Follicular Development & Female Reproductive Tract Flashcards
1
Q
Ovaries
- Lined by _ _ epithelium (OSE)
- Simple squamous-to-low cuboidal OSE has subadjacent dense CT layer, the Tunica _
- Peripheral Cortex: CT, follicles with _ _
- Deep Medulla: CT, interstitial cells, neurovasculaure, lymphatics via hilum
A
Ovaries
- Lined by ovarian surface epithelium (OSE)
- Simple squamous-to-low cuboidal OSE has subadjacent dense CT layer, the Tunica Albuginea
- Peripheral Cortex: CT, follicles with primary oocytes
- Deep Medulla: CT, interstitial cells, neurovasculaure, lymphatics via hilum
2
Q
Follicles
- Located in _ stroma
- Contain single oocyte
- Follicular/granulosa cells surround oocyte and support its growth
- Early stages of oogenesis occur during _ life
- Oocytes present at birth remain arrested in _
- During puberty, small groups of follicles undergo cyclic growth & maturation
- Cyclic pattern of follicular maturation and ovulation parallels menstrual cycle
A
Follicles
- Located in Cortical stroma
- Contain single oocyte
- Follicular/granulosa cells surround oocyte and support its growth
- Early stages of oogenesis occur during Fetal life
- Oocytes present at birth remain arrested in Meiosis I
- During puberty, small groups of follicles undergo cyclic growth & maturation
- Cyclic pattern of follicular maturation and ovulation parallels menstrual cycle
3
Q
Folliculogenesis
- _ Follicles:
* Numerous throughout cortex
* Surrounded by simple squamous layer of granulosa cells (recruited to initiate folliculogenesis)- Follicular cells that proliferate and become stratified and eventually segregate
- Cumulus oophorous
- Mural granulosa cells
- Corona radiata
- Follicular cells that proliferate and become stratified and eventually segregate
- _ Follicles:
- _ Follicles:
* 1. –> 2. when single layer of squamous granulosa cells –> simple cuboidal layer of granulosa cells
* Basal lamina separates granulosa cells from stroma of ovary
* _ _ beings to assemble, separates primary oocyte from granulosa cells
- _ Follicles:
A
Folliculogenesis
-
Primordial Follicles:
- Numerous throughout cortex
- Surrounded by simple squamous layer of granulosa cells (recruited to initiate folliculogenesis)
- Follicular cells that proliferate and become stratified and eventually segregate
- Cumulus oophorous
- Mural granulosa cells
- Corona radiata
- Follicular cells that proliferate and become stratified and eventually segregate
-
Primary Follicles:
- Primordial to Primary when single layer of squamous granulosa cells –> simple cuboidal layer of granulosa cells
- Basal lamina separates granulosa cells from stroma of ovary
- Zona Pellucida beings to assemble, separates primary oocyte from granulosa cells
4
Q
Late Primary Follicle
- Stratified layer of granulosa cells but not secondary follicles yet
A
5
Q
Secondary Follicles
- Stromal cells proliferate into stratified cuboidal epithelium, the _ begins to organize:
- _ _: vascularized cell layer adjacent to basal lamina supporting granulosa - produces androstenedione which is converted to estradiol
- _ _: fibrous cellular layer continuous with ovarian stroma
- ***Small intercellular spaces (_-_ bodies) develop among granulosa cells*** HALLMARK
- Spaces contain _ fluid, derived from blood vessels of the theca interna, reach antrum by osmotic gradient
A
Secondary Follicles
- Stromal cells proliferate into stratified cuboidal epithelium, the Theca begins to organize:
- Theca Interna: vascularized cell layer adjacent to basal lamina supporting granulosa - produces androstenedione which is converted to estradiol
- Theca Externa: fibrous cellular layer continuous with ovarian stroma
- ***Small intercellular spaces (Call-Exner Bodies) develop among granulosa cells*** HALLMARK
- Spaces contain follicular fluid, derived from blood vessels of the theca interna, reach antrum by osmotic gradient
6
Q
Mature (Graffian) Follicle
- Antrum reaches maximum size
- Fluid segregates the granulosa cells:
- _ _: anchor primary oocyte to follicle, nutrient delivery channel
- _ _ cells: line wall of the follicle, acively synthesize and secrete estrogen, produce follicular fluid
- _ _: granulosa cells anchored to zona pellucida
A
Mature (Graffian) Follicle
- Antrum reaches maximum size
- Fluid segregates the granulosa cells:
- Cumulus oophorous: anchor primary oocyte to follicle, nutrient delivery channel
- Mural granulosa cells: line wall of the follicle, acively synthesize and secrete estrogen, produce follicular fluid
- Corona Radiata: granulosa cells anchored to ZP
7
Q
Ovulatory Phase
- Mature preovulatory follicle protrudes from ovarian surface, forming a _
- Proteolytic activity of theca externa and tunica albuginea causes rupture
- Released gamete:
- Completes meiosis I –> becomes secondary oocyte (due to LH surge)
- Still needs to finish meiosis II
- Enters oviduct
- Mural granulosa cells and theca interna will repair OSE damage following follicle rupture
A
Ovulatory Phase
- Mature preovulatory follicle protrudes from ovarian surface, forming a Stigma
- Proteolytic activity of theca externa and tunica albuginea causes rupture
- Released gamete:
- Completes meiosis I –> becomes secondary oocyte (due to LH surge)
- Still needs to finish meiosis II
- Enters oviduct
- Mural granulosa cells and theca interna will repair OSE damage following follicle rupture
8
Q
Luteal Phase: Luteinization
- After ovulation, residual mural granulosa cell layer folds, becomes part of _ _ (promotes endometrial changes supporting implantation)
- Breakdown of follicle basal lamina
- Blood vessels invade empty antrum, blood flows into antral space and coagulates, forming a _ _
- Mural granulosa cells –> _ _ cells
- Hypertrophic, steroid-secreting (progesterone and estrogen w/ FSH and LH stimulation)
- Expresses LH receptors
- Theca interna cells –> _ _ cells
- Produce androstenedione and progesterone w/ LH stimulation
A
Luteal Phase: Luteinization
- After ovulation, residual mural granulosa cell layer folds, becomes part of corpus luteum (promotes endometrial changes supporting implantation)
- Breakdown of follicle basal lamina
- Blood vessels invade empty antrum, blood flows into antral space and coagulates, forming a corpus hemorrhagicum
- Mural granulosa cells –> granulosa lutein cells
- Hypertrophic, steroid-secreting (progesterone and estrogen w/ FSH and LH stimulation)
- Expresses LH receptors
- Theca interna cells –> theca lutein cells
- Produce androstenedione and progesterone w/ LH stimulation
9
Q
Luteal Phase: Luteolysis
- Fertilization occurs:
- CL continues to enlarge and produce progesterone and estrogen
- Under stimulatory action of hCG from trophoblast layer
- Fertilization doesn’t occur:
- CL begins involution stage about 14 days after ovulation
-
Luteolysis, regression of CL, leads to formation of _ _
- Scar of CT that forms at site of CL after involution (does not involve atresia)
- Stromal CT replaces degenerating luteal cells
A
Luteal Phase: Luteolysis
- Fertilization occurs:
- CL continues to enlarge and produce progesterone and estrogen
- Under stimulatory action of hCG from trophoblast layer
- Fertilization doesn’t occur:
- CL begins involution stage about 14 days after ovulation
-
Luteolysis, regression of CL, leads to formation of Corpus Albicans
- Scar of CT that forms at site of CL after involution (does not involve atresia)
- Stromal CT replaces degenerating luteal cells
10
Q
Follicular Atresia
- Follicles that do not ovulate degenerate and form _ follicles
- _ : failure of a follicle to ovulate
- Occurs in fetal ovary, after birth, and at any stage of development
- Ensures only viable follicles, containing oocytes of optimal quality for fertilization, are available
- _ is the mechanism that ensure regression of the follicle w/o causing inflammatory response
- _ _: thick folded basement membrane material
A
Follicular Atresia
- Follicles that do not ovulate degenerate and form Atretic follicles
-
Atresia: failure of a follicle to ovulate
- Occurs in fetal ovary, after birth, and at any stage of development
- Ensures only viable follicles, containing oocytes of optimal quality for fertilization, are available
- Apoptosis is the mechanism that ensure regression of the follicle w/o causing inflammatory response
- Glassy Membrane: thick folded basement membrane material
11
Q
Oviduct
- Regions:
- Proximal _ with _
- Long and thin walled _ (lined by _ _ that project into lumen)
- Short and thick walled _ (lined by _ _ that project into lumen)
- _ portion opens into uterus
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Oviduct
- Regions:
- Proximal Infundibulum with Fimbriae
- Long and thin walled Ampulla (lined by Mucosal Folds that project into lumen)
- Short and thick walled Isthmus (lined by Mucosal Folds that project into lumen)
- Intramural portion opens into uterus
12
Q
Wall of Oviduct
-
Mucosal Layer:
- Simple columnar epithelium
- Lamina propria
- _ cells:
- Enlarge, grow in height and produce cilia during folliculogenesis (increased estrogen)
- Loose cilia decrease in height during luteolysis (increased progesterone)
- _ _ cells (peg cells):
- Secrete nutrients for egg during migration (increased estrogen)
-
Smooth Muscle Layer
- Inner circular spiral layer and outer longitudinal layer
- Serosa Layer with large blood vessels
- _ contraction of muscular wall and _ activity of epithelial cells, proper oocyte/zygote toward uterus
A
Wall of Oviduct
-
Mucosal Layer:
- Simple columnar epithelium
- Lamina propria
-
Ciliated cells:
- Enlarge, grow in height and produce cilia during folliculogenesis (increased estrogen)
- Loose cilia decrease in height during luteolysis (increased progesterone)
-
Nonciliated Secretory cells (peg cells):
- Secrete nutrients for egg during migration (increased estrogen)
-
Smooth Muscle Layer
- Inner circular spiral layer and outer longitudinal layer
- Serosa Layer with large blood vessels
- Peristaltic contraction of muscular wall and Ciliary activity of epithelial cells, proper oocyte/zygote toward uterus
13
Q
Uterus
- _
- Epithelium = simple columnar with simple tubular glands
- Functional Layer: lost during menstruation; supplied by spiral arteries
- Basal Layer: retained during menstruation
- _ (poorly defined smooth muscle)
- Central, circular layer: thick with blood vessels –> _ vasculature
- Outer and inner layers contain longitudinally or obliquely arranged fibers
- _
- Serosa covering posterior surface and part of anterior surface (remainder is adventitia)
A
Uterus
-
Endometrium
- Epithelium = simple columnar with simple tubular glands
- Functional Layer: lost during menstruation; supplied by spiral arteries
- Basal Layer: retained during menstruation
-
Myometrium (poorly defined smooth muscle)
- Central, circular layer: thick with blood vessels –> Stratum vasculature
- Outer and inner layers contain longitudinally or obliquely arranged fibers
-
Perimetrium
- Serosa covering posterior surface and part of anterior surface (remainder is adventitia)
14
Q
Endometrium Vasculature
- _ arteries supply endometrium
- _ segment supplies basal layer
- _ segment supplies functional layer, stretches with endometrial growth
- Before menstruation contraction of the artery occurs at junction
- Reduced blood flow –> destruction of functional layer
A
Endometrium Vasculature
-
Arcuate arteries supply endometrium
- Straight segment supplies basal layer
- Coiled segment supplies functional layer, stretches with endometrial growth
- Before menstruation contraction of the artery occurs at junction
- Reduced blood flow –> destruction of functional layer
15
Q
Menstrual Cycle
- Proliferative Phase:
- Days 5-14 days
- Glands proliferate & cover surface
- Spiral arteries elongate & become convoluted
- Extend from the basal into functional layer
- Estrogen dependent
- Secretory Phase:
- Days 15-28
- Glands are convoluted → take on ”saw tooth” appearance
- Endometrium reaches max thickness
- Spiral arteries continue to grow & extend into functional layer
- Considerable leukocyte infiltration (stroma)
- Estrogen & progesterone
A