L44 Endocrine Control of Reproduction Flashcards

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1
Q

Where is gonadotropin-releasing hormone (GnRH) produced and what does it do?

A

Produced in median eminence of hypothalamus.

Stimulate secretion of gonadotropins (LH and FSH) from anterior pituitary.

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2
Q

Why is GnRH released in pulses (pulsatile secretion)?

A

Gonadotropin (LH/FSH) levels are replenished in the pituitary gland between GnRH pulses.

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3
Q

It is very important for the hypothalamus to secrete GnRH in pulses. What happens if too much GnRH is produced?

A

Gonadotropin levels (LH and FSH) in the pituitary will be depleted and insufficient to produce their desired effect.

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4
Q

It is very important for the hypothalamus to secrete GnRH in pulses. What happens if too little GnRH is produced?

A

Leads to inadequate gonadotropin (LH/FSH) production & deficiency.

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5
Q

Where does follicle-stimulating hormone take effect?

A

Sertoli cells

Affects production of Androgen Binding Protein (transports testosterone in blood) and directly affects germ cells.

Causes follicle growth and follicular secretion of oestradiol and inhibin (-ve feedback).

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6
Q

Where does leutenising hormone take effect?

A

Leydig cells, which then produce testosterone.

LH initiates meiosis I to produce secondary oocyte and first polar body.

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7
Q

LH stimulates testosterone production in leydig cells. What does testosterone do?

A

Stimulate germ cells

Affects bone, skin, hair, and the accessory sex organs (post-puberty)

Converted to dihydrotestosterone (DHT), which affects prostate; and oestradiol, which is important in epiphyseal closure and the reproductive system

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8
Q

How is FSH production regulated?

A
  • GnRH
  • Negative feedback: inhibin (Sertoli cells)
  • Positive feedback: activin and follistatin
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9
Q

How is LH production regulated?

A
  • GnRH

- Negative feedback: testosterone

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10
Q

What are the 4 phases of the ovarian cycle?

A
  • follicular phase
  • ovulatory phase
  • luteal phase
  • menstruation
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11
Q

Which phase of the ovarian cycle is the longest?

A

Follicular phase (10-16 days)

or

luteal phase (14 days)

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12
Q

Which phase of the ovarian cycle is the shortest?

A

Ovulatory phase (36 hours)

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13
Q

What are the 2 main steroids involved in regulation of the ovarian cycle?

A

Oestradiol and progesterone

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14
Q

What is the relationship between levels of FSH and levels of oestradiol?

A

FSH levels drop as levels of oestradiol increase.

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15
Q

What happens during the luteal phase of the ovarian cycle?

A

Empty tertiary follicle collapses - granulosa cells invade and luteinise to form ‘corpus luteum’ (an endocrine structure).

Towards end of luteal phase, macrophages destroy corpus luteum and the endometrium begins to disintegrate (menstruation).

FSH rises again as negative feedback is lost.

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16
Q

What is the function of ‘corpus luteum’?

A

Secretes oestradiol and progesterone, maintains endometrium (mucous lining of uterus), and suppressed LH/FSH.

If fertilisation does not occur, macrophages destroy corpus luteum, endometrium is not maintained and menstruation begins.

17
Q

What is secreted by the uterus if fertilisation occurs and the ovum implants?

A

hCG - human chorionic gonadotropin.

Prevents degradation of corpus luteum - no menstruation.

18
Q

True or false: Oestrogens affect bone mass, the CNS, vasculature, lipid metabolism, fat distribution, clotting, and insulin secretion.

A

True

19
Q

Progesterone causes body temperature to __1__, changes cervical mucus secretions, down regulates __2__ receptors, and exerts a __3__ feedback control on the hypothalamus and pituitary.

A

1) rise
2) oestrogen
3) negative

20
Q

True or false: Menopausal hot flushes are less common in oriental women

A

True

21
Q

What causes menopause?

A

Decline in ovarian follicles –> less oestrogen –> more LH and FSH

22
Q

True or false: Menopause decreases risk of coronary thrombosis?

A

False.

The menopause increases this risk.

23
Q

True or false: Menopause causes a rise in the pH of vaginal lubricant.

A

True.