Female physiology Smith 11/1/16 TEST #3 Flashcards
What is the key hormone released from the HPO loop from the hypothalamus?
-Gonadotropin-Releasing Hormone (GnRH)
What is the key trophic hormone released from the anterior pituitary during the HPO loop?
- Follicle-Stimulating Hormone (FSH)
- Luteinizing Hormone (LH)
What are the key target hormones released from the ovary in the HPO loop?
- Estrogens
- Progesterone
- Inhibins
What type of cells provide androgens which stimulate the granulosa cells and produce the circulating estrogens?
-Thecal cells
The estrogens released from the thecal cells feedback inhibit what hormones?
- GnRH
- LH
- FSH
What do inhibins do?
-Inhibit FSH secretion
Where are inhibins released from?
-granulosa cells
What stimulates the thecal cells?
LH
What stimulates the granulosa cells?
- LH
- FSH
What are the three types of estrogens?
- Estradiol (E2)
- Estrone (E1)
- Estriol (E3)
What estrogen hormone is the predominant estrogen during reproductive years?
-Estradiol (E2)
What estrogen hormone is predominant in menopause?
-Estrone (E1)
What estrogen hormone is predominant in pregnancy?
-Estriol (E3)
What are physiological functions of estrogen?
- Sexual maturation
- Increase CNS excitability
- Stimulate uterine growth
- Reduce rate of bone -readsorption
- Increase HDL
- Decrease LDL
When is the most fertile time during the menstrual cycle?
9-15 days
At what point is Estrogen at a low point?
Menses
What hormones does low estrogen during menses cause the pituitary to secrete?
- FSH
- LH
What do FSH and LH do?
-Stimulate growth of several preovulatory ovarian follices
Prior to ovulation what acts predominantly on the theca cells?
LH
Estradiol (E2) increases, inhibits what hormone release?
- FSH
- LH
What does the inhibited release of FSH and LH do to follicles?
-Starve some of the follicles allowing one dominant secondary follicle to survive
What causes the FSH and LH to accumulate in the anterior pituitary?
-Prolonged high levels of estrogen
What causes the LH surge?
E2 (Estradiol) reach a tipping point
What does the tipping point of E2 levels do to the hypothalamus?
-Stimulate the release of more GnRH that tell the Anterior pituitary to release stored LH
What does the LH surge cause?
-Ovulation
What are remaining ovarian cells called?
-Corpus luteum
What does the corpus luteum produce?
-High amounts of progesterone
T/F
The elevated progestrone and estrogen level of the luteal phase will inhibit the pituitary release of LH and FSH that usually helps a second ovulation event occur
False
it prevents a second ovulation event
If an egg is not fertilized or doesn’t successfully implant, why do the circulating levels of hormones decline?
-Corpus luteum degenerates
What does the corpus luteum degenerate to?
-Corpus albicans
What are menses?
Bleedin
Prior to ovulation what hormone dominates?
-Estrogen
After ovulation what hormone dominates?
-Progesterone
What allows the delivery of large amounts of circulating steroid precursors (such as cholesterol) and abundant progesterone in ovulation?
Enhanced blood supply to corpus luteum
Where are progestins synthesized?
- Ovary
- Testes
- Adrenal cortex
What serves as a precursor to synthesis of all estrogens, androgens and adrenocortical steroids?
-Progesterone
What is a progestational effect of progesterone?
- Prepare uterus for implantation
- Secretory mechanism of the breast
What does progesterone to do fat deposition?
Increases it
What does progesterone do to the CNS?
-Decreases CNS excitability
What does progesterone do to body temperature?
-Increase body temperature
What does progesterone do to pCO2 levels in pregnancy?
Decrease them
When you have an adequate amount of this hormone the hypothalamus becomes less sensitive to estrogen and a rhythmic pulsatile release of GnRH begins leading to puberty?
Leptin
What allows the delivery of large amounts of circulating steroid precursors (such as cholesterol) and abundant progesterone in ovulation?
Enhanced blood supply to corpus luteum
Where are progestins synthesized?
- Ovary
- Testes
- Adrenal cortex
What serves as a precursor to synthesis of all estrogens, androgens and adrenocortical steroids?
-Progesterone
What forms E1 in postmenopausal women?
-from testosterone by aromatase enzyme
What does progesterone to do fat deposition?
Increases it
What does progesterone do to the CNS?
-Decreases CNS excitability
What does progesterone do to body temperature?
-Increase body temperature
What does progesterone do to pCO2 levels in pregnancy?
Decrease them
When you have an adequate amount of this hormone the hypothalamus becomes less sensitive to estrogen and a rhythmic pulsatile release of GnRH begins leading to puberty?
Leptin
T/F
Ovulation occurs with the first menarche
False
2-4 yrs later
What type of menopause is caused by loss of inhibition for FSH?
-Perimenopause
If you have FSH levels that are markedly elevated, are around 36-50 years old and find Estrone (E1) as the high estrogen level what do you have?
-Menopause
What forms E1 in postmenopausal women?
-from testosterone by aromatase enzyme
What do trophoblast cells secrete upon implantation?
-Human chorionic gonadotropin (hCG)
What does hCG do?
-support the corpus luteum
What does the placenta do at 8 weeks?
- Progesterone
- Estrogen
What does milk ejection after birth?
-Oxytocin
What do you monitor to see the index of fetus condition?
-Maternal urine estriol excretion
What does estrogen do in parturition?
-Induce uterine oxytocin receptor expression
What does oxytocin do in parturition?
- Causes contractions
- Induces release of placental prostaglandins
What does relaxin do in parturition?
-Peptide hormone to relax the cervix and pelvic ligaments
During pregnancy what is prolactin control said to be under?
-Predominant inhibitory control
What two hormones are continuously produced by the hypothalamus during pregnancy?
- PIF (prolactin inhibitory factor)
- DA (dopamine)
T/F
Only when prolactin is needed does the hypothalamus stop production/secretion of DA allowing the anterior pituitary to secrete prolactin.
True
After birth what stimulates milk production?
-Prolactin
What does milk ejection after birth?
-Oxytocin
What is the first fluid released after birth from the breast?
-Colostrum
T/F
Oral infections such as gum disease have been linked to preterm birth
True
T/F
Fetal organ development occurs during the first trimester: it is best to avoid all potential risks at this time if possible
True