Endometrial Changes & Mentral Phases

Question 0

What does the endometrium correlate with?

Answer 0

The ovulatory cycle of the ovary

Question 1

What affects the endometrium?

Answer 1

Varying levels of progesterone and estrogen

Question 2

What SHOULD the endometrium also correlate with?

Answer 2

The patients Menstural status

Question 3

What are the 3 phases?

Answer 3

Menstral phase, proliferative phase, and secretory phase

Question 4

During the Menstral phase, how long does it last?

Answer 4

Approximately 1-5 days

Question 5

During the Menstral phase, what decreases? What does this cause?

Answer 5

Progesterone levels decrease causing spiral arterioles to constrict

Zonal functionalis ischemia sheds

Question 6

The Menstral phase coincides with?

Answer 6

The follicular phase of the ovarian cycle

Question 7

During the Menstral phase, what happens to the endometrium?

Answer 7

It is a thin line - late Menstral phase

Question 8

The proliferative phase lasts until when?

Answer 8

Until luteinization of the Graafian follicle - ovulation

Question 9

During the proliferative phase, what happens to the follicle growth?

Answer 9

Follicles regrow with FSH stimulation; estrogen rises

Question 10

During the proliferative phase, what happens to the superficial layer of the endometrium?

Answer 10

It regenerates and grows

Question 11

During the proliferative phase, the endometrium is prepared for what?

Answer 11

Implantation

Question 12

During the proliferative phase, the endometrium has a how many line phase?

Answer 12

A 3 line phase

Question 13

During the proliferative phase, the endometrium has a 3 line phase that measures?

Answer 13

4-8 mm zona basalis anteriorly & posteriorly

Uterine cavity central line

Question 14

During the late proliferative phase, what do the 3 lines look like & what is their measurement?

Answer 14

Thickened 3 lines measuring 6-10 mm; isoechoic to the myometrium

Question 15

The secretory phase consists of what days?

Answer 15

Days 15-28 or onset of menses

Question 16

During the secretory phase, what is secreted and what happens to the arteries?

Answer 16

Progesterone is secreted by ovary - spiral arteries & endometrial glands enlarge

Question 17

During the secretory phase, what is finalized?

Answer 17

Endometrial lining is finalized for implantation if fertilization occurs

Question 18

During the secretory phase, corresponds with what phase?

Answer 18

The luteal phase of ovary

Question 19

During the secretory phase, what does the endometrium look like? What does it measure?

Answer 19

Thick endometrium with posterior acoustic enhancement & measures 7-14 mm; becomes echogenic

Question 20

What does the endometrium of an ovulatory patient (on birth control or post menopausal) look like?

Answer 20

Thin, echogenic line

Question 21

What does the endometrium of a postmenopausal patient not on hormone replacement therapy (HRT) look like?

Answer 21

Endometrial thickness of less than 5 mm

Question 22

What does the endometrium of a postmenopausal patient on HRT or Tamoxifen look like?

Answer 22

Endometrium is up to 8 mm