female reproduction Flashcards
uterine tube structure
Fallopian tube/oviduct/salpinx uterina four tube segments: 1. infundibulum 2. ampulla 3. isthmus 4, intramural
uterine tube functions
- provides bidirectional transport mechanism for:
a. ovum (via ciliary action and peristalsis) towards uterus.
b. sperm movement away from uterus (movement is faster that swimming alone would allow) - provides environment for fertilization (secretions stimulate sperm maturation)
fimbriae
part of the infundibulum which is a segment of the uterine tube
- many ciliated cells
- “catches” ovum
ampulla
a segment of the uterine tube
-fertilization usually occurs here
infundibulum
a segment of the uterine tube
- funnel shaped
- fimbriae-“catches” ovum, Many ciliate cells
ampulla wall structure
- serosa (mesothelium, visceral peritoneum)
- muscularis: inner circular, outer longitudinal
- mucosa: longitudinal folds (resembling fern leaves)
- epithelium: simple columnar, with ciliated and non ciliated (peg, secretory) cells
- -secretions stimulate capacitation of the sperm cells (this is essential for the acrosome reaction)
- -cells undergo cyclic changes
a. estrogen increases ciliogenesis
b. progesterone increases secretory cells
uterus structure
3 layered wall:
- perimetrium
- myometrium
- endometrium
perimetrium
wall layer of uterus
mesothelium and underlying elastic tissues
myometrium
- wall layer of uterus
- thick smooth muscle layers (cells enlarge from 50 um to 500um during pregnancy)
- cells oriented longitudinally
- btw inner and outer muscle layers is stratum vasculare (blood and lymphatic vessels)
endometrium
(1-6 mm thick)
- stratum functionale
- lost during menstruation
- contains tubular uterine glands
- contains spiral arteries, capillaries, and lacunae
- has proliferative, secretory and menstrual stages - stratum basale:
- both glands and arteries retained during menstruation
stratum functionale
part of endometrium of uterus wall
stratum functionale stages
part of endometrium of uterus wall
- proliferative stage (estrogenic)
- secretory stage (“pro gestational”)
- menstrual (ischemic) stage
menstrual (ischemic) stage
occurs in stratum functionale [in tissue–broken epithelium]
- loss of CL hormones causes periodic spiral artery contractions (lasting hours)
- stratum functionale becomes ischemic
- dead tissue, blood lost during menstruation (~5 days, 35-50ml blood loss)
- blood flow to straight arteries in stratum basal is maintained; striving glandular cells will serve to re-populate the surface
proliferative (estrogenic) stage
occurs in stratum functionale
- under the control of estrogen from follicle
- stromal, endothelial and epithelial proliferation
- epithelial migration covers denuded surface (following menstration) and down growth (glands)
- spiral arteries lengthen
- collagen and ground substance deposited
- process continues until one day post ovulation (~2 WEEKS)
- straight glands
- no secretions
- note continuous epithelium in tissue slide
secretory stage (“pro gestational”)
occurs in stratum functionale
- under the control of progesterone from CL (thus post-ovulation)
- glands enlarge (sacculated, corkscrew shape)
- glands fill with secretory products (glycogen)
- spiral arteries lengthen, coil
- stromal fluid increases (edema)
- process continues for ~10 days if no pregnancy occurs
uterine cervix
- contains large branched glands–simple columnar epithelium
- lack spiral arteries
- few morphological changes occur during menstrual cycle
- cyclical glandular changes:
1. near ovulation mucous production increases 10x
2. mucous at this time is less viscous than at other times of the cycle - squamocolumnar junction at external os*
uterine cervix: transformation zone
SSNKE-simple columnar
- located at external os in women of reproductive age
- located within cervical canal before puberty and after menopause
- metaplasia in this zone constitutes pre -cancerous lesions (when detected early, 5 yr survival >90%
vaginal wall composition
- SSNKE
- mucosa with blood vessels
- no glands; but lubrication
- muscle layer
vaginal wall: SSNKE
- keratohyaline granules sometimes present
- cyclical changes:
- estrogen increases glycogen production
- -nourishes lactobacillus vaginalis