Female Phys [this yrs] Flashcards

1
Q

How many chromosomes does a 1’ oocyte have?

How many chromatids per chromosome?

At what stage in meiosis are 1’ oocytes arrested & what triggers meiosis progression from this point?

A

1’ Oocyte

  • 46 chromosomes; 2 chromatids/chromosome
  • present at birth and are arrested in Prophase I of meiosis until puberty
    • division/progression to a 2’ oocyte begins in utero and is completed prior to ovulation [thus is LH surge dependent]
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2
Q

How many chromosomes do 2’ oocytes have?

How many chromatids per chromosome?

When are 2’ oocytes formed and what stage of meiosis are they in?

What triggers the progression of oogenesis?

A

2’ Oocyte

  • 23 chromosomes; 2 chromatids/chromo
  • 2’ oocytes are formed/present at puberty
    • arrested in metaphase II
  • Upon fertilization they progress to an Ovum
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3
Q

What happens after a sperm enters a 2’ Oocyte?

A

Sperm enters a 2’ oocyte…

DNA does NOT combine yet

  1. 2’ Oocyte undergoes Meiosis II
  2. produces an **ovum **& a polar body
  3. DNA of sperm & ovum *combine *now
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4
Q

What is the point of oogenesis?

A

mitosis: make large # of 1’ oocytes

Meisosis: make cohorts of 1’ oocytes that only 1 haploid 2’ oocyte can be ovulated each month

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5
Q

Which stages of foliculogenesis are hormone independent?

A

the pre-antral phase

  • primordial follicle
  • 1’ follicle
  • 2’ follicle

[tertiary follicle/antral phase are hormone dependent (LH)]

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6
Q

how many antral stage follicles are present in each follicular wave [mentrual cycle]?\

What happens to these?

A

MANY!!

  • less than or equal to 7 Primary follicles are recruited
  • but only 1 [usually] will become ovulatory= Mater or Graafian follicle
    • other 6 follicles undergo atresia unless rescued by FSH for another “recruitment”
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7
Q

When does menopause occur?

A

When primordial/primary follicles are exhausted

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8
Q

What is responsible for basal levels of FSH & LH?

A

hourly GnRH pulses

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9
Q

What triggers the release of FSH & LH?

What does FSH do?

What does LH do?

A

Gonadotropin releasing hormone [GnRH] triggers release of FSH & LH

FSH: acts on granulosa cells-->stimulates follicle development & LHR synthesis

  • also can trigger inhibin secretion

LH: acts on theca cells–>makes androgens

  • critical for indxn of ovulation [required for CL to form]

*****both: ** promote estrogen synthesis!!!

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10
Q

how does estrogen affect LH/FSH secretion?

A

BOTH (-) & (+) feedback

  • when antral follicles are large: estrogen increases–> rapid GnRH pulses–> LH surge–> ovulation [positive feedback]

(inhibin levels also increase–>inhibits FSH secretion–>blocks other follicles develop)

  • when not close to ovulation: estrogen inhibits GnRH release–> decreases LH/FSH
    • negative feedback
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11
Q

what does inhibin do?

A

inhibin inhibits FSH secretion

DOES NOT affect LH

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12
Q

Where is GnRh secreted from?

How?

What does it act on?

A
  • Produced in Arcuate nucleus of Hypothalamus
  • Pulsatile secretion [triggers release of FSH/LH]

•Membrane protein receptor

  • G-Protein coupled, Gq
    • Gq Activates phospholipase C, DAG IP3
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13
Q

where is human chorionic gonadotropin [hCG] secreted from?

What is its role?

Where does it bind?

A

PLACENTA pulsatilely secretes hCG!!!

  • 1st trimester: hCG maintains CL–> which keeps progesterone [& estrogen] levels high–> maintains pregnancy
  • 2nd Trimester & on: placenta takes over the role of steroidgenesis & maintains pregnancy​

binds to LHR in theca cells!

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14
Q

What happens to LH, FS, & hCG levels if ovarian fxn ceases or ovaries are removed?

A

serum [] increases

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15
Q

How do theca and granulosa cells work together for steroidgenesis?

A

ovary requires both LH and FSH for steroidogenesis

  • LH stimulates the thecal cells surrounding the follicle to produce progesterone and androgens
  • androgens diffuse across the basement membrane to the granulosa cell layer, where, under the action of FSH, they are aromatized to estrogens, mainly estradiol 17b.
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16
Q

What are the 1’ steroids produced by the ovary?

A

progesterone & estradiol 17B

17
Q

What are the 2 estrogen R’s and their roles?

A

ERa: mediates HPO axis response to estrogen

ERBeta: ???

18
Q

What is happening during the follicular phase of the menstrual/ovarian cycle?

**think big picture

A

small ^^ in FSH/LH secretion–> foliicular growth–> ^^synth & secretion of ovarian steroid hormones

19
Q

What happens to cause ovulation?

A

increase in follicle size–>^^secretion estrogen [FOLLICULAR PHASE]

  • ^^estrogen–> surge in LH [inhibin decreases FSH] –> restarts meiosis I of dominant follicle & OVULATION
20
Q

What happens in the lutenizing phase of menstrual cycle?

**big picture

A

ovulation induces lutenization

  • follicle that ruptured becomes CL
    • theca & granulosa cells enlarge
    • ^^progesterone & estrogen secretion
  • IF no fertilization occurs–> spontaneous luteolysis of CL occurs
    • causes P & E levels to drop –> induces menses
21
Q

Tell me what hormone levels are like in the follicular phase, ovulation & luteal phase of menstrual cycle?

A

  • Progesterone levels are greater during the luteal phase compared to the follicular phase.
  • Estrogen levels are high in late follicular phase and in the luteal phase.
  • Progesterone falls at the end of the luteal phase
  • Spontaneous regression of the corpus luteum ensues
22
Q

how do most hormonal contraceptives work?

big picture

A

suppress the LH surge [= no ovulation]

23
Q

What controls the uterine cycle?

what are the effects of E & P in the uterine cycle?

A

The ovarian/menstrual cycle!!!

  • Estrogen causes thickening & proliferation of the endometrium
    • Endometrial glands develop from cuboidal epithelium to pseudostratified glands
    • Stromal and vessel growth occurs
    • Uterine lining increases tenfold, to 5 mm thick
  • Progesterone halts further growth of endometrium
    • Causes secretion from glands, rather than proliferation of glands
    • Changes of progesterone are distinct!!!
24
Q

What happens to an ovum once released from a follicle?

A
25
Q

When is the greatest risk/liklihood of miscarriage?

How are hormone levels changing during a pregnancy?

A

misccariage is mC @ end of 1st trimester; when transition from ovarian to placental steroidogenesis occurs [must be enough to maintain prego]

note: oophoretomy @ 15 wks thus will NOT terminate a pregnancy

26
Q

how long is a normal human pregnancy?

A

270 days from fertilization and 284 days from the last menses prior to fertilization

27
Q

What are the important endocrine shifts to induce labor/parturition?

A

Hormonal shift from P>E dominance to E>P dominance (not clearly seen in picture)

  • P>E: P causes hyperpolarization of myometrial cells which prevent contrxns
    • Decreases adrenergic receptors
    • Inhibits oxytocin receptor & ER synthesis
    • Promotes storage of PG synthesizing enzymes.
  • E>P: E Increases OT receptors
    • Promotes uterine contractility
    • Cervical “ripening”
    • ^^ local PG release from placenta which causes myometrial contractions.
    • Oxytocin from postPit stimulates more & stronger myometrial contrxns
28
Q

Which PG’s are dominant in reprodxn?

what is their role?

A

PGF2 & PGE

  • Involves rupture of the Graafian follicle at ovulation, contraction of myometrium during menstruation
  • Responsible for the mild Braxton Hicks contractions during pregnancy
  • Important in strong uterine contractions during parturition
  • Produced in placental unit
29
Q

What is oxytocin?

Role?

A

Main effects are on uterus and breast during child birth and lactation

  • secreted from postPit
  • Induces Smooth Muscle contraction
  • Positive autoregulation within hypothalamus

During Parturition:

  • Mechanical stimulation of the cervix at end of gestation causes OT release
  • Forceful uterine contractions during parturition also induces OT release
30
Q

What is the main phase of breast development in puberty?

A

Mammogenesis

  • Development of epithelial ductal tree
    • Estrogen, glucocorticoids, GH (somatropin) dependent
  • Add progesterone and prolactin and get lobular-alveolar growth
31
Q

What are the phases of breast development in Pregnancy?

A

(prepping for lactation)

Lactogenesis I: mid-late pregnancy: lobular-alveolar growth

  • E, glucocorticoids, prolactin, progesterone, and placental lactogen

Lactogenesis II: post-partum onset of copious milk secretion comes with the fall of progesterone with parturition

  • Ensues with parturition
  • Removal of the placenta (which removes source of progesterone)
    • Retained placenta-no milk secretion
  • Prolactin dependent
32
Q

How do the ducts and breast tissue change/prep for lactation?

A
33
Q

What controls galactopoiesis [maintains lactation ability]

What controls milk ejection?

What regulates involution?

(primary/major ones only)

A

galactopoiesis: presence of prolactin & removal of milk [suckling]

milk ejxn: oxytocin

involution: lack of prolactin

34
Q

What prevents lactation in non-pregnant females?

A

Dopamine is always present = tonic inhibition of prolactin

35
Q

What stimulates milk let down?

what about milk synthesis?

A

Milk Let Down: anticipation & suckling

Milk synthesis: Suckling required for prolactin dependent milk production that will be available for next round of nursing. Without nursing or milk removal, new milk will not be produced.