Lesson 2B

Question 1

What are the 4 stages for the endometrium?

Answer 1

1. Early proliferative phase
2. Late proliferative phase
3. Secretory phase
4. Menses

Question 2

When does the early proliferative phase start?

Answer 2

Right after menses

- getting ready for another cycle

Question 3

Why is the endometrium so thin during the early proliferative phase?

Answer 3

Because the layer was just shed and it needs time to get thick again

Question 4

What days do early proliferative phase occur?

Answer 4

Days 5-6

Question 5

What days is the later proliferative phase?

Answer 5

Days 8/9-13

Question 6

What kind of appearance occurs during the late proliferative phase?

Answer 6

Triple line appearance

Question 7

What day does ovulation occur?

Answer 7

Day 14

Question 8

What days does the secretory phase occur?

Answer 8

Days 15-28

Question 9

What hormone is more common in the secretory phase?

Answer 9

Progesterone

Question 10

What is the echogenicity during the secretory phase?

Answer 10

Hyperechoic

Question 11

What days does menses occur?

Answer 11

Days 1-5

Question 12

What occurs during menses?

Answer 12

The functional layer of the endometrial is being shed

- if not pregnant

Question 13

What is the size range of normal ovaries at the reproductive age?

Answer 13

6cc-18cc
- after 10cc they are considered to be a problem

• smaller in young and postmenopausal women

Question 14

What is the normal measurement range of the dominant follicle?

Answer 14

2-2.5cm

Question 15

What is the shape of normal ovaries?

Answer 15

Oval shaped

• some are more circular
• some are more elongated

Question 16

How are normal ovaries seen sonographically?

Answer 16

Anechoic follicles are seen

- around the ovary

Question 17

What does the follicular and luteal phase correspond to?

Answer 17

The change of the endometrium

Question 18

What is a landmark for the ovaries?

Answer 18

The uterus

- can tell whether it is a left or right ovary

Question 19

What are the 3 stages of egg depletion from the ovary?

Answer 19

1. Reproductive age
2. Just before menopause
3. Menopause

Question 20

What happens in terms of egg depletion from the ovary during reproductive age?

Answer 20

The ovary is full with eggs at different stages and is producing eggs

Question 21

What happens in terms of egg depletion from the ovary just before menopause?

Answer 21

The ovary has less eggs than before and is producing less estrogen

Question 22

What happens in terms of egg depletion from the ovary during menopause?

Answer 22

The ovary has no eggs and is not producing any estrogen

Question 23

Where is it normal to see a bit of fluid after the late proliferative phase?

Answer 23

In the posterior cul-de-sac

Question 24

What volume is considered abnormal for a postmenopausal ovary?

Answer 24

If it is greater than 8cc