Cycle, Ovulation And Pregnancy Prep Flashcards

1
Q

Ovarian cycle - Follicular phase

A

Days 1 to 14

Development of the mature Graafian follicle and secondary oocyte in the ovary
FSH from anterior pituitary, FSH-releasing factor from hypothalamus

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2
Q

Whatis the source of estradiol in the follicular phase? What does it do?

A

Granulosa cells ssecrete estradiol, proliferation phase of endometrium

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3
Q

When is ovulation?

A

Day 14 of the cycle

Ovulation is stimulated by rise in FSH and sharp rise in LH (anterior pituitary)

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4
Q

What is the source of progesterone?

A

After ovulation the outer part of the Graafian follicle remains behind and the thecal cells secrete progesterone

Necessary for implantation of a fertilized egg

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5
Q

What is the corpus luteum composed of? When does it come about?

A

Residual teca and granulosa cells form a large glandular structure, the corpus luteum

The Leteal phase after ovulation

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6
Q

What is the fate of the corpus luteum in absense of fertilization?

A

It regresses, levels of progestrone and estradiol decrease, next mentrual phase begins

Breakdown due to apoptosis, uterine luteolytic factors

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7
Q

What does inhibin do?

A

Inhibits secretion of gonadotropins, FSH, resulting in reegression of corpus luteum.

Released by granulossa cells q

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8
Q

What are the phases of the endometrial cycle?

A

Menstrual phase - days 1-4,5
Proliferation phase - days 4-14
Secretory phase - days 15-28

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9
Q

What’s the mentrual phase, how do spiral arteries play a role?

A

The endometrial build up sloughs off

Begins with the vasocontriction of the spiral arteries - mediated by protaglandins

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10
Q

What is the proliferation phase?

A

Endometrial growth, thickness increased to 8-10mm

Blood vessels and glands also grow

Growth due to increased levels of estradiol secreted by granulosa cells

Near end: sharp rise in estradiol

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11
Q

Secretory phase

A

Endometrial cycle

Estrogen decrease and endometrial growth stops

Mucous glands develop, spiral arterioles expand

Controlled by rising levels of progesterone by granulosa and thecal cells of ovarian follicle

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12
Q

Menopause

A

All the follicles have either degenerated or have undergone ovulation

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13
Q

What is ovulated?

A
Ovum at metaphase II
-and polar body
Zona pellucida
Corona radiate
Expanded culus oophorus
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14
Q

Ovulation, process and all factors invuled

A

LHsurge, 24 hours before is the actual cuse - from anterior pituitary

Increased blood flow to follicle wall

Thickening of outer layers of follicle

Release of fluid and other compounds from blood vessels: edema, prostaglandins, histamine, vasopressin, plasminogen activator

Production of matris metalloprotinases: degrade extracellular matrix

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