Female reproductive system Flashcards

1
Q

what are the organs of the reproductive system

A
ovaries (secondary oocytes, hormones; progesterone/estrogen/inhibin/relaxin)
uterine tubes
uterus
vagina
vulva
mammary glands
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2
Q

how many ovaries are there and what ligaments hold them in position

A

paired, one on either side of the uterus

broad lig, ovarian lig, suspensory lig

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3
Q

what are the structures of the ovary

A
  • ovarian mesothelium (surface epithelium): covers surface of ovary
  • tunica albuginea: deep to germinal epithelium
  • ovarian cortex: deep to tunica albuginea, contains ovarian follicles
  • ovarian medulla: deep to the ovarian cortex
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4
Q

what are follicles

A

lie in the cortex, consist of oocyte in various stages of development and surrounding cells (nourish oocyte and secrete estrogens as the follicle grows larger)

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5
Q

what is a mature follicle

A

large, fluid-filled follicle that will soon rupture and expel a secondary oocyte (ovulation)

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6
Q

what does the corpus luteum contain

A

contains the remnants of an ovulated mature follicle

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7
Q

what does corpus luteum produce and what does it turn into

A

progesterone, estrogen, relaxin and inhibin until it degenerates and turns into a corpus albicans (fibrous)

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8
Q

what are the blood and nerve supply?

A
  • ovarian artery
  • branches of the uterine arteries
  • on right side, the ovarian drain into the IVC, on the left it drains into the renal veins
  • sympathetic and parasympathetic innervation
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9
Q

what is oogenesis

A
  • formation of gametes in the ovaries
  • involves meiosis I and II
  • during fetal development, primordial germ cells migrate from the endoderm yolk sac to the ovaries (differentiate into Oogonia; 2n)
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10
Q

what is oogonia

A
  • divide to produce millions of germ cells

- a few develop into primary oocytes (begin meiosis I but do not complete it until after puberty)

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11
Q

what is atresia

A

degenerative of most of the oogonia cells

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12
Q

what hormone is released and from what gland each month after puberty
what does it stimulate

A

gonadotropic hormones from the pituitary gland

resumption of oogenesis

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13
Q

does the meiosis resume in many primary follicles

A

yes

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14
Q

in oogenesis, how many follicles will mature and ovulate

A

only one

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15
Q

what oocyte completes meiosis I

A

the diploid (2n) primary oocyte

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16
Q

what forms with meiosis I and what gets discarded and received

A
two haploid c ells of unequal size form 
smaller cells (first polar body) discarded nuclear material
larger cell (secondary oocyte) receives most of the cytoplasm
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17
Q

what is the process of meiosis II

A

it begins then stops

  • the mature follicle ruptures soon after and releases its secondary oocyte (ovulation)
  • the secondary oocyte is swept into the uterine tube
  • if sperm is present and one penetrates the secondary oocyte, meiosis II resumes
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18
Q

what does the secondary oocyte split into

A

2 haploid cells of unequal size: smaller cell (second polar body), larger cell(ovum; mature egg)

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19
Q

what unite to form a diploid (zygote)

A

nuclei of the a sperm cell and ovum

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20
Q

one oogonium gives rise to how many gamete (ovum)

A

a single gamete

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21
Q

what do the uterine tubes transport

A

secondary oocyte and fertilized ova from the ovaries to the uterus

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22
Q

what are the parts of the fallopian tubes

A

infindibulum, fimbrae, ampulla and isthmus

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23
Q

what are the layers of the uterine tubes and what do they do

A
  • mucosa (cilia help move the fertilized ovum or secondary oocyte to the uterus)
  • muscularis (peristaltic contraction help move the oocyte or fertilized ovum toward uterus)
  • serosa
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24
Q

where does fertilization usually occur (occurs how long after ovulation)

A

in the ampulla
can sometimes happen in the abdominopelvic cavity)
may occur up to 24 hours after ovulation

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25
Q

a few hours after fertilization what unites

A

nuclear materials of the haploid ovum and sperm

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26
Q

when does the zygote arrive in the uterus usually

A

about 7 days after ovulation

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27
Q

what does the uterus form

A

part of the pathway for sperm to reach fallopian tubes

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28
Q

what is the uterus a site for

A

menstruation, implantation of a fertilized ovum and development of the fetus during pregnancy

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29
Q

in btw what structures is the uterus located

A

btw urinary bladder and rectum

30
Q

what are the parts of the uterus

A

fundus, body, cervix, uterine cavity, cervical canal that opens into uterine cavity as the internal os and into the vagina at the external os

31
Q

what ligaments maintain the shape of the uterus and what do they attach to

A
  • broad lig: attach to pelvic cavity
  • uterosacral lig: connects uterus to sacrum
  • cardinal lig: extend from pelvic wall to cervix and vagina
  • round lig: extend from uterus to labia majora
32
Q

what are the layers of the uterus

A
  • outer perimetrium (serosa): part of visceral peritoneum, becomes the broad lig
  • intermediate myometrium : responds to oxytocin secretions and helps expel the fetus from the uterus
  • inner endometrium: stratum functionalis (functional layer) and stratum basalis (basal layer)
33
Q

what is cervical mucous made of

A

water, glycoprotein, serum-type proteins, lipids, enzymes and inorganic salts

34
Q

when is cervical mucous more hospitable to sperm (when is it less)

A

near time of ovulation (less viscous and more alkaline)

otherwise it forms a plug that stops sperm penetration

35
Q

what serves as a sperm reservoir and protects the sperm from phagocytes

A

cervical mucous

36
Q

what is the vagina a passageway for

A

menstrual flow, childbirth and semen during intercourse

37
Q

where is the vagina located and what is it attached to

A

in btw the urinary bladder and the rectum, its attached to the uterus

38
Q

where is the fornix of the vagina

A

surrounds the cervix of the uterus

39
Q

describe the mucosa of the vagina

A
  • continuous w that of the uterus
  • consists of transverse folds (rugae)
  • contains large stores of glycogen which produce organic acids when it decomposes (postpones microbial growth but harmful to sperm; alkaline components of semen increase viability of the sperm)
40
Q

why does the muscularis layer of the vagina stretch

A

to accommodate the penis during sexual intercourse and a child during birth

41
Q

what organs does the adventitia of the vagina anchor it to

A

adjacent organs like the urethra and urinary bladder (anteriorly) and the rectum and anal canal (posteriorly)

42
Q

what is the vaginal orifice

A

opening to the exterior of the vestibule

43
Q

what is the hymen

A

layer of mucosa closing the orifice (partially or completely)

44
Q

what is the vulva

A

external genitals of the female

45
Q

what is the mons pubis

A

elevation of adipose tissue covered w skin and pubic hair (cushions the pubic symphysis)

46
Q

what is the labia majora

A

two folds of skin from the mons pubis (covered by pubic hair contain sebaceous glands, and sudoriferous glands)

47
Q

what is the labia minora

A

two smaller folds of skin, very little pubic hair and few sudiferous glands, contain, many sebacous glands

48
Q

what is the clitoris

A

prepuce, glans

49
Q

what is the bulb of the vestibule

A
  • two elongated masses of erectile tissue just deep to the labia on either side of the vaginal orifice
  • fills with blood during sexual arousal, narrowing the vaginal orifice and placing pressure on the penis
50
Q

what is the perineum

A
  • diamond shaped area medial to the thighs and buttocks (males and females)
  • contains the external genitalia and anus
  • bounded anteriorly by pubic symphysis
  • bounded laterally by ischial tuberosities and posteriorly by the coccyx
  • divided horizontally into an anterior urogenital triangle and a posterior anal triangle
51
Q

what are mammary glands

A

modified sudoriferous glands that produce milk

52
Q

what is the nipple

A

pigmented projection

53
Q

what are lactiferous ducts

A

where the milk emerges

54
Q

what are the areola

A

circular pigmented area around the nipple, contains modified sebaceous glands

55
Q

what is the lig of the mammary glands

A

suspensory lig: run btw skin and superficial fascia and support the breast

56
Q

what determines the size of the breast

A

amount of adipose tissue located in btw lobes (15-20) of the mammary gland

57
Q

what are each lobe made of

A

several lobules which are made up of milk-secreting glands called alveoli

58
Q

what path does milk follow

A
  • milk passes from the alveoli into secondary tubules and then into the mammary ducts
  • near the nipple, the ducts expand into lactiferous sinuses where milk may be stored
  • each duct usually carries milk from one lobe to the exterior
59
Q

what is lactation

A
  • synthesis, secretion and ejection of milk
  • stimulated by the hormone prolactin with contributions from progesterone and estrogen
  • ejection is stimulated by oxytocin (released by the pituitary gland in response to sucking of an infant on the mom’s nipple)
60
Q

what is the ovarian cycle

A

function is to develop a secondary oocyte

61
Q

what is the menstrual cycle

A

function is to prepare the endometrium each month to receive a fertilized egg (marks first day of a new cycle)

62
Q

what two cycles does the female reproductive cycle include

A

ovarian and menstrual

63
Q

what hormones control the ovarian and uterine cycle

A

GnRH from the hypothalamus which stimulates the release of FSH and LH by the ant pituitary gland

64
Q

what does FSH do

A

stimulates the development of secondary follicles and initiates secretion of estrogens by the follicles

65
Q

what does LH do

A

stimulates any further development of the follicles, secretion of estrogens by follicular cells, ovulation, formation of the corpus luteum and secretion of progesterone and estrogen by the corpus luteum

66
Q

when does the stratum functionalis shed, discharges blood, tissue fluid, mucous and epithelium cells

A

during the menstrual phase

67
Q

what happens during the pre-ovulatory phase

A

a group of follicles in the ovaries begin to undergo final maturation:

  • one follicle outgrows the others and becomes dominant while the others degenerate
  • at same time, endometrial repair occurs in the uterus
  • estrogens are the dominant hormones during the pre-ovulatory phase
68
Q

what happens during the ovulation phase

A
  • rupture of the dominant mature follicle and the release of a secondary oocyte into the pelvic cavity
  • brought on by a surge of LH
  • S&S of ovulation include an increased basal body temp, clear stretchy cervical mucous, changes in the uterine cervix and ovarian pain
69
Q

what happens during the post-ovulatory phase

A

both progesterone and estrogens are secreted in large qty by corpus luteum of the ovary and the uterine endometrium thickens in readiness for implantation

70
Q

what happens if fertilization and implantation do not occur

A

the corpus luteum degenerates and the resulting low level of progesterone allows discharge of the endometrium followed by initiation of another reproductive cycle

71
Q

what happens if fertilization and implantation do occur

A

the corpus luteum is maintained by placental hCG and the corpus luteum (and later the placenta) secret progesterone and estrogens to support pregnancy and breast development for lactation