Intro and Menstrual Cycle Flashcards
What is the purpose of the menstrual cycle?
- Generate oocyte
- Facilitate fertilisation
- Optimise endometrium for implantation
- Protect developing embryo
What is the endocrine control of the menstrual cycle?
Hypothalamus, anterior pituitary and ovaries work together
What is the name of the first menstrual cycle?
Menarche
What does the hypothalamus release during menstrual cycle?
GnRH
How does GnRH act?
Exerts effect on anterior pituitary –> stimulates release of FSH and LH
What does LH stand for?
Luteinising hormone
What does FSH stand for?
Follicular stimulating hormone
What does FSH and LH act on?
Ovary to release oestrogens (this feeds back to hypothalamus and anterior pituitary)
What part of the hypothalamus is GnRH secreted by?
Mid basal hypothalamic neurons
How is GnRH transported to the pituitary?
Via hypophyseal portal blood system
What is GnRH secretion affected by?
bereavement anxiety time zone day/night duty exercise weight loss/gain
What cells of the anterior pituitary secrete FSH and LH?
Basophils
What type of molecules are FSH and LH?
Glycoproteins
What does FSH stimulate?
Stimulates follicular activity, thus promoting estradiol production from granulosa cells
What does LH stimulate?
Triggers release of egg from dominant follicle
Promotes development of the corpus luteum and the production of progesterone
What is the predominant gonadotropin during the 1st half oF the cycle?
FSH
GnRH, LH and FSH production is inhibited by rising E2 levels.
When is there an exception to this?
Near midcycle when high levels of E2 lead to a surge in LH release which triggers ovulation
What E2?
Oestradiol –> Major female sex hormone (strongest of the 3 naturally produced oestrogens)
What are the first class of follicles formed in ovaries?
Primordial follicles
- In fetus at 6 months: 2,000,000
- At birth: 750,000
- At puberty 400,000
Approx 450 follicles develop and produce an egg; remainder degenerate
No new follicles produced
Describe the sequence in which the egg is produced before ovulation
- Primordial follicle
- Primary/preantral follicle
- Secondary/antral follicle
- Preovulatory follicle
- Ovulation
What are the phases of the ovarian cycle?
- Follicular phase
- Ovulation
- Luteal phase
What is the follicular phase?
Marks the beginning of a new cycle as follicles (oocytes surrounded by stromal cells) begin to mature and prepare to release an oocyte.
What are follicular cells also known as?
Granulosa cells
Where do granulosa cells lie?
Directly around the oocyte zone pellucida and are released with the oocyte at ovulation
Describe a primordial follicle
Cconsist of an oocyte surrounded by a single layer of flattened granulosa cells
Describe the follicular development
- Proliferation of granulosa cells: antrum develops (fluid)
- Gap junctions and cytoplasmic processes between oocyte and granulosa cells allows communication and passage of low mol wt materials (e.g.nutrients)
- Proliferation of theca cells
What are theca cells?
The endocrine cells associated with ovarian follicles that play an essential role in fertility by producing the androgen substrate required for oestrogen biosynthesis.
Describe the theca interna cells
Glandular and highly vascularised.
Express receptors for luteinising hormone (LH).
Secrete androgens.
Describe the theca externa
Fibrous capsule
After the follicle ruptures, what do the theca interna cells differentiate into?
The theca lutein cells of the corpus luteum.
What are the androgens secreted by the theca interna cells converted to? Where?
Converted to oestradiol in granulosa cells