Fertilisation And The Luteal Phase Flashcards
Describe the coagulation of the seminal fluid
- Prostatic and seminal vesicle secretions comprise seminal fluid which coagulates
- This prevents loss and later liquifies
- Movement through the cervical mucus removes seminal fluid, abnormally morphological sperm and cellular debris
Describe what happens when sperm passes into the cervix
- Cervical mucus is less viscous in the absence of progesterone allowing sperm to pass
- Sperm can inhabit cervical crypts which may form a reservoir
- Some evidence of thermotaxis but mechanism not elucidated
- Fertilisation typically occurs within 24-48 hours but sperm have been recovered alive after 5 days
What is the journey like from the outside to the egg?
- Passage through uterus not well understood
- Currents set up by uterine or tubal cilia may have a role
- Chemo attractants released from the oocyte cumulus complex may attract the sperm
- Sperm becomes hyper activated
- Forceful tail beats with increased frequency and amplitude mediated by CA2+ influx via CatSper channels
What is Sperm capacitation?
The process whereby sperm becomes capable of fertilising an egg
How is Sperm Capacitation achieved?
- Partly achieved by removing the sleek from the seminal fluid
- Uterine or tubal fluid may also contain factors which promote capacitation
What changes must occur before the acrosome reaction during Sperm capacitation?
- Biochemical rearrangements of the surface glycoprotein
- Changes in membrane composition must occur before the acrosome reaction can occur
Where does the acrosome reaction occur?
Occurs in contact with the zona - cumulus complex
What happens in the Acrosome reaction?
- The acrosome membrane on the sperm head fuses with the egg
- This releases enzymes that cut through the complex
- Acrosin bound to the inner acrosomal membrane digests the zona pellucida so the sperm can enter
Explain how Ovulation occurs? (PART 1)
- LH spike causes resumption of meiosis and ovulation
- This converts the primary oocyte to secondary oocyte plus 1st polar body
- basement membrane then breaks so blood pours into the middle
Explain how Ovulation occurs? (PART 2)
- Oocyte cumulus complex extruded out and caught by fimbrae of uterine tube
- Theca and Granulosa become mixed
- The empty follicle is known as the corpus Luteum.
- It produces progesterone in the luteal phase
In the Luteal/Secretory phase, what does the Progesterone do?
- Make the endometrium secretory and receptive to implantation
- Suppresses cilia in the uterine tubes once oocyte has already passed
- Makes cervical mucus viscous again to prevent further sperm penetration
In the Luteal/Secretory phase, What does the estrogen do?
- Helps to maintain endometrium in the luteal phase
- (Causes proliferation in the follicular phase)
When does the demise of the corpus Luteum occur?
- If fertilisation does not occur
- Corpus Luteum has an inbuilt finite lifespan of 14 days
What happens during the demise of the Corpus Luteum? (PART 1)
- Regression of the CL is essential to initiate a new cycle
- A fall in CL derived steroids causes inter cycle rise in FSH
- Cell death occurs
- Vasculature breakdown
What happens during the demise of the Corpus Luteum? (PART 2)
- Corpus Luteum shrinks
- Overtime it becomes a corpus albicans
- CL rescued in pregnancy by hCG from embryo binding to its LH receptors
- CL continues to produce progesterone and maintain endometrium