Female reproductive physiology Flashcards
GnRH acts via the
IP3 mechanism
secrete GnRH into the hypothalamic– hypophysial portal blood
Arcuate nuclei
GnRH smulates the anterior pituitary to secrete
FSH and LH
In male
FSH secretes?
Sertoli cell/
In male
LH secretes?
Leydigcell/ theca cell
Sertoli cell secretes?
Granulosa cell
Inhibin
Function of granulosa cell?
Spermatogenesis
Function of inhibin?
Negative feedback of FSH secretion
Function of leydig/theca cell
Testosterone synthesis
PUBERTY is iniated by the onset of
Pulsatile GnRH
Ovulaon is suppressed as long as lactaon connues because of
Prolactin
Prolactin effect in suppression of ovulation
Inhibits hypothalamic GnRH secreon
Antagonizes the acons of LH and FSH on the ovaries
Action of FSH
Steroidogenesis in the ovarian follicle and corpus luteum
– Follicular development beyond the antralstage
– Ovulaon
– Luteinizaon
Action of LH
Smulates ovulaon,
formation of corpus luteum,
and synthesis of estrogen and progesterone (ovary
FSH and LH is related structurally to what hormone?
TSH
Alpha sub unit
Identical
Beta sub unit
Unique
FSH, L H and TSH are belong to one family
Glycoprotein family
Enzyme that converts cholesterol to pregnenolone?
Desmolase
Enzyme that converts orticosterone to aldosterone
Ldosteone synthase
Enzyme that convert deoxycortisol to cortiol
Hydroxylase
Enzyme that convert testosterone to estradiol
Aromatase
Stimulate desmolase?
ACTH
Estrogen Causes maturation and maintenance of the
Fallopian tube, uterus, cervix and vagina
Estrogen Causes the development of female
Secondary sex characteristics at puberty
Estrogen Has both __________ and ________effects on FSH and LH secreon
Negative and positve feedback
Ovary
Estradiol ( most potent)
Placenta
Estriol ( pregnancy )
Addipose tissue
Estrone ( menopause )
Via aromatization
Estogen potency
estradiol > estriol > estrone
Estrogen Causes proliferaon and development of
Ovarian ganulosa cell
Estrogen maintains
Pregnancy
Estrogen Lowers the ____________to ___________ during pregnancy
Uterine threshold
Contractile stimuli
Estrogen stimulates prolactin secretion but not in
Breast
Progesterone Has negave feedback effects on FSH and LH secreon during
Luteal phase
Raises the uterine threshold to contracle smuli during pregnancy
Progesterone
Progesterone Parcipates in development of the
Breast
How many primary oocyte at birth
2 million
How many primary oocyte at onset of puberty
400,000
Remaining follicles are depleted at a rate of _____ follicles per month unl age ___
1000
35
Aer 35 yo, the rate becomes ( reducing number of follicles )
Faster
400 follicles are normally released during female reproducve life
400 oppurtunities of pregnancy
99.9% of follicles undergo
Atresia via apoptosis
Primary oocytes begin Meiosis I during ________and complete meiosis I just before _________
Fetal life
Ovulation
Meiosis begins but levels of proteins required for completion of meiosis are too low
Oocyte arrest ot prophase 1
Oocytes arrst at prophase 1 until?
Ovulation
As the oocyte grows, it synthesizes enough proteins (CDK 1, cyclin) to complete meiosis but HIGH cAMP levels actively maintain arrest Therefore: Primary oocyte is
Meiotically competent but arrested
A few hours after OVULATION , oocyte completes meiosis I, and Meiosis II is arrested at __________until ___________
Metaphase 2
Fertilization
If fertilization does not occur within 1 day à secondary oocyte
Degenerates
Day 1- 14 of menstrual cycle
Follicular phase
Antral - dominant follicle
Increase progesterone because of corpus luteum
Lutheal phase
If sperm penetrate the dominant follicle it will begin
Fertilization or implantation
Increase during pregnancy, or positive in pregnancy
HCG
Gonadotrophins
HCG, FSH, LH
Steroid hormones
Estrogen and progesterone
Ovarian cycle
Antrial follicle
Dominant follicle
Corpus luteum
Fertilization ( if sperm penetrate )
Antral follicle
During menses
Dominant follicle
Before and during ovulation
Increase during ovulation; increase during pregnancy. (Steroid hormone)
Estrogen
Steroid hormone that increase during luteal phase and also increase during pregnancy
Progesterone
Increase FSH, LH and estradiol during?
Ovulation
Decrease FSH and LH during?
Luteal phase and menses
Progesterone and estrogen secretes after?
Menses
Regular days of mense
1-3
Follicular- ovary
Proliferative- uterus
Luteal- ovary
Secretory- uterus
Normal cycle
28 days
Ovulation in irregular cycle
Days of cycle -14
muscular tubes with the distal ends close to the surface of each ovary and the proximal ends traversing the wall of the uterus
Oviducts
4 secons of oviducts (distal to proximal
Infudibullum + fimbriae
Ampulla
Isthmus
Intramural or uterine segment
Where fertilization occur?
Ampullary- isrhmus junction
Site for sperm storage § Secrete fluids that provide nutrional support to preimplantaon embryo
Ampullary-isthmus junction
single organ that sits in the midline of the pelvic cavity between the bladder and the rectum
Uterus
Innermost utrerus
Endometrium mucosa
Middle uterus
Myometrium three layered muscularis layer
Outermost uterus
Perimetrium serosa
which is the poron that rises superiorly from the entrance of the oviducts
Fundus
which makes up most of the uterus
Body of the uterus
short narrowed part of the body at its inferior end
Isthmus
About two thirds of the luminal side of the endometrium is lost during menstruation and is called the
Functional zone or stratum functionalis
The basal third of the endometrium that remains after menstruation is called the
Basal zone or stratum basale
The basal zone is fed by ______________ that are separate from the spiral arteries, and it contains all the cell types of the endometrium
Straight arteries
Cell type of endothelium
Epithelial cell
Stromal cell
Endothelial cell
The endocervical canal is lined by a _______________ that secretes __________in a hormonally responsive manner
Simple columnar epithelium
Cervical mucus
In cervix
Stimulates the production of a copious quanty of thin, watery, slightly alkaline mucus that is an ideal environment for sperm
Estrogen
In cervix
stimulates the producon of a scant, viscous, slightly acidic mucus that is hostile to sperm
Progesteron
Lining epithelium of vagina
Stratified squamous epithelium
The _______________ of the vaginal epithelium are connually desquamang, and the nature of these cells is influenced by the hormonal environment
Superficial cell
In vagina
smulates proliferaon of the vaginal epithelium and increases its glycogen content
Estrogen
The glycogen is metabolized to lacc acid by commensal lactobacilli, thereby maintaining an acidic environment
inhibits infecon by noncommensal bacteria and fungi
increases the desquamaon of epithelial cells of vagina
Progesterone
Estrogen is required for closure of the _____________ of long bones in both sexes
Epiphysial plates
Estrogen promotes the survival of osteoblasts and apoptosis of osteoclasts, thereby favoring bone formaon over resorpon
Bone anabolic effect
smulates intesnal Ca++ absorpon
Calciotropic effect
The overall effect of estradiol-‐17β on the liver is to
Improve circulating lipoprotein profiles
Increases expression of the LDL receptor, thereby increasing clearance of cholesterol-‐rich LDL parcles by the liver. – increases circulang levels of HDL
Effects of estrogen and progesterone in th liver
have significantly less cardiovascular disease than men or postmenopausal women do
Premenopausal women
Estrogen promotes vasodilaon through increased producon of _________ relaxes vascular smooth muscle and inhibits platelet acvaon
Nitric oxide
Effects of estrogen and progesterone
increases _____________ producon and deposion in the dermis and promotes wound healing
Glycosaminoglycan
increase collagen synthesis and inhibit (along with progesterone) the breakdown of collagen by suppressing matrix ____________
Metalloproteinases
Estrogen is _________________ : inhibits neuronal cell death in response to hypoxia or other insults
Neuroprotective
Progesterone: increase the set point for thermoregulaon, thereby elevang body temperature approximately 0.5°F. à basis for using body temperature measurements to determine whether ____________ has occurred
Ovulation
Loss of progesterone on demise of the corpus luteum of menstruaon is the basis for
premenstrual dysphoria (premenstrual syndrome [PMS
Estrogen decreases adipose ssue by decreasing lipoprotein lipase acvity and
Increasing hormone sensitive lipase
Loss of estrogen results in the accumulaon of adipose tissue, especially in the
Abdomen