensions, either side of rectum, connect uterus to sacrum.

Cardinal ligaments: inferior to bases of broad ligaments, extend from pelvic wall to cervix and vagina.

Round ligaments: bands of fibrous connective tissue between the layers of the broad ligament, extend from a point in the uterus just inferior to the uterine tubes to a portion of the labia majora of the external genitalia.

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34
Q

The ligaments of the uterus normally maintain the _____ position of the uterus, but they also allow…

A

Anteflexed. The uterine body enough movement such that the uterus may become malpositioned.

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35
Q

Retroflexion of uterus.

A

Posterior tilting. Harmless malpositioning. May occur after childbirth.

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36
Q

What are the 3 tissue layers of the uterus?

A

1) Perimetrium: outer layer, serosa, part of visceral peritoneum, simple squamous epithelium, areolar connective tissue, laterally it becomes the broad ligament, anteriorly it covers the urinary bladder and forms the vesicouterine pouch, posteriorly it covers the rectum and forms the rectouterine pouch between the uterus and rectum.

2) Myometrium: middle layer, thick middle circular layer of smooth muscle, thin inner and outer longitudinal layers of smooth muscle.

3) Endometrium: inner layer, highly vascularized, 3 compartments.

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37
Q

What is the most inferior point in the female pelvic cavity?

A

Rectouterine pouch (pouch of Douglas).

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38
Q

During labor and childbirth, coordinated contractions of the _____ in response to oxytocin help expel the fetus from the uterus.

A

Myometrium.

39
Q

What are the 3 compartments of the endometrium?

A

1) Innermost layer composed of simple columnar epithelium.
2) Underlying endometrial stroma is a very thick region of lamina propria.
3) Endometrial/uterine glands develop as invaginations of the luminal epithelium and extend almost to the myometrium.

40
Q

What are the 2 layers of the endometrium?

A

1) Stratum functionalis: functional layer, lines uterine cavity, sloughs off during menstruation.

2) Stratum basalis: basal layer, permanent, deep, gives rise to new stratum functionalis after each menstruation.

41
Q

What supplies the uterus with blood?

A

Branches of the internal iliac artery called uterine arteries. Uterine arteries give off branches called arcuate arteries that are arranged in a circular manner in the myometrium. Arcuate arteries branch into radial arteries that penetrate deeply into the myometrium. Just before the branches enter the endometrium, they divide into straight and spiral arterioles.

42
Q

Straight arterioles.

A

Supply the stratum basalis with the materials needed to regenerate the stratum functionalis.

43
Q

Spiral arterioles.

A

Supply the stratum functionalis and change markedly during the menstrual cycle.

44
Q

How is blood drained from the uterus?

A

By uterine veins into the internal iliac veins.

45
Q

Cervical mucus.

A

Secreted by secretory cells of mucosa in the cervix. Water, glycoproteins, lipids, enzymes, inorganic salts. 20-60 mL of cervical mucus is secreted each day during reproductive years. Supplements the energy needs of sperm. Protect sperm from phagocytes and the hostile environment of the vagina and uterus. Plays a role in capacitation.

46
Q

Why is cervical mucus more hospitable to sperm at or near ovulation?

A

Because it is less viscous and more alkaline. At other times, a more viscous mucous forms a cervical plug that physically impedes sperm penetration.

47
Q

Vagina.

A

Between urinary bladder and rectum.

Fornix: recess, surrounds vaginal attachment to the cervix, IUD is placed here.

48
Q

Mucosa of vagina.

A

Continuous with mucosa of uterus. Nonkeratinized stratified squamous epithelium. Areolar connective tissue lies in a series of rugae. Dendritic cells are APCs, and also participate in the transmission of viruses. Large stores of glycogen. Decomposition of glycogen produces organic acids. Acidic environment slows microbial growth.

49
Q

Muscularis of vagina.

A

Inner circular smooth muscle layer. Outer longitudinal smooth muscle layer. Stretches for penis and childbirth.

50
Q

Adventitia of vagina.

A

Superficial layer. Areolar connective tissue. Anchors vagina to adjacent organs.

51
Q

Hymen.

A

Thin fold of vascularized mucous membrane. Forms a border around and partially closes the inferior end of the vaginal opening to the vaginal orifice.

52
Q

Imperforate hymen.

A

Sometimes the hymen completely covers the vaginal orifice. Surgery may be needed to permit the discharge of vaginal flow.

53
Q

Vulva.

A

Pudendum. External genitals.

54
Q

Mons pubis.

A

Anterior to vaginal and urethral openings. Elevation of adipose tissue covered by skin and pubic hair that cushions the pubic symphysis.

55
Q

Labia majora.

A

Two longitudinal folds of skin. Extend inferiorly and posteriorly. Covered by pubic hair. Contain adipose tissue, sebaceous glands, apocrine sudoriferous glands.

56
Q

Labia minora.

A

Medial to labia majora. Two smaller folds of skin. No pubic hair or fat. Few sudoriferous glands. Many sebaceous glands which produce antimicrobial substances. Provide lubrication during intercourse.

57
Q

Clitoris.

A

Small cylindrical mass composed of two erectile bodies (corpora cavernosa). Nerves. Blood vessels. Located at anterior junction of labia minora.

58
Q

Prepuce of clitoris.

A

Layer of skin that is formed at the point where the labia minora unite and covers the body of the clitoris.

59
Q

Glans clitoris.

A

Exposed part of the clitoris. Capable of enlargement on tactile stimulation.

60
Q

Vestibule.

A

Region between labia minora. Within the vestibule are the hymen, vaginal orifice, external urethral orifice, and openings of ducts of glands.

61
Q

Vaginal orifice.

A

Opening of vagina to exterior. Occupies greater portion of vestibule. Bordered by the hymen.

On either side of the vaginal orifice are the greater vestibular glands (Bartholin’s glands) which open by ducts into a groove between the hymen and labia minora. They produce a small amount of mucous during arousal and intercourse that adds to the cervical mucous.

62
Q

External urethral orifice.

A

Anterior to vaginal orifice. Posterior to clitoris. Opening of urethra to exterior.

On either side of the external urethral orifice are the openings of the ducts of the paraurethral glands (Skene’s glands), which are mucous-secreting glands embedded in the wall of the urethra.

63
Q

Bulb of vestibule.

A

Two elongated masses of erectile tissue deep to the labia on either side of the vaginal orifice. Becomes engorged with blood during arousal to narrow the vaginal orifice and place pressure on the penis.

64
Q

Perineum.

A

Diamond-shaped area medial to the thighs and buttocks. Contains external genitalia and anus. Bounded anteriorly by the pubic symphysis, laterally by the ischial tuber-sixties, and posteriorly by the coccyx. A transverse line drawn between the ischial tuberosities divides the perineum into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle that contains the anus.

65
Q

Aerola.

A

Circular pigmented area of skin around each nipple. Appears rough because it contains modified sebaceous glands.

66
Q

Each breast is a hemispheric projection anterior to the ______ and ______ muscles, and attach to them by a layer of _____ composed of dense irregular connective tissue.

A

Pectoralis major, serratus anterior, fascia.

67
Q

_____________ run between the skin and fascia, and support the breast.

A

Suspensory ligaments of the breast. These ligaments loosen with age or with excessive strain.

68
Q

Mammary gland.

A

Within each breast. Modified sudoriferous gland that produces milk. 15-20 lobes separated by adipose tissue. In each lobe are several smaller lobes composed of alveoli embedded in connective tissue.

69
Q

What propels milk toward the nipples?

A

Contraction of myoepithelial cells surrounding the alveoli.

70
Q

When milk is being produced, it passes from the…

A

Alveoli into a series of secondary tubules, and then into the mammary ducts. Near the nipple, the mammary ducts expand to form lactiferous sinuses where some milk may be stored before draining into a lactiferous duct. Each lactiferous duct carries milk from one of the lobes to the exterior.

71
Q

The mammary gland functions to…

A

Synthesize, secrete and eject milk. Lactation.

72
Q

Milk production is stimulated by….

A

Prolactin (anterior pituitary), with contributions from progesterone and estrogens.

73
Q

Milk ejection is stimulated by…

A

Oxytocin (posterior pituitary) in response to suckling.

74
Q

Ovarian cycle.

A

Series of events in the ovaries that occur during and after oocyte maturation.

75
Q

Uterine cycle.

A

Concurrent series of changes in the endometrium of the uterus to prepare it for the arrival of a zygote, or ovarian hormones decrease to slough off the stratum functionalis.

76
Q

GnRH in females.

A

Stimulates release of FSH and LH from anterior pituitary.

77
Q

FSH in females.

A

Initiates follicular growth. Under the influence of FSH, androgens are taken up by granulosa cells and then converted into estrogens.

78
Q

LH in females.

A

Stimulates further development of ovarian follicles. Stimulates theca cells to produce androgens. Triggers ovulation and corpus luteum formation midcycle. Corpus luteum then produces and secretes estrogens, progesterone, relaxin and inhibin.

79
Q

FSH and LH together stimulate the ovarian follicles to secrete…

A

Estrogens (beta estradiol, estrone, estriol).

80
Q

Estrogens.

A

Secreted by ovarian follicles. Promote the development and maintenance of female reproductive structures, secondary sex characteristics, and breasts. Increase protein anabolism including the building of strong bones. Lower blood cholesterol. Stimulate proliferation of stratum basalis to form a new stratum functionalis. Inhibit release of GnRH and secretion of LH and FSH.

81
Q

Progesterone.

A

Secreted by corpus luteum. Cooperates with estrogens to prepare and maintain the endometrium, and prepare the mammary glands. High levels inhibit GnRH and LH secretion.

82
Q

Relaxin.

A

Produced by corpus luteum. Relaxes uterus by inhibiting contractions of myometrium. Placenta produces more relaxin if pregnancy occurs. At the end of pregnancy, relaxin increases the flexibility of the pubic symphysis and cervix.

83
Q

Inhibin.

A

Secreted by granulosa cells of follicles and by corpus luteum. Inhibits secretion of FSH and LH.

84
Q

Menstrual phase.

A

5 days. The first day of menstruation is day 1 of a new cycle. Under the influence of FSH, primordial follicles develop into primary follicles and then into secondary follicles.

85
Q

Menstrual flow.

A

50-150 mL. Blood, tissue, fluid, mucous, epithelial cells. Occurs because the declining levels of progesterone and estrogens stimulate release of prostaglandins, which cause the uterine spiral arterioles to constrict. The cells that these uterine spiral arterioles supply become oxygen-deprived and slough off.

86
Q

Preovulatory phase.

A

6-13 days. Secondary follicles begin to secrete estrogens and inhibin. A single secondary follicle in one of the ovaries soon outgrows all the others and becomes the dominant follicle. Estrogens and inhibin secreted by this dominant follicle decrease the secretion of FSH, which causes all other follicles to stop growing and degenerate. The mature follicle continues to enlarge until it is more than 20nm in diameter. The mature follicle forms a blisterlike bulge due to the swelling antrum on the surface of the ovary. Estrogens still produced by the mature follicle stimulate the repair of the endometrium. As the endometrium thickens, the short straight endometrial glands develop, and the arterioles coil and lengthen as they penetrate the stratum functionalis.

87
Q

Fraternal twins.

A

Two secondary follicles become co-dominant and are ovulated and fertilized at the same time.

88
Q

Follicular phase.

A

Menstrual and preovulatory phases together. Ovarian follicles are growing and developing.

89
Q

The preovulatory phase is also called the…

A

Proliferative phase because the endometrium is proliferating.

90
Q

Ovulation.

A

Occurs on day 14. Rupture of mature follicle and release of secondary oocyte into pelvic cavity. The secondary oocyte remains surrounded by its zona pellucida and corona radiata.

91
Q

How is ovulation initiated?

A

High levels of estrogens during the last part of the preovulatory phase exert a positive feedback on the cells that secrete LH and GnRH.

1) A high concentration of estrogens stimulates more frequent release of GnRH from the hypothalamus. It also directly stimulates anterior pituitary to secrete LH.

2) GnRH promotes FSH release and additional LH release.

3) LH causes rupture of mature follicle and expulsion of the secondary oocyte about 9 hours after the peak of the LH surge. The ovulated oocyte and its corona radiata cells are swept into the uterine tube.

92
Q

Postovulatory phase.

A

14 days. The most constant part of the female reproductive cycle. The mature follicle collapses and the basement membrane between the granulosa cells and theca interna breaks down. Once a blood clot forms from minor bleeding of the ruptured follicle, the follicle becomes the corpus hemorrhagicum. Theca interna cells mix with granulosa cells as they all become transformed into corpus luteum under the influence of LH. Stimulated by LH, the corpus luteum releases progesterone, estrogens, relaxin and inhibin. The luteal cells absorb the blood clot.

If the oocyte is not fertilized, the corpus luteum has a life span of 2 weeks, then its secretory activity declines and it degenerates into a corpus albicans. As the levels of progesterone, estrogens and inhibin decreases, release of GnRH, FSH and LH rise due to the loss of negative feedback suppression. Follicular growth resumes and a new ovarian cycle begins.

If the oocyte is fertilized and begins to divide, the corpus luteum is rescued from degeneration by hCG, which is produced by the chorion of the embryo beginning 8 days after fertilization. hCG stimulates the secretory activity of the corpus luteum. The presence of hCG in maternal blood or urine is an indicator of pregnancy.

93
Q

The postovulatory phase is also called the…

A

Luteal phase.