Female Reproductive System Flashcards
Internal Genetailia
- Ovaries
- Oviducts
- Uterus
- Vagina
External Genetailia
- Mons pubis
- Labia majora and minora
- Clitoris
The development of female reproductive system is not complete until _______ from anterior pituitary initiate puberty.
Gonadotropic hormones
Somatic changes associated with puberty include __________.
- Increased growth
- Muscle mass
- Adipose tissue
Thelarche
Development of breasts
Pubarche
Growth of axillary and public hair
Menarche
First menstrual flow (Thereafter throughout the woman’s reproductive life the ovaries and uterus undergo repeating 28-day cycles of hormonally controlled histological changes)
Menopause
Stop of menstrual flow - age about 50
The ovary is a slightly flattened ______ organs.
-Paired
The _____ of the ovary is attached to a ligament by a _______.
- Hilus
- Mesovarium
Outermost layer of the ovary is called _______ followed by _______ made of dense CT.
- Germinal epithelium
- Tunica albuginea
The ovary has distinct cortex and medulla (_______).
Zona vasculoza
Ovarian follicles are found both in cortex and medulla, vast majority of them are __________.
Primordial follicles
Follicles contain female sex cells called oocytes and at maturity the follicles release a __________.
Secondary oocyte
Primordial follicles grow into _____ followed by ____ (antral) and then _____ (Graafian) follicles.
- Primary
- Secondary
- Mature
At ______ the Graafian follicle ruptures and a _______ is released into the abdominal cavity.
- Ovulation
- Secondary oocyte
Other follicles undergo degeneration called _________.
Follicular atresia
Ovaries of a young woman have an estimated _____ primordial and primary follicles. Only about ____ of these are released in the reproductive life of a woman and other degenerate.
- 400,000
- 500
The Primodial follicles constitute the ______ of follicles.
Vast majority
Oocyte is large and spherical surrounded by ___________.
One or more layers of squamous follicular cells
Dense aggregations of _______ are found near the nucleus and the nuclei has a conspicuous nucleoli.
Mitochondria
The primordial follicle also has _______, ______, and ______.
- Oolemma
- Ooplasm
- Basal lamina
The Primordial follicle in an ______ or ______ stage.
Inactive or quiescent
Follicular cells change from ______ to ________.
- Squamous
- Cuboidal or columnar
Follicular cells proliferate by rapid mitotic division and transform into _______ resulting in _______.
- Granulosa cells
- Stratified epithelium
The _______ is produced between the granulosa cells and the oocyte.
Zona pellucida
Zona pellucida consists of ________ and is ______.
- Glycoproteins
- PAS+
Outside granulosa cells are _______.
Stromal or thecal cells (theca folliculi)
Granulosa cells secrete a fluid called _______ and a cavity is formed called _________.
- Liquor folliculi
- Antral cavity or antrum
Granulosa cells also form _______ on which the primary oocyte rests.
Cumulus oophorus
Immediately surrounding zona pellucida is a layer of cuboidal granulosa cells with radiating processes called ________.
Corona radiate
Another feature of antral follicles is the appearance of densely staining PAS+ ________ among granulosa cells.
Call-Exner bodies
Theca folliculi form two layers:
- An internal vascular and secretory ______
- An outer connective tissue layer called ______
- Theca interna
- Theca externa
The Mature or Graafian Follicle forms in the _____ of the follicular phase (10-14 days).
Second half
The primary oocyte divides into a huge _______ and a very small ________.
- Secondary oocyte
- First polar body
Walls of the mature follicle become thin in preparation for ________.
Ovulation
Ovulation involves the rupture and release of ________.
Secondary oocyte
Indication of ovulation is the development of a small pale oval area on the ovary called _________.
Stigma or macula pellucida
Indication of ovulation is an increase in ______ and _______ activity which help break the surrounding tissue.
Collagenase and plasmin
Newly ovulated ovum is shortly surrounded by granulosa cells then only by the _______.
Zona pellucida
The zona pellucida consists of three glycoproteins: ________
ZP 1, 2, and 3
Oligosaccharides of ZP3 form the _______.
Sperm receptor
Sperm enter the space between the ovum and the zona pellucida called _______.
Previtelline space
Binding of sperm membrane to the receptor triggers a so called _______.
Acrosome reaction
Sperm head now fuses with the ______ and penetrates the ______..
- Oolemma
- Ooplasm
Fusion of membranes triggers a ________ resulting in the accumulation of cortical granules of the ovum in the _______.
- Cortical reaction of the ovum
- Previtelline space
Enzymes of cortical granules destroy the sperm receptor property of zona pellucida thus preventing _______.
Polyspermy
The zona pellucida is responsible for:
- Sperm binding
- Initiating acrosome reaction
- Blocking polyspermy
_______ from the hypothalamus stimulates anterior pituitary to release FSH and LH.
Gonadotropin Releasing Hormone
FSH and LH in turn cause release of:
- ______ from the granulosa cells
- _______ from the thecal cells
- Estrogens
- Testosterone
FSH promotes growth of _______.
Ovarian follicles
LH causes _____ and ______.
- Ovulation
- Cell differentiation
After ovulation LH causes ovarian follicles to decrease production of ______ and increase production of _______.
- Estrogens
- Progesterone
Progesterone is responsible for preparing endometrium of uterus for ________.
Reception of fertilized ovum
______ establishes domination of one follicle to mature.
Follicular Regulatory Protein
_____ promotes relaxation of uterus during gestation.
Relaxin
_____ inhibits secretion of FSH and LH.
Inhibin
After ovulation the remaining Graafian follicle becomes glandular and is called ______ with a blood clot.
Corpus luteum
Cells in the corpus luteum hypertrophy and accumulate lipid droplets are are called lutein cells with two cell types:
- Granulosa lutein cells
- Theca lutein cells
Principal product of corpus luteum is ______, it also produces estrogens and other steroid hormones in humans.
Progesterone
If the ovum is fertilized, the corpus luteum become the ________.
Corpus luteum of pregnancy
If the ovum is not fertilized, the corpus luteum regresses to form ______ which eventually degenerates.
Corpus albicans
About 99% of oocytes originally present in the infant ovary degenerate - called _______.
Follicular atresia
The _____ is a muscular tube that receives and transports secondary oocyte.
Oviduct or Fallopian tube
The oviduct consists of:
- Ithmus
- Ampulla
- Infundibulum
- Fimbriae
In the oviduct, mucosa is thrown into folds with _________, sometimes ______ with two cell types:
- ______ in ampulla and fimbriae
- _______ in the other parts
- Simple columnar epithelium
- Pseudostratified
- Ciliated
- Nonciliated
In the oviduct, there are not true _______ and the lamina propria consist of fibroblasts, lymphocytes, macrophages, and mast cells.
Muscularis mucosae
The oviduct had two layers of _______, inner circular and outer longitudinal.
External smooth muscles
The uterus receives ovum and is the site of:
- Pregnancy
- Fetal development
- Labor
The uterus consists of
- Body or Corpus Uteri
- Fundus
- Cervix
- Portio Vaginalis
- External and Internal Os
The uterus wall consists of three layers:
- Perimetrium
- Myometrium
- Endometrium
Layers of the myometrium
- Stratum submucosum
- Stratum vasculare
- Stratum supravasculare
- Stratum subserosum
Under the influence of ______ from the posterior pituitary and _______ from the uterus the contraction of the uterine muscles are responsible for the expulsion of the fetus.
- Oxytocin
- Prostaglandins
The main function of the endometrium is the _______.
Implantation of ovum
The endometrium undergoes cyclic changes from ______ to ______.
- Menarche
- Menopause
The endometrium has two layers which are both richly supplied with blood:
- Stratum basalis
- Stratum functionalis
The epithelium of the endometrium of ______ which invaginates to form uterine glands.
Simple columnar
The opening of the cervix into the uterine cavity is called ______ and the opening into vagina is called the _____.
- Internal os
- External os
The surface epithelium of the cervix is elevated to form _______.
Plicae palmatae
The epithelium of the cervix is _______ with mucus droplets.
Simple tall columnar
Near the external os the epithelium becomes _______ which continues into _______.
- Stratified squamous
- Portio vaginalis
The epithelium of the vagina is typically __________.
Stratified squamous epithelium with no glands
The sexual response for males are females is erection by ______ and ejaculation or orgasm by _______.
- PANS
- SANS
The mammary glands are specialized accessory glands and are _______.
Modified sweat glands (compound tubular)
The mammary glands consist of 15-25 irregular lobes radiating from _______ or nipples.
Mammary papillae
Each lobe in mammary glands has a ________ lined by ______ and each duct opens into the nipple.
- Lactiferous duct
- Stratified squamous epithelium
Each lobe of the mammary glands is divided into ______, the smallest lobule consists of an _______ surrounded by a saccular evagination called _______.
- Lobules
- Alveolar duct
- Alveoli
The epithelium in the alveoli are ______ which are secretory.
Simple cuboidal to low columnar
Milk production is under the control of ______ and ______ from the ovary and ______ from the anterior pituitary.
- Progesterone and estrogens
- Prolactin
Milk ejection is under the control of _____ from the posterior pituitary.
Oxytocin
Phases of the Ovarian Cycle
- Follicular Phase (1st-14th day) followed by Ovulation on day 14
- Luteal Phase (14th-28th day)
Phases of the Uterine (Menstrual) Cycle
- Menstrual phase
- Proliferative phase
- Secretory phase
Ovarian Cycle:
- _____ stimulates anterior pituitary to produce FSH and LH
- _____ stimulate follicular growth and maturation and estrogen secretion
- Initial rising ______ levels inhibit anterior pituitary inhibiting release of FSH / LH
- GnRH
- FSH / LH
- Plasma estrogen
Ovarian Cycle:
- As estrogen level increase and reach a critical level anterior pituitary produces a surge of ___ and lesser quantity of ____ – this occurs in about mid cycle (14th day)
- This sudden surge of LH stimulates oocyte development and triggers _______ on about day 14
- LH surge also transforms ruptured follicle into ______, hence the name Luteinizing hormone – corpus luteum then produces ________.
- LH
- FSH
- Ovulation
- Corpus luteum
- Estrogens and progesterone
Ovarian Cycle:
- Rising levels of estrogens and progesterone inhibit anterior pituitary, _____ levels decline followed by decline in new follicle development
- As LH levels decline, stimulus to develop corpus luteum declines and it degenerates resulting in a drop in _______ levels
- Decline in levels of estrogens and progesterone end the blockade of FSH / LH secretion and a new cycle begins
- FSH / LH
- Estrogen and progesterone
Menstrual Phase (Day 1-5)
Characterized by discharge of blood and endometrial (stratum functionalis) debris through vagina – this coincides with the termination of previous luteal phase
Proliferative Phase (Day 6-14)
Endometrium begins to develop for receiving a fertilized ovum under the influence of estrogens and progesterone from corpus luteum
Secretory Phase (Day 15-28)
- Coincides with the luteal phase
- Involves further development of endometrium under the influence of estrogens and progesterone from the corpus luteum