FEMALE REPRODUCTIVE* CH 28 Flashcards

1
Q

Define ovulation

A

The bursting of the ovarian follicle and releasing the egg

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2
Q

Identify and describe the ligaments of the female reproductive system

A

Mesovarium - covers the entire ovary and anchors it in place

Ovarian Ligament - Attaches the ovaries to the uterus

Suspensory Ligament - Contains an artery, vein, and nerves. Attaches to the pelvic wall

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3
Q

Identify the following:

A

A - Primordial Follicles
B - Primary Follicle
C - Secondary Follicle
D - Tertiary Follicle
E - Mature Follicle
F - Ovum
G - Ovulated Ovum

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4
Q

List the regions of the fallopian tube starting at the uterus and ending at the ovary

A

Isthmus
Ampulla
Infundibulum

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5
Q

What commonly causes cervical cancer? How can it be detected?

A

Almost always caused by HPV
- Detected with a papsmear

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6
Q

List the layers of the uterus from outside to inside

A

Perimetrium - Outermost layer
Myometrium - Middle, muscular layer

Endometrium:
Basal Layer - Deep layer and regenerates a new layer with every menstrual cycle
Functional Layer - Superficial layer shed in every menstrual cycle

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7
Q

What is the name of the arteries that enter the endometrium? How do they relate to the menstrual cycle?

A

Spiral Arteries; rhythmically constrict and dilate with the menstrual cycle

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8
Q

What is the microbial environment like in the vagina?

A

Good bacteria ferment glycogen to lactic acid, lowering and creating an acidic environment that inhibits the growth of pathogens

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9
Q

What is the deadliest cancer in women? What are two causes, which is most common?

A

Breast Cancer:
- Breast Cancer Genes (BRCA1 and BRCA2)
- Stimulated by estrogen*
*much more common

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10
Q

What is the goal of Leptin

A

Monitors how much fat you have and if you have enough fat you will start puberty by the release of Gonadotropin Releasing Hormone

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11
Q

What is the goal of Follicle Stimulating Hormone in females

A

Stimulates overian follicles causing them to secrete estrogen, progesterone, inhibin, and small amounts of androgen

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12
Q

What is the goal of gonadotropin releasing hormone in females

A

Stimulates the anterior pituitary to secrete Follicle Stimulating Hormone and Luteinizing Hormone

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13
Q

What is the goal of estrogens in females?

A

Feminizing hormones that have widespread effects on the body

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14
Q

What is the goal of luteinizing hormone in females

A

Triggers the release of an egg from the ovary

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15
Q

Identify and describe the puberty timeline in females

A

Thelarche - Breast development, earliest notable sign of puberty

Pubarche - Pubic and axillary hair, sebaceous and axillary glands

Menarche - First menstrual period

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16
Q

Describe the role of progesterone and inhibin in the female reproductive system

A

Progesterone - Prepares for possible pregnancy
Inhibin - Selectively regulates FSH secretion

17
Q

What is menopause? What occurs during this phase?

A

Cessation of menstruation
- Uterus, vagina, and brest tissue atrophy
- Skin becomes thinner
- Vaginal Infections are more common
- Cholesterol levels rise and increases risk for cardiovascular disease
- Bone mass declines and increases risk for osteoporosis
- Blood vessels constrict and dilate in response to shifting hormone balances

18
Q

Define reproductive cycle

A

Sequence of events starting at fertilization to giving birth and returning again

19
Q

Define sexual cycle. What two cycles fall under this sexual cycle category?

A

Events that recur every month when fertilization does not happen.

  • Ovarian Cycle
  • Menstrual Cycle
20
Q

Describe the process of Oogenesis

A

The process of egg (ova/ovum) production:

Primordial germ cells give rise to oogonia within the first 5 months of pregnancy

Oogonia transform into primary oocytes just before birth

Throughout childhood many of these eggs undergo atresia and breakdown leaving ~200k

The oocytes undergo Meiosis I to form secondary oocytes and a first polar body

Secondary oocyte starts meiosis, if not fertilized the cell dies, but if it is fertilized it completes meiosis and begins development

21
Q

What is folliculogenesis? Describe the different follicles that form as a result of this process

A

The development of the follicle as the egg undergoes oogenesis:

Primoridal follicles surround primary oocytes

Primary follicles surround secondary oocytes

Secondary follicles grow layers of cells around the egg

Tertriary follciles build up follicular fluid and develop a structure called the antrum (pools)

Mature follicle - one follicle wins and all others die off. Oocyte begins to float within the follicle

22
Q

Describe the hypothalamo-pituitary-ovarian axis

A

Hormones of the hypothalamus regulate the pituitary gland
Pituitary hormones regulate the ovaries
Ovaries secrete hormones that regulate the uterus

23
Q

What occurs during the follicular and luteal phase of the sexual cycle?

A

Follicular: first two weeks, menstruation occurs within the first 3-5 days. Uterus replaces lost tissue by forming the corpus luteum

Luteal Phase: second two weeks, corpus luteum stimulates endometrial secretion and thickening. If pregnancy does not occur endometrium breaks down

24
Q

Identify and descirbe the phases of the ovarian cycle

A

Follicular Phase - days 1-14. follicles grow and the dominant one is chosen

Ovulation - Mature follicle releases the egg

Luteal Phase - days 15-28. ovulated follicle becomes the corpus luteum and hormones prepare for pregnancy. If pregnancy does not occure the corpus luteum shrinks and leaves the behind the corpus albicans

25
Identify and describe the four phases of the menstrual cycle
Proliferative Phase - functional layer of endometrium is rebuilt Secretory Phase - Endometrium thickens Premenstrual Phase - Corpus luteum atrophies Menstrual Phase - Menstrual fluid is discharged
26
Endometriosis
Growth of the endometrial tissue outside of the uterus
27
What are some chages that occur within the female reproductive system during sexual response
Labia enlarge and spread away from the opening. Vaginal transudate seeps through and provides lubrication Uterus stands nearly vertical (tenting effect)
28
Contraception methods: Provide two examples for barrier and spermicidal methods
Male condom/female condom/sponge Foam/cream/jelly
29
Contraception methods: Provide two examples for hormonal methods
Birth control Morning after pill
30
IUD
Physical blockage within the uterus that prevents pregnancy
31
Surgical sterilization in males vs females
Males - Vasectomy Female - tubal ligation