Coitus, fertilisation and implantation Flashcards

1
Q

what is the EPOR model of sexual response

A

excitement- sexual arousal, tumesence and erection, engorgement,

plateau- intensification of arousal

orgasm- involuntary muscular contractions with intense pleasure

resolution- rearousal may be impossible

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2
Q

what is the length of the luteal phase

A

14 days

follicular phase is more variable

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3
Q

what is the time window for fertilisation

A

3 days before ovulation up to 1 day after

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4
Q

what percentage of pregnancies miscarry

A

10-15%

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5
Q

what proportion of couples are subfertile?

A

5%

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6
Q

what proportion of intercourse results in a blastocyst

A

20%

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7
Q

what proportion of blastocysts fail to implant

A

15%

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8
Q

what percentage of clincally detected pregnancies fail

A

15-20%

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9
Q

what proportion of conceptions survive until birth

A

20%

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10
Q

how long is the embryonic period

A

8 weeks

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11
Q

how long is the foetal period

A

8-40 weeks

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12
Q

what is the function of cumulus cells

A

aid transport from the surface of the ovary

cling to the ciliated surface of the fimbriae

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13
Q

why is sperm mortality high

A

acidic vagina

length and energy requirement of trip

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14
Q

describe capacitation

A

change from wavelike beats to whip like action to propel sperm
sperm plasma membrane is altered
destabilisation to enhance fusion with oocyte
increase in Ca permeability, removal of membrane proteins
depletion of cholesterol

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15
Q

where does ferlisation normally occur

A

ampulla

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16
Q

what does the sperm bind to

A

zona pellucida

17
Q

what does a rise in Ca inside the sperm cell trigger

A

exocytosis of the acrosome which contains hydrolytic enzymes

18
Q

what glycoproteins are involved in the acrosome reaction

A

ZP3 and ZP2

19
Q

describe the acrosome reaction

A

fusion of the acrosome plasma membranes
releases contents of the acrosome, causes entry of more calcium
sperm digest the zona pellucida

20
Q

describe fertilisation

A
  1. The sperm cell weaves past follicular cells and binds to the zona
    pellucida.
  2. A rise in [Ca2+]i
    inside the sperm cell triggers the exocytosis of the
    acrosome (acrosomal reac/on) which contains hydroly/c
    enzymes.
  3. Hydroly/c enzymes contained in the acrosomal cap are released.
    These enzymes locally dissolceolve the zona pellucida. The whiplike
    ac/on of the tail pushes the sperm head towards the oocyte
    membrane.
  4. With the head of the sperm now on lying sideways, microvilli on
    the oocyte surround the sperm head. The two membranes fuse.
    The contents of the sprem-cell enter the oocyte; the sperm-cell
    membrane remains behind.
    A rise in [Ca2+]i
    inside the oocyte triggers the cor/cal reac/on, in
    which there is exocytosis of granules that previously lay
    immediately beneath the plasma membrane. The enzymes
    released lead to changes in the zona-pellucida proteins, causing
    the zona-pellucida to harden, preven/ng the entry of other
    sperm cells.
  5. The rise in [Ca2+]i
    inside the oocyte induces the comple/on of the
    oocyte’s second meio/c division and the forma/on of the second
    polar body, which usually lies next to the first polar body.
  6. The sperm head enlarges to become the male pronucleus.
  7. The male and female pronuclei fuse.
    a. Sperm contributes its nuclear material and centrioles
    b. All other organelles are present in the oocyte cytoplasm
    c. Mitochondrial DNA inherited exclusively via maternal route
21
Q

how long does it take for the blastocyst to reach the uterine cavity

A

5 days

22
Q

when does hCG get secreted

A

from 9 days onwards

23
Q

what are totipotent cells

A

can form all the cell types in a body, plus
the extraembryonic, or placental, cells. Embryonic cells
within the first couple of cell divisions a^er fer/liza/on
are the only cells that are to/potent.

24
Q

what are pluripotent cells

A

can give rise to all of the cell types that
make up the body; embryonic stem cells are considered
pluripotent.

25
Q

what are multipotent cells

A

can develop into more than one cell
type, but are more limited than pluripotent cells; adult
stem cells and cord blood stem cells are considered
mul/potent.

26
Q

what does the trophoblast form

A

the placenta

inner cytotrophoblast and outer syncytiotrophoblast which invade the endometrium

27
Q

what is the cortical reaction

A

a rise in Ca inside the oocyte triggers exocytosis of granules that lay immediately beneath the plasma membrane
this leads to changes to the zona which hardens to prevent entry of sperm

28
Q

what triggers the completion of the oocytes second meiotic division

A

rise in Ca

29
Q

what forms the male pronucleus

A

the head of the sperm enlarging

30
Q

what surrounds the sperm head when it lies sideways against the oocyte

A

microvilli

this causes the two membranes to fuse

31
Q

when does implantation happen

A

day 7