Female Reproductive System Flashcards

1
Q

How many hormonal phases does a woman experience

A

Two

  • Follicular Phase ( Proliferative Phase )
  • Luteal Phases ( Secretory Phase )
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2
Q

When and what happens during the Follicular Phase at

  • Day 1 - Day 5
  • Day 5 - Day 14
  • Day 1 - Day 13
  • What hormone dominates
A
-D1 - D14 
UTERINE CHANGE 
-D1 - D5 : Menses Happens 
-D5 - D14 : Endometrial proliferation so ↑ endometrial glands and ↑ blood vessels 
OOCYTE CHANGES
D1 - D13 : Oocyte arrested at prophase 1
-D14 : Ovulation due to surge of LH ( meiosis I is also completed ) 
- Releases secondary oocyte 
- Secretion of oestrogen dominates
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3
Q

Luteal Phase

A

D15 - D28
- Known as Secretory Phase
-Increases secretion of progesterone due to formation of progesterone
- Progesterone increases secretion of uterine glands
If fertilisation occurs, meiosis ii occurs

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4
Q

Hypothalamic Hormones

A

GnRH

Stimulates production of FSH and LH

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5
Q

Anterior Pituitary Hormone

A

FSH and LH

Promotes Androgen and Oestrogen Production

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6
Q

Ovarian Hormones

A

Oestrogen: Predominates D1 - D14
Progesterone : Predominates D15 - D28
Inhibin / Activin : Regulates FSH

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7
Q

What does FSH do

A

Essential for follicle growth

  • With LH, increases oestrogen growth by:
    1) LH stimulates thecal cells to produce androgens
    2) FSH stimulates granulosa cells to use the androgen and synthesise oestrogen
  • Increases LH receptors on ovary tissues
  • Sensitises ovarian cells to LH actions
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8
Q

LH actions ( about 8 )

A
  • ↑ prostaglandins which will cause and ↑ in collagenase
  • Hence, causes ovulation due to rupturing of follicle wall
  • ↑ collagenase activity (enzymatic activity )
  • Causes oestrogen secretion
  • ↑ androgen so indirectly ↑ oestrogen
  • Forms the corpus lute
  • Resumption of meiosis
  • ↑ Ovarian blood flow
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9
Q

Types of Oestrogen

A
  • 17 Beta Oestradiol
  • Oestrone
  • Oestriol
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10
Q

Serum concentration of Oestrogen ( all in microgram / 100 mls )

A

D1 : 2 -8
D14 : 12 - 48
D21 : 9 -30

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11
Q

Effects of Oestrogen ( about 9 )

A
  • ↑ endometrial gland number and size
  • ↑ angiogenesis
  • ↑ progesterone receptor
  • ↑ contractility of uterine smooth wall
  • Makes cervical mucus thin and alkaline
  • Contributes to a female appearance
  • Stimulates growth of ducts in breast
  • Stimulates bone conservation
  • ↑ HDL
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12
Q

( 1 ) predominant before ovulation

( 2 ) Predominant after ovulation

A

1 : Oestrogen

2: Progesterone

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13
Q

Where is progesterone synthesised

A

Corpus Luteum

Placenta

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14
Q

Rate of secretion ( mg / day )

A

Follicular Phase : 5
Mid - Luteal : 32 ( by CL )
Last Trimester : 300 ( by placenta)

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15
Q

Effects of Progesterone ( 7 )

A
  • Differentiation of endometrium into secretory glands
  • ↓ uterine contractility
  • Makes cervical mucus more thick and acidic
  • ↑ Alveolar tissue in breast
  • ↑ body temp
  • ↑ resp rate
    Crucial for embryo survival
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16
Q

Layers of Primordial Follicle

A

Primary Oocyte

One Layer Pre - Granulosa Cells

17
Q

Layers of Primary Follicle

A

Enlarged Primary oocyte

Zona Pellucida

18
Q

Layers of Pre - Antral Follicle

A

Multiple Layers of Granulosa Cells ( Oestrogen, FSH and LH receptors )
Differentiation of Theca Layers ( Androgens and LH Receptors )

19
Q

Layers of Antral Follicle

A

Multiple Layers of Granulosa Cells

Contains 2 theca Layers ( Externa and Interna )

20
Q

Graafian Follicle

A

Ovulatory Follicle