Menarche and Menstruation Flashcards

1
Q

When does puberty start in girls?

A

Age 8-14

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2
Q

Why do obese children go through puberty earlier?

A

Adipose tissue contains aromatase that converts androgens into oestrogen

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3
Q

What is tanner stage 1 in girls?

A

No pubic hair development
No breast development

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4
Q

What is tanner stage 2 in girls?

A

Light and thin pubic hair
Breast bud development

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5
Q

What is tanner stage 3 in girls?

A

Course and curly pubic hair
Breast elevates beyond the areola

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6
Q

What is tanner stage 4?

A

Adult like pubic hair, but not reaching the thigh
Areolar mound forms and projects from surrounding breast

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7
Q

What is tanner stage 5?

A

Hair extending to medial thigh
Areolar mound reduces and adult breasts form

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8
Q

What hormonal changes occur during puberty?

A

Growth hormone increases, causing a growth spurt

GnRH begins production - causes release of FH and LH, which causes release of progesterone and oestrogen

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9
Q

When is the follicular phase of menstruation?

A

From menstruation to ovulation

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10
Q

When is the luteal phase of menstruation?

A

From ovulation to the start of menstruation

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11
Q

What are the stages of development of follicles in the ovaries?

A

Primordial follicles
Primary follicles
Secondary follicles
Graafian follicles

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12
Q

How do secondary follicles develop in graafian follicles?

A

Secondary follicles develop receptors for FSH - FSH allows them to develop into graafian follicles

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13
Q

What are granulosa cells?

A

Cells that sit around the oocytes and secrete oestrogen

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14
Q

What causes ovulation to occur?

A

A spike in LH

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15
Q

When does ovulation occur?

A

14 days before the start of menstruation

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16
Q

What does the dominant follicle develop into after ovulation?

A

Corpus luteum

17
Q

What does the corpus luteum secrete?

A

High levels of progesterone and a small amount of oestrogen

18
Q

What happens when the corpus luteum is not fertilised?

A

It degenerates and stops producing oestrogen and progesterone - this causes the endometrium to break down and menstruation to occur