Histo of Female Reproductive System Flashcards
The menstrual cycle consists of what 2 cycles?
- Ovarian Cycle
2. Uterine Cycle
What happens during the ovarian cycle?
Several follicles undergo folliculogenesis in preparation for ovulation
What happens during the uterine cycle?
Endometrium prepares for implantation
The ovary is lined by what 2 things?
Ovarian surface epithelium Tunica Albuginea (CT capsule)
What type of epithelium is the ovarian surface epithelium?
Simple cuboidal epithelium
The ovarian surface epithelium is the embyronic source for what cell types that comprise growing follicles?
Granulosa cells
Stromal cells
The ovary is made of a peripheral cortex and inner medulla. What is contained in the peripheral cortex?
Ovarian follicles
The ovary is made of a peripheral cortex and inner medulla. What is contained in the inner medulla?
Interstitial cells, neurovasculature and lymphatics
The ovarian follicles are in the ovarian cortex. What does a single follicle contain?
A single oocyte
When do early stages of oogenesis occur?
Fetal life
Oocytes present at birth remain arrested in?
Meiosis 1
Folliculogenesis
Select follicles undergo growth and maturation
What are the phases of folliculogenesis?
- Follicular phase
- Ovulatory phase
- Luteal phase
What is the order of maturation for follicles in the follicular phase of folliculogenesis?
- Primordial follicles
- Primary follicles
- Late primary follicles
- Secondary follicle
- Mature follicle
Granulosa cells within a follicle surround and support?
Oocyte
Primordial follicles epithelium
Simple squamous cells surrounding oocyte
Primary follicles epithelium
Simple cuboidal layer of granulosa cells surrounding oocyte
Late primary follicles epithelium
Stratified granulosa cells surrounding the oocyte
What separates granulosa cells in a follicle from the ovarian stroma?
Basal lamina
How do stratified granulosa cells in a late primary follicle communicate?
Gap junctions
Describe what occurs in a secondary follicle
Granulosa cells begin to secrete follicular fluid
- Fluid accumulates in spaces = Call-Exner bodies
- Call-Exner bodies merge = Antrum
Stromal cells form separate Thecal layers
At what follicle would you expect to see an antrum of follicular fluid?
Secondary follicle
At what follicle would you expect to see the stromal cells separate into thecal layers?
Secondary follicle
What are the thecal layers of the stromal cells surrounding the secondary follicle?
Theca Interna
Theca Externa
Job of Theca Interna cells?
Produce Androstenedione that is converted to Estradiol
Theca Interna cells are adjacent to?
Basal lamina of the follicle
The thecal layers of the stromal cells are what type of epithelium?
Stratified cuboidal
What changes occur with a mature follicle?
Antrum enlarges - 2cm and thecal layers thicken
Granulosa cell populations arise
In a mature follicle, what are the granulosa cell types?
Mural Granulosa cells
Cumulus Oophorous
Corona Radiata
Where are Mural granulosa cells?
Lining the follicular wall
Where are Cumulos oophorous cells?
Anchoring the primary oocyte to the follicular wall
Where are the Corona radiata cells?
Immediately surrounding the zona pellucida that surrounds the oocyte
Describe the layers you would see from most external to internal in a mature follicle
Theca Externa Theca Interna Basal lamina Mural Granulosa Cells Cumulus Oophorous (one portion) and Antrum (rest) Corona Radiata Zona pellucida Oocyte
During one menstrual cycle only 1 follicle becomes the dominant follicle. What do the other follicles undergo?
Follicular Atresia
Follicular Atresia
Failure of a follicle to ovulate
What is the mechanism for Follicular Atresia?
Apoptosis to ensure no inflammatory response
What is the appearance of a follicle undergoing follicular atresia?
GLASSY membrane
After the mature follicle is created in the follicular phase of folliculogenesis, what is the next phase?
Ovulatory phase
What happens during the ovulatory phase of folliculogenesis?
LH surge causes Oocyte to undergo ovulation and enters oviduct
During the ovulatory phase of folliculogenesis, what cells repair the ovarian surface epithelium?
Mural granulosa cells and Theca Interna cells
What is the next phase of folliculogenesis after the ovulatory phase?
Luteal phase
What occurs during Luteinization of the luteal phase of folliculogenesis?
Thecal cells differentiate into the corpus luteum to promote endometrial changes that support implantation
What thecal cells differentiate into the corpus luteum?
Mural granulosa cells
Theca Interna cells
For the Luteal phase, what will the mural granulosa cells become in the corpus luteum?
Granulosa lutein cells
For the luteal phase, what will the theca interna cells become in the corpus luteum?
Theca lutein cells
What do granulosa lutein cells secrete?
Estrogen and pregesterone
What do theca lutein cells secrete?
Androstenedione and progesterone
If fertilization occurs, what does the corpus luteum do?
Continue to secrete estrogen and progesterone
If fertilization occurs, what stimuli acts on the corpus luteum for them to continue secreting estrogen and progesterone?
hCG
If fertilization does NOT occur, what does the corpus luteum do?
Luteolysis
Luteolysis
Regression of the corpus luteum and it forms corpus albicans
Corpus albicans
The regression of the corpus luteum;
- Made of scar CT with collagen and becomes very small
What are the main layers of the uterine tube?
Mucosal layer of simple columnar epithelium
Smooth muscle layer
Serosa
What cells are in the mucosal layer of the uterine tube and what is their response to estrogen?
Ciliated cells and secretory peg cells that grow in size in response to estrogen
What is in the smooth muscle layer of the uterine tubes and what function does this layer have?
Inner circular layer and outer longitudinal layer of smooth muscle
- peristaltic contractions to move zygote/oocyte to uterus
More folds are housed in the _____ of the uterine tube
Ampulla
What are the 2 options for the endometrium with the uterine cycle
Endometrium prepares for implantation or is shed and menstruation occurs
What are the tissue parts of the uterus?
Perimetrium
Myometrium
Endometrium
Serosa covering the posterior surface of the uterus
Perimetrium
Thick smooth muscle, has a stratum vasculare in the central circular layer of the uterus
Myometrium
What type of epithelium is the endometrium?
Simple columnar with simple tubular glands
What are the 2 layers of the endometrium?
Basal layer and Functional layer
Which layer of the endometrium is retained during menstruation?
Basal layer
Which layer of the endometrium is shed during menstruation?
Functional layer
Which layer of the endometrium is closest to the myometrium?
Basal layer
The endometrium is supplied by ______ arteries
Arcuate
The basal layer of the endometrium is supplied by ______ artery
Straight
The functional layer of the endometrium is supplied by ______ artery
Coiled/spiral
Before menstruation, what happens to the arcuate artery?
The artery contracts at the straight-coiled junction
What occurs after the arcuate artery contracts at the straight-coiled junction?
Reduces blood flow to the functional layer of the endometrium, it is destroyed and shed
What are the 3 phases of the menstrual cycle?
- Menstrual phase
- Proliferative phase
- Secretory phase
What days and what happens during the menstrual phase of the menstrual cycle?
Day 1-4
- Functional layer sloughed away
What days and what happens during the proliferative phase of the menstrual cycle?
Day 5-14
- Glands proliferate and spiral artery elongates
- Estrogen DEPENDENT
What days and what happens during the secretory phase of the menstrual cycle?
Day 15-28
- Endometrium reaches max thickness and glands appear saw tooth
What reaction occurs if pregnancy takes place?
Decidual reaction
With the decidual reaction, fibroblasts differentiate into decidual cells and store?
Glycogen and lipids
What functions does the decidual reaction serve?
Provides immune protective environment
Moderates syncytiotrophoblast invasion
What are the 2 parts of the cervix?
Endocervix
Ectocervix
What type of epithelium is at the endocervix?
Simple columnar with cervical crypts
If the cervical crypts at the endocervix get occluded/dilated, what will form?
Nabothian cysts
What type of epithelium is at the ectocervix?
Nonkeratinized stratified squamous
What type of epithelium is at the vagina?
Nonkeratinized stratified squamous
What is the hallmark of the vagina epithelium?
NO GLANDS