Female Reproductive Function Flashcards
Follicular phase of the ovarian cycle
- FSH stimulates development of follicles
- Estradiol rises
Ovulatory phase of the ovarian cycle
- LH surge causes rupture of graafian follicle
- Oocyte discharge
- Mid cycle
Luteal phase of the ovarian cycle
- LH converts the ruptured follicle to a corpus luteum
- High progesterone
- Some estradiol
Corpus albicans
- Degenerated corpus luteum if fertilization does not occur
- Low estrogen and progesterone
Proliferative phase
- Thickness of endometrium increases from 1-2 mm to 8-10mm
- Dominated by estrogens
- Variable in length (usually around 14 days)
Secretory phase
- Dominated by progesterone
- Fixed length of 14 days after ovulation
- Promotes accumulation of glycogen, increased glandular secretions, and increased vascularity
Menstrual phase
- Prostaglandin mediated vasoconstriction of spiral arteries and local ischemic injury/inflammation
- Regression of corpus luteum
- 5 days
Hormonal regulation of the menstrual cycle
- GnRH stimulates release of LH and FSH by pituitary
- Estrogen synthesized by follicles has negative feedback effects
- In late follicular phase estradiol reaches a high level that initiates positive feedback and a surge in LH and FSH, provoking ovulation.
- Luteal phase characterized by negative feedback. Estrogen, progesterone, and inhibin produced by corpus luteum have negative effect on gonadotropin release
FSH effect on granulosa cells
- Gene transcription and synthesis of aromatase, activins, and inhibins
- Granulosa cells also have LH receptors
LH effect on ovarian theca cells
- Synthesis of progestins and androgens
- Androgens enter granulosa cells and converted to estrogens
Activins and inhibins
-Act only on the anterior pituitary
Gonadotropin secretion
- GnRH binds a G protein coupled receptor on gonadotroph membrane
- IP3/DAG signaling pathway
- FSH and LH production and secretion stimulated
Estrogens
- Inhibit osteoclasts
- Promote fat deposition, and stromal and ductile breast growth
Progesterone
-Development of lobules and alveoli in breasts
Stimulation of puberty
-Pulsatile secretion of GnRH first at night and then during the day
Menopause
- Reduced estrogen production leads to increased gonadotropin production
- Loss of negative feedback from estrogens and progesterones
- FSH changes most drastically, LH also increased
Postmenopausal source of estrogen
- Estrone produced by muscle and adipose tissue
- Not as potent as estradiol