Female Repro Flashcards

1
Q

Gametogenesis produces

Hormones secreted (3)

Female repro system is ___ and maintains

A

oocytes

Estadiol, progesterone, inhibin

cyclical, fetus

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2
Q

Medulla is the site of entry for

Cortex contains

covered by

Follicle is the

consists of a ___ surrounded by a sphere of

A

blood vessels, nerves, stromal cells

germ cells encolsed in a follice, corora lutea and stroma

tunica albuginea, and a layer of epithelial cells

fundamental repro unit

germ cells, endocrine cells

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3
Q

Ovarian function in oogenesis is to develop

secretes hormones req to maintain the

this includes

A

female gametes (ova)

repro system, fetus (until it can survive alone)

estrogens, progestogens, androgens

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4
Q

Gametogenesis 1st stage ____ produces

replication of DNA is followed by division into 2 ___ each w ___ chromosomes (23n)

2nd stage is ____ yielding 4 ___ in males, ___ in f

1st meiotic division starts w ____, pairing homologous chromos & ____ (recomb)

2 daugter cells receive __ chromos

A

mitosis, 2 identical daughter cells

2 daughter cells, 23 pairs

meiosis, haploid gametes, 1

DNA replication, crossing over

23 duplicate chromos (23n)

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5
Q

2nd meiotic div is ___, similar to mitosis but no

division yields 2 haploid ____ w 23 chromos each (n)

Mitosis begins in the ___ wk of fetal life, as __ are produced by mitosis of the

ends around ___ wks, when ___ are maximal

from this point on, ____ new germ cells are created

A

reductional, DNA rep

granddaughter cells

5-6, oogonia, primordial germ cells

20, oocytes, (7 mil)

miminmal

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6
Q

Meiosis is 2 div producing 1___

oocytes begin 1st meiotic div bw ___ w of fetal life and ___

1st meiotic div arrested in

primary oocytes remian in prophase 1 ___

starting at puberty, preovulatory ___ of menstrual cycle triggers resumption of meiosis in the dominant follicle

results in ___ which gets all cytoplasm and is ___ a day later, known as

Bw puberty/menopause, meiosis resumes in the 4-500 oocytes ovulated when they are bw ____ yrs old

A

gamete

8th and shortly after birth

prophase 1

throughout childhood

LH surge

secondary oocyte, ovulated, 1st polar body

12-50

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7
Q

In the oocyte that is ovulated, the ___ is also arrested in ____

2nd meiotic div is almost never complete because it is triggered by ___

this yields 1 haploid gamete and

primary oocytes arrested in prophase 1 for

bw puberty/menopause each LH surge triggers completion of _____ in the preovulatory follicle, yeileding ____

Lh surge also initiiates ____ which arrests in

secondary oocyte is then

A

2nd meiotic div, metaphase 2

fertilization

2nd polar body

12-50 yrs

1st meiotic div, 1 daughter cell and 1st polar body

2nd meiotic div, metaphase 2

ovulated

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8
Q

Oocytes degenerated called

occurs at ___

max #___ at __ wks fetal life

only ___ left at birth

at onset of puberty, ___ left

about 400 ovulated bw ____ yrs of age

at menopause, less than __ left

A

atresia

any stage

7mil, 20

2 mil

300,000

15-50 yrs

1000

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9
Q

Folliculogenesis- primordial follicles formed when ____ is surrounded by

primordial follicles are

cohorts of ___ randomly enter th ___ and develop into

___ type cells

this is a full sized ___ w ____

minimal pituitary ___ support required

depends on ___ paracrine factors

A

primary oocyte, epithelial cells

dormant

primordial follicles, growing pool, primary follicles

cuboidal granulosa

oocyte, zona pellucida

gonadotropin

intraovarian

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10
Q

Granulosa cells multiply&secrete inc amount of ___ aromatized from ___ and ___ a protein hormone that inhibits

___ is req for formation of an outside layer of

__and___ postpubertally stimulate antrum formation and formation of ____

___(preov follicle) is ___ and produced at ___ per cycle

Ovulation caused by ___surges

completion of the ___ and extrudes the ___

Follicular rupture/release of __ and cumulus granulosa cells into

forms ___, w progression of oocyte into ____ (2nd meiotic div)

A

estradiol, thecal androgen/inhibin, FSH

FSH, theca cells

LH/FSH, secondary follicles

Graafian, fully mature/1

LH/FSH

1st meiotic div, 1st polar body

oocyte, peritoneal cavity

corpus luteum, metaphase 2

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11
Q

Corpus luteum differentiates from ___ after ovulation

both ___&___ luteinize

secretes (3) w some

Lasts __ days in a non fertile cycle, after which leads to ___ or luteolysis

__ dependent, formed by __ surge, sustained by __ LH levels

LH receptors gradually ___ (regress)

if preg occur, ___ an LH like hormone secreted by the __ rescues the CL

A

ruptured follcle

granulosa/theca cells

estadiol/progesterone/inhibin, androstenedione

14, regression

LH, LH, basal luteal phase

dec

hCG, trophoblast

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12
Q

Ovarian steroid hormone biosyn begins w (similar to path in __/__)

Rate limiting enzyme catalyzes __, for ___ (CYP11a1)

___ the major estrogen is secreted by __ and aromatized from ___

progesterone is secreted by ___ used as an indicator for

andro/testo secreted by

majority aromatized to __ by the granulosa cells

stimulates growth of __ and

A

cholesterol, adrenals/testes

1st step, side chain cleavage

estradiol, granulosa cells, thecal androgen

CL, ovulation

theca/interstital cells

estradiol

pubic/axillary hair, libido

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13
Q

LH acts on ___ to stimulate androstenedione synth

___ diffues to granulosa

FSH stimulates ___, converting ___ to estradiol (E2)

this stimulates _and__ receptors, __ formation, ___ receptors on granulosa cells of ___

A

theca cells

Androstenedione

aromatase

androstenedione/testo

E2/FSH, antrum, LH receptors, preovulatory follicles

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14
Q

Repro Fxns of estradiol

S
Growth/maintain \_\_\_
Growth of ducts in
Increase \_\_\_ of oviducts/uterus
Induces P receptors in \_\_\_ and FSH/LH/E receptors in
\+/- feedback actions on
A
secondary sex characteristics
female repro tract, accesory tissues
mammary glands
contractility
brain/uterus/oviduct, ovary
LH/FSH secretion
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15
Q

Nonrepro fxn of estradiol

Stimulates ___, dec ___ closing of the ___ at puberty
In liver, dec metabolism of ____, dec serum ___, inc ___/dec ___
In CNS it is ___, enhancing
In adipose, ____
In integument, maintains
In CV system, ___ to inc NO prod

A

bone growth, bone resorp, epiphyses

circulating steroid binding proteins, cholesterol, HDL/LDL

neuroprotective, learning/memory/mood

lipolytic

healthy skin

VD

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16
Q

Fxn of progesterone

Indicates
Inc
Dec \_\_ of oviducts/uterus/uterine response to
Inc sec of 
Growth of _ in mammry glands
Neg feedback on
Inhibits pos feedback of
A
ovulation
basal body temp
contractility, oxytocin
uterine glands
alveoli
LH/FSH
estradiol
17
Q

GnRH neurons project from __ to ___
__ release
transport GnRH to AP via
inc both ___/__ synth/sec

controlled by higher centers w
neg feedback from
pos feedback from

constant levels ___ its own receptors, dec ___

used to treat ____ and ___ dep malignancy

A

hypothalamus, median eminence
pulsatile
portal capillaries
LH/FSH

NE/Epi/DA/opioids
E2/P
E2

down regulate, LH/FSH

precocious puberty, hormone

18
Q

All neg feedback control of LH/FSH throughout cycle stimulated by

except for

inhibited by neg feedback of

positive feedback of estradiol causes preov ___ surges

stimulated by sustained inc in ___ lasting 40 hrs

independent from and ___ neg feedback

inhibited by

A

pulsatile GnRH

LH/FSH surges

estradiol/progesterone

LH/FSH

estradiol

superimposes

progesterone

19
Q

Menstrual cycle begins at ___, ends at ___

__ in length, day 1 is __, day 14 is

Follicular phase is days __

final stages of

ends at ___, most ___ phase, proliferative phase in the -___

A

puberty, menopause

28 days, 1st day of menses, ovulation

1-14

follicular maturation

ovulation, variable, uterus

20
Q

Early follicular phase (d 1-6) basal ___ levels due to E2 ____

basal E2 levels exert maximal ___ on LH/FSH

Progesterone levels are ___ in absence of CL

Late follic phase (d 7-13) final maturation of ___ causes exponen inc __

inc ___ inc density of ___ recep

inc inhibin exert ___ dec

LH levels remain __ due to NF action of

A

LH/FSH, NF

NF

undetectable

dominant follicle, E2

E2, pituitary GnRH

NF, FSH

low, E2

21
Q

Ovulatory phase (d14) positive feedback action of ___ induces preovulatory ___

cuases ovulation after ___, Dec ___

LH/FSH surge causes ___ of follicle and ___ formation

Luteal phase (d14-28) lasts from ___ to __

characterized by ___ form, sec

Inc P is indicator of __ and __ fxn

Inc __ inc ____, blocks ___

Dec LH receptors lead to

Dec E2/P as ___, inc ___

A

E2, LH/FSH surge

24-36hrs, E2

luteinization, CL

ovulation, menses

CL, E2/P

ovulation, luteal

P, BBT, E2 pos feedback

CL regression

CL regresses, FSH/LH/menses

22
Q

Luteal phase in uterus is the ___ phase, which is the least variable of the ___

in absence of fert, CL __, leading to ___ and start of new cycle

Gamete transport- At ovulation, the ___ is released into __

Estradiol inc __ movement, drawing the ovum into the

inc ____ and dec ___ of cervical mucus, lowering

A

secretory, cycle

regresses, menstruation

ovum, ab cavity

ciliary, oviduct

sm contractions, viscosity, vaginal pH

23
Q

Gamete transport P opposes actions of

Ovum is viable for ___, sperm for ___

Sperm must traverse ___ to reach oviduct, including vaginal __, cervical __, ___ jxn

A

E2

1 day, 2 days

multiple barriers, pH, mucus, utero-tubal

24
Q

Fertilization- binding of sperm to __ triggers ___

acrosomal enzymes __ and ___ digest the ZP

fusion of 1st sperms/eggs PM forms a ___, leading to

cortical rxn- cortical granules release enzymes that ___ sperm binding sites and harden ___, blocking __

changing Mem pot activates __, triggering completion of ___ w release of ____

A

ZP, acrosomal rxn

hyaluronidase, acrosin

zygote

deactivate, ZP, polyspermy

egg, 2nd meiotic div, 2nd polar body

25
Q

Zygote trans- site of fert is the __ located in the __ of oviduct

sperm can arrive at fert site w/in ___, about __ arrive

1st div occurs ___, takes 3-5 days to transport ___ to uterus w division

day 2 has __ cells, day 3 __, Day 4 __ enters uterus

Zygote floats __ in uterus for 3-4 days

6 days after fert, blastocyst digests ___

7 days after fert, blastocyst implants into

A

ampulla, upper 1/3

5min, 200

1 day later, zygote

4, 8, morula

free

ZP

uterine wall

26
Q

Blastocyst consists of

Outer trophoblast layer, contains ___ which is adhesive, invasive, endocrine

secretes ___, later ____

also cytotrophoblast which surrounds ___, which is

ICM is the source of __, is

___ filled cavity

A

synctiotrophoblast

hCG, P,E2,placental lactogens

ICM, dividing

embryonic stem cells, pluripotent

fluid

27
Q

Implantation occurs ___ after ovulation

Synctiotrophoblast secretes ___, an __ like hormone that rescues the

hCG is a __, with a/b subunits, with a similar to

hCG stimulates luteal ___ prdxn

rescue of CL is ___, as placenta ___

after 10 wks, CL ___

ovary is not needed for maintaining preg after

placenta takes over the __ of preg

A

7 days

hCG, LH, CL

glycoprotein, LH/FSH/TSH

E/P

temporary, developing

regresses

1st trimester

hormonal maintenance

28
Q

As CL regresses, placenta takes over ___ sec for remainder of preg

placenta also sec (4)

progesterone plasma levels are ___ throughout preg, to maintain ___, prevents ___, confers ___ privilege on uterus

E2 plus P maintains uteral

synergizes development of __ for lactation

stimulates ___ prdxn

exerts NF on

A

E2/P

Estrone (E1), Estriol (E3), hCG, hPL (similar to GH/prolactin)

high, preg, uterine contractions, immunologic

growth, blood flow

mammary glands

prolactin

LH/FSH

29
Q

hPL inc throughout ___
mobilizes ___ for fetus
Lipo__, opposing ___
stimulates __ develop

Estriol biosynth– ___ is req for E3 synth

___ estrogen of preg

maternal estriol levels indicate

Placenta is the main source of ___ after 10wks gestation

Requires maternal ___ for synth of pregnenolone/progesterone

cannot synth androgens bc no, thus cannot ocnvert P to

requires maternal/fetal __ synth of E2/E1

A

preg
maternal nutrients
lytic, insulin
mammary gland

placenta/fetus

major

fetal well being

P/E

cholesterol

CYP17

estrogens

DHEA/S

30
Q

Fetal Adrenal glands provide __ to placenta for aromatization to

Fetal liver provides ___ for placental conversion to

Parturition is a __ event

stretch of

fetal adrenal cortisol for

maternal uterine ___ and ___ recep

placental
uterine ___ sec

A

DHEAS, estradiol/estrone

16A-hydroxyDHEAS, estriol

complex

uterine smooth muscle

lung surfactant prod

oxytocin, p

CRH

P

31
Q

Feto-placental unit shifts down in _____

inc stretch of
neuroendocrine reflex from __ to hypothalamic ___ inc __ from PP

inc __ inc ___ and dilation of cervix, further inc ____ (PF)

when cervix is maximally dilated, uterine contractions __ the fetus, stopping the

umbilical BV contract after

E/P levels

A

last 4 wks

cervix

cervix, oxytocin neurons, oxytocin

oxytocin, uterine contractions, oxytocin

expel, PF

birth

dec

32
Q

Mammary gland located bw

each breast comprises __ overlying the pec muscle

Glandular lobules contain __ surrounded by ___

Branching structure made of lobules w ___ leading to a ____ opening at the nipple

surrounded by

Lobules separated by ___

Growth/development are __

A

2/6 ribs

20 lobes

alveoli, myoepithelial cells

intralobular ducts, lactiferous duct

adipose tissue

CT septa

hormone responsive

33
Q

Breast dev- in utero gland development ends w rudimentary ___

remains quiescent until __, __ indep

puberty inc ___ and quiescence

inc follicular phase ___ inc ductal elongation/branching

inc luteal phse ___ inc terminal duct structure/rud alveoli formation

Thelarche is the initial observing of

earliest sign of puberty at ___, __ yrs before menarche

A

duct system

puberty, hormone

cyclical growth

E/GH/IGF

E/P

breast bud

9-10 yrs, 2.5yrs

34
Q

Hormones for breast dev

E inc ___, inc ___ inc ___, ___ CYP19 (aromatase), __ local E, inc

P for proliferation of __ such as alveoli

GH/IGF1- GH induces ___ directly and growth indirectly via

PRL stimulates

Cortisol/TH/insulin/leptin are

Androgens/VD exert suppressive effects on ____

leads to absence of ___ in males, or larger than avg breast in ___ males

A

duct prolif, PRL/adipose, inc, inc, PR

secretory structures

ERa, IGF1

growth

permissive

estrogen

breasts, AIS

35
Q

Pregnancy leads to maximal development for ___

maximal branchng/lobuloaveolar dev complete by

1st trimester growth is ___, inc

2nd trimester, ___ begins

3rd trimester (esp 9m) further enlarges due to engorged alveoli w ___ (not milk)

inc PRL does not inc ___/__ due to inhibition by

High preg levels of (5) continually through gestation

permissive levels of

A

lactation

end of 4th month

rapid, branching/mature alveoli

alveolar sec

colostrum

milk prod/lactogenesis, high P

E/P/PRL/hPL/GH

cortisol, TH, insulin, leptin

36
Q

Lactation- during preg, __ blocks lactogenesis

Parturition dec ___ and inc __ for milk prod

req 2-5 days to become established, allowing for ___ to dec

colostrum is released in ___ has ___ effects

Galactopoeisis maintains ___ req

in absence of E2, ___ inc PRL

A

high P

E/P, PRL

P

first few days, antimicrobial/inflam

milk prod, PRL/insulin/cort/TH

suckling

37
Q

NE reflex Lactation

Suckling dec ___ inc ___

adjusts amt of milk synth due to ___

lactational amenorrhea

__ inhib GnRH and thus ___

prolactinomas cause __ in both sexes

menstrual cycles suppressed if suckling is freq enough to

A

hypothalamic DA, milk prod

intensity of suckling

PRL, gonadotropin sec

infertility

sustain elevated PRL

38
Q

NE Reflex lactation

suckling __ rate of firing of oxytocin neurons in ___ nuclei of hypothalamus

inc __ inc contration of ___ called milk ___

Oxytocin recep on myoepithelial cells act via __ to inc ___

Higher centers can influence milk let down by modulating ___ release

stimulated/inhib by

A

inc, supraoptic/paraventricular

oxytocin, myoepithelial cells, let down

Gq, phospholipase C

oxytocin

sound of baby crying/stress