Lecture 3: Preparation for pregnancy and ovulation Flashcards

1
Q

Define myometrium

A

Thickest layer of smooth muscle tissue

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2
Q

What is the structure and layers of the endometrium

A

-columnar surface epithelium with uterine glands, connective tissue base, and spiral arterioles

The layers of the endothelium are the functional and the basal layers

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3
Q

Describe the cervix

A

mucosal surface is characterized by crypts

epithelium produces a glycoprotein rich cervical mucous (thinnest in ovulation)

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4
Q

Describe the vaginal

A

nonkeratinized squamous epithelium that secretes glycogen throughout the menstrual cycle

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5
Q

Why is the pH of the vagina low?

A

because the glycogen breakdown causes acidic components to be present

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6
Q

What are the two sub cycles of the menstrual cycle?

A
  1. ovarian cycle

2. endometrial cycle

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7
Q

What are the ovarian cycle substages?

A
  1. follicular phase
  2. ovulation
  3. luteal phase
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8
Q

What are the substages of the endometrial cycle?

A
  1. menstrual phase
  2. Proliferation phase
  3. secretory phase
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9
Q

Describe the follicular phase of the ovarian cycle

A

days 1-14 of the menstrual cycle

-FSH helps the development and maturation of the Graafuan follicle

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10
Q

Describe ovulation

A

occurs on day 14
caused by a rise in FSH And a sharp rise in LH; egg is released from the follicle. The graafian follicle continues to secrete progesterone

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11
Q

Describe the egg as it is released from the Graafian follicle during ovulation

A
  1. surrounded by follicle cells (corona radiata)
  2. egg is arrested in second half of meiosis (metaphase 2)
  3. egg will not complete meiosis unless fertilized
  4. has a little buddy with it called the polar body
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12
Q

Describe the luteal phase of the ovarian cycle

A

The remaining portion of the follicle secrete estrogen and progesterone

breakdown of the membrane granulaosa allows the growth of blood vessels into the cavity of the ruptured follicle

luteinization of granulose cells

corpus luteum is formed from residual theca and granulose cells

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13
Q

What happens in the luteal phase if fertilization does not occur?

A
  1. corpus luteum regresses and the levels of progesterone and estradiol decreases, beginning the next menstraul cycle
  2. inhibin inhibits FSHwhich causes the corpus luteum to regress
  3. formation of the corpus albicans
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14
Q

How is the corpus luteum broken down?

A

apoptosis and uterine luteolytic factors

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15
Q

What happens if fertilization does occur in the luteal phase of the ovarian cycle?

A

chorioic gonadotropin from the future placental tissues maintain the function of the corpus luteum

granulosa lutein cells are replaced by theca lutein cells

corpus luteum is function for several months into pregnancy

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16
Q

Describe the menstraul phase of the endometrial cycle

A

endometrium sloughs off

menstruation begins with the vasoconstriction (mediated by prostaglandins) of the spiral arteries)

inflammatory cells come in and break down the endometrium

clotting process is inactivated and the women can menstruate

17
Q

Describe the proliferation phase of the endometrial cycle

A

Due to an increase in the levels of estradiol secreted by the granulose cells of the ovarian follicle

endometrial thickness goes from 1-2mm to 8-10 mm by day 14

blood vessels grow via the old cells from the previous endometrium that were deep enough to survive the period

Near the end: sharp rise in estradiol levels

18
Q

Describe the secretory phase of the endometrial cycle

A

levels of estrogen decrease and the endometrial growth stops

mucous glands go nuts

spiral arteriole expand and highly vascularize

controlled by rising levels of progesterone that is secreted by the granulose and the theca cells of the follicle

19
Q

What happens in the endometrial cycle if the egg is fertilized

A

It is implanted about 7 days after ovulation

20
Q

What happens in the endometrial cycle if the egg is not fertilized?

A

estradiol and progesterone levels decrease and cause vasoconstriction of the spiral arterioles which allows for the sloughing off

21
Q

Describe what is happening on day 14 prior to ovulation

A

There is a mature graafian follicle. The oocyte is arrested in diplotene of prophase 1

follicle expands with FSH and LH

meiosis 1 is completed but arrested at metaphase of meiosis 2

formation of stigma (follicle weak spot)

22
Q

Describe what happens on day 14 during ovulation

A

LH surge

increased blood flow tot the follicle wall that thickens the outer layers

release of fluid from the blood vessels

local production of matrix metalloproteinases

secretion of hyaluronic acid

inflammatory action resulting in the rupture of the follicle wall

23
Q

What is ovulated?

A
ovum at metaphase 2 
first polar body 
zona pellucida 
corona radiata 
expanded cumulus oophorus