FINAL FINAL Flashcards
Capacitaiton
Removal of protective cover off head of sperm.
Activation of sperm motility
_____ acts as filter to remove abnormal sperm
Mucus. Must be porous for conception to occur.
Areas in hospitable to sperm (2):
Vagina
Uterus
Percentage of sperm that reach the oocyte
0.0005% (~200 out of ~40 million)
Vulvodynia
Chronic pain in vulvar area
Relieved by removal of some basal tissue
Vaginismus
Involuntary contraction of perenial muscle making intercourse painful or impossible
Cumulus cells
Cells surrounding and protecting the egg
Collective endeavor
Multiple sperm required to pierce through cumulus cells
Acrosome reaction
Sperm attaches to reinforced cover (zona pellucida)
Activated chemical drill to penetrate glycoproteins.
Cortical reaction
Zona pellucida becomes impenetrable to prevent polyspermy
Developmental steps (10)
Fertilization > zygote > 2 cell > 4 cell > 8 cell > 8 cell compacted morula > 16 cell morula > 32 cell morula > early blastocyst > late blastocyst
Day 0 Day 3 Day 4 Day 8 Implantation range
Day 0 Amullary region Day 3 development in fallopian Day 4 enter uterus Day 8 late blastocyst Implantation range 6-14 days
Implantation
8 days after conception
Embryonic Period
8th week
When organogenesis is initiated
Fetus
9-10 weeks
Organogenesis is complete including placenta
Epitheliochorial placenta
(Hippos and pigs)
Layer of fetal tissue merely pressed close against the uterus wall
Hemochorial
Maternal blood is in direct contact with the chorion
Cortisol
Hormone responsible for initiating the birthing process
Effacement
Dialation/thinning of cervix
Birth: Stage I
Effacement (8-12 hr)
Birth: Stage II
Delivery of baby (1-2 hr)
Birth: Stage III
Placental expulsion (10-20 min)
Episiotomy
Cutting of the vagina to facilitate birth
Lochia
Postpartum bleeding
Preeclampsia
Unknown cause, affects pregnant women, swollen hands and feet (indentation)
Eclampsia
Caused by complications of preeclampsia. convulsions, death
Gestational diabetes
Occurs in pregnant women only
Reduced insulin synthesis
7 fold higher risk of developing type 2 diabetes
Premature birth
Live infant before 37 weeks
Stillborn
fetus in-utero death or during delivery
___% of optimal ‘fertile’ cycles lead to live birth
30%
Abortion
Termination before 28 weeks
Spontaneous abortion
Miscarriage before 20th week
2 kinds of induced abortions
Theraputic (mother’s life in danger)
Elective
1st state to liberalize abortion laws
Colorado
FACE
Freedom of Access to Clinical Entrance 1994
Drug abortion
7 wk. 2 pills: first one reduces blood supply to uterus, blocking P4 from interacting with endometrium, the second contracts the uterus to expell the embryo
Dilation and curettage
6 wk pregnancy. Embryo is scraped off the uterine wall
Manual/Electric vacuum aspiration
12 wk. embryo is suctioned out of the uterus
Dilation and extraction
2nd trimester: fetus is chopped up and extracted
Abortion method developed in nazi camps
Injection of concentrated salt solution into amniotic sac
Hysterotomy
removal of the amniotic sac pre-birth
Abortion complications
- Bleeding
- Infection
- Infertility
- Death
Coitus obstructus
intentional retrograde ejaculation
Margaret Sanger
Coined the term ‘birth control’
Mother of reproductive freedom, founded American Birth Control League
Bill Baird
‘father of contraception’, landmark ruling changed accessibility to contraception
Modern birth control pills:
flood system with P4 which impedes ovulation, thins endometrium, removes secretory phase, and thickens cervical mucus. 21 day hormone, 7 days placebo
Vaginal hormonal rings
Increase risk of cancer/side effects
STDs vs STIs
STDs can be cured, STIs are lifelong and may not manifest physically
Chlamydia
Bacterial.
Spread by unprotected sex.
Male: Urethral discharge, burning during urination.
Female: Irritation, discharge, pelvic pain.
Long term: eye infections
TREATABLE
Gohorrhea
Bacterial.
Male: malodorous discharge, burning during urination.
Female: inflammation, post coital bleeding
TREATABLE
Syphilis - Primary
Bacterial.
Transmitted by contact with syphilis sore
single painless sore in penis, vagina, anus, mouth
TREATABLE
Syphilis - Secondary
6 months after initial sore.
Bacterial.
rash, itchy skin, as bacteria spreads through body via blood stream