Female Reproductive Histology Flashcards

1
Q

At birth, primary oocytes are arrested in what phase?

A

prophase of meiosis I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what happens to primary oocytes starting at puberty?

A

several begin to mature per month, although usually only one becomes fully mature and ovulates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When do oocytes become ova?

A

after fertilization, when they undergo the second round of meiosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a follicle?

A

primary oocyte and its surrounding cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What surrounds a primordial follicle?

A

a single layer of squamous cells. Until puberty, all follicles are primordial.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When does a primordial follicle become a growing follicle?

A

when follicle cells become cuboidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

At what stage in follicle development does the zona pellucida begin to form?

A

primary follicle

NOTE: Up to 20 follicles begin to develop during each menstrual cycle; only a few become secondary follicles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the ZP secreted by and what is it rich in?

A

secreted by the oocyte and rich in glycoproteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens to the follicle cells in the later primary follicle?

A

Follicle cells proliferate and stratify – now called granulosa cells; form stratum granulosum = membrana granulosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In the later primary follicle, a basal lamina forms around the granulosa cells. What is it’s purpose?

A

basal lamina prevents blood vessels from growing into the follicle (from the stroma), but allows diffusion of hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When stratum granulosum is 6-12 cell layers thick (and the follicle is now called a secondary follicle), what happens?

A

fluid-filled cavities start appearing; these separate cavities eventually coalesce in one area, called the antrum, which gradually enlarges.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the follicular fluid inside the antrum of a secondary follicle contain?

A

hormones, growth factors & anti-clotting factors to help sustain the oocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In the graffian/mature follicle, how does the antrum appear?

A

horseshoe shaped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do granulosa cells do in the mature graffian?

A

Some granulosa cells form a mound called cumulus oophorus

Other granulosa cells surround oocyte. The innermost of those granulosa cells stay with oocyte when it ovulates, forming corona radiata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

After ovulation, the follicle (i.e. the remaining granulosa cells) becomes converted to what?

A

a corpus luteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What eventually happens to the corpus luteum?

A

A corpus luteum eventually becomes converted to a pale scar called a corpus albicans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are atretic follicles?

A

Of the ~20 primordial follicles that begin to develop during each menstrual cycle, usually one matures faster than the others and ovulates.

The others (19 follicles/month x 12 months/year x 40 years = 9120) undergo atresia (degeneration)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What happens to atretic primary follicles?

A

the oocyte and follicle cells die, are quickly resorbed, and stromal cells migrate into the area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What happens to atretic later primary and secondary follicles?

A

the follicle collapses, stromal cells migrate into the area, the oocyte degenerates and macrophages eventually phagocytose the dead oocyte & its zona pellucida.

But the granulosa cell basal lamina enlarges and forms a ‘glassy membrane’ that persists for some time*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does the medulla of an ovary contain?

A

occupied by blood vessels, lymphatic vessels, and nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does the cortex of an ovary contain?

A

contains ovarian follicles embedded in connective tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What kind of epithelium does an ovary contain?

A

simple squamous-cuboidal epithelium called ‘germinal epithelium’ covering the ovary

‘germinal’ is a misnomer; originally thought to be site of germ cell formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is contained in the cortex of an ovary?

A

1) germinal epithelium
2) tunica albuginea
3) follicles
4) CT with stromal cells and smooth muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

As a follicle progresses from primordial to graffian, stream cells make layers around the developing follicle. What are these layers?

A

theca externa and theca interna

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What does the theca externa contain?
connecGve Gssue, lots of collagen and some smooth muscle cells
26
What does the theca interna contain?
most vessels and secretory cells
27
The secretory cells in the theca internal are rich in what?
cells are rich in luteinizing hormone (LH) receptors & secrete androgens when levels of LH rise, androgen secretion increases
28
Where is latinizing hormone produced?
pituitary gland
29
What are the final steps of preparation for ovulation of a graffian follicle?
* Graafian follicle fills the cortex, bulges onto the surface, and invades the medulla * small spaces now present in the stalk of cumulus oophorus * surge in pituitary hormones (LH & follicle stimulating hormone, FSH) triggers next step in meiosis, producing a secondary oocyte & 1st polar body
30
What type of oocyte is released during ovulation?
secondary oocyte with its ZP and CR
31
What causes ovulation?
* increased volume and pressure of the fluid in the antrum * enzymatic breakdown of the follicular wall near the surface of the ovary * contraction of smooth muscle in the theca externa Ovarian tissue over the bulge on the surface becomes ischemic due to poor blood flow just before ovulation; germinal epithelium & connective tissue degenerate.
32
What happens in the ovary after ovulation?
Germinal epithelium regenerates to cover exposed surface | Follicular fluid leaks out; follicle collapses; remaining fluid is gradually reabsorbed
33
What happens to the remaining follicle after ovulation?
the remaining granulosa cells and theca interna become the corpus luteum. Both granulosa cells & theca interna cells enlarge, acquire fat & yellow pigment
34
Granulosa cells and theca interna cells are called what once incorporated/forming into the corpus luteum?
granulosa lutein and theca lutein cells Capillaries grow into granulosa lutein from theca lutein
35
What does granulosa cells secrete?
progesterone
36
What do theca interna cells secrete?
androgen, which granulosa lutein cells convert to estrogen
37
What do progesterone and estrogen do?
produce changes in uterus, preparing it for implantation
38
What happens to the corpus luteum is pregnancy doesn't occur?
* the corpus luteum continues to develop for about 9 days after ovulation * it then self-destructs (estrogen & progesterone no longer produced) * eventually, converted to a pale scar called a corpus albicans
39
What happens to the corpus luteum is pregnancy does occur?
* the developing embryo becomes implanted before corpus luteum degenerates * corpus luteum persists until the placenta can make estrogen & progesterone * it then forms a corpus albicans
40
What are the main regions of the oviduct (uterine tube)?
1) Infundibulum – funnel shaped, with fimbria (extensions that reach out toward part of ovary where ovum will be released)- fimbria’s ciliary ‘current’ & muscular contractions draw oocyte into oviduct 2) Ampulla – the longest; fertilization usually occurs in ampulla 3) Isthmus – narrowest 4) Pars uterina – short, ~1cm long, within uterine wall
41
Structure of the oviduct
Mucosa – highly folded in infundibulum and ampulla; less folded in isthmus • Epithelium – highly specialized • Lamina propria – no special features Sometimes fertilized ovum will implant in oviduct (98% of ectopic pregnancies) Muscularis – mostly circular; contractions help move the ovum toward the uterus Serosa
42
What is the epithelium of the oviduct?
Simple cuboidal or columnar epithelium with two kinds of cells: cilia and peg cells
43
What do the abundant cilia in the infundibulum and the ampulla do?
their beating helps move the ova to the uterus
44
What do peg cells do?
appear squeezed in; secretory, producing a fluid that helps nourish ovum; lack cilia
45
What does estrogen do to oviducts during ovulation?
stimulates ciliogenesis (more ciliated cells at ovulation)
46
What does progesterone do to oviducts during ovulation?
increases number of peg cells (more peg cells during 3-4 days when the ovum (possibly fertilized) is still in the oviduct)
47
What are the three sections of the uterine body/fundus histologically?
1) the endometrium (mucosa) 2) the myometrium (muscularis externa) 3) serosa
48
What are the components of the endometrium of the uterine body/fundus?
simple columnar epithelium with glands and a lamina propria no muscularis mucosa or submucosa
49
What is the myometrium composed of?
thick layers of smooth muscle
50
Describe the structure of the endometrium before ovulation (aka the proliferate stage)
Functionalis thicker than basalis and changes with the menstrual cycle Basalis • higher cell density • retained during menstruation Uterine glands • invaginations of surface epithelium, extending entire thickness of endometrium • relatively straight, with narrow lumen, during proliferative phase Spiral arteries • distal part located in functionalis, under hormonal control • proximal part located in basalis
51
What is the blood supply flow to the uterine body?
``` uterine artery to radial arteries to arcuate arteries to straight arteries to spiral arteries to capillaries near surface ```
52
Describe the structure of the endometrium after ovulation (aka the secretory phase)
Functionalis changes, in response to increasing levels of progesterone (progesterone is produced by corpus lutein) • increases in height • uterine glands enlarge, become corkscrew-shaped & dilated as they fill with glycogen-rich secretory product • edema sets in cells in lamina propria more spread out In its secretory phase, functionalis – highly vascularized, with glycogen-rich glandular secretions – is prepared for implantation & the initial nutrition of the embryo. Functionalis will undergo further changes after implantation and, along with fetal tissues, contribute to the formation of the placenta.
53
What happens to functionalis in the menstrual cycle if implantation doesn't occur?
If implantation doesn’t occur: • corpus luteum stops producing estrogen & progesterone • spiral arteries contract for extended and functionalis becomes ischemic • spiral arteries constrict for the last time; distal parts now disconnected • capillaries in functionalis rupture • functionalis sloughs off during menstruation
54
What happens after menstruation?
``` After menstruation, in response to rising estrogen levels, proliferative phase starts • cells in stratum basalis proliferate • epithelial cells reconstitute glands • stromal cells secrete ECM molecules • spiral arteries lengthen ```
55
Does the endometrium of the cervix have spiral arteries or a separation between the functionalis and basalis?
No
56
What are Nabothian cysts?
the cervix has large, branched glands that secrete mucus | If these glands become blocked, Nabothian cysts arise
57
What is the epithelium of the cervix?
epithelium is simple columnar near uterus, then non-keratinized stratified squamous. Transition site during child-bearing years different than before puberty/after menopause
58
T or F. the myometrium of the cervix is thicker than the uterus body
F. It is thinner
59
What is the epithelium of the vagina?
non-keratinized stratified squamous
60
What are the contents of the mucosa of the vagina?
* rugae (folds running perpendicular to long axis) * epithelium – non-keratinized stratified squamous * lamina propria – highly vascularized, with papilla projecting into epithelium * no glands
61
Does the vagina have serosa or adventitia?
adventitia
62
What is a pap smear?
scrapings of cells from cervical and vaginal mucosae, used to detect cervical cancer and pre-cancerous condiGons
63
What kind of metaplasia can occur in the cervix/vagina?
Epithelium converts from ‘columnar-to-squamous’ (i.e. stratified squamous) Can lead to cancer if pathogenic stimulus remains present and/or if affected cells not removed