Menstrual Cycle 1 Flashcards

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1
Q

Menstrual cycle timing

A

The length of a menstrual cycle is the number of days between the first day of menstrual bleeding of one cycle to the onset of menses of the next cycle
Median duration of MC is 28 days with most cycles between 25=30 days
Menstruation lasts 3-8 days, written as 7/28 or 5-6/27-32
MC<21 days=polymenorrheic; MC>35 days=oligomenorrheic
Menstrual cycle typically most irregular around extremes of reproductive life i.e menarche and menopause

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2
Q

Which steroids are made where

A

Theca cell: cholesterol, pregnenolone, DHEA

Granulosa cell: Androstenedione, oestradiol

corpus luteum: progesterone

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3
Q

Stages of menstrual cycle

A

Early follicular- progesterone down; FSH up
Mid follicular-oestrogen increases, FSH falls
Mid cycle- Lh surge
Mid luteal - high progesterone, low LH and FSH

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4
Q

Menstrual vs oestrus

A

Menstrual cycles occur only in humans, primates (apes and monkeys) & is named for the regular appearance of menses i.e. shedding of then endometrial lining

Oestrus cycle in animals named because of:
The cyclic appearance of behavioural sexual activity (heat or oestrus)
They do not menstruate – the endometrium is reabsorbed if fertilization does not occur
Day 0 of the oestrous cycle is the day of beginning of sexual receptivity
Ovulation usually occurs early in cycle as high oestrogen levels stimulate sexual behaviour as well as exerting positive feedback
Different species have different lengths of cycles
Some are poly-oestrous i.e. go into heat several times/year (cats, cows, pigs); others are di-oestrous (twice/year) and some have only one breeding season/year i.e. mono-estrous (eg. Bears, foxes, wolves) and usually in spring
Rabbits have no oestrous cycles and are induced to ovulate by mating and can conceive at any arbitrary moment.

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5
Q

Types of breeding cycles in animals

A

Seasonal polyoestrus: These animals only cycle during a determined season, in response to specific environmental cues, such as an increase or decrease of light hours.
Short day breeders such as the ewe, nanny and doe, start cycling as the days get shorter in the fall.
Long day breeders, on the other hand, are animals such as the mare that start cycling as the days are getting longer in the spring

Monoestrus: These are animals which have only one cycle per year.In this category we find the wolf, and the fox.

Polyoestrus: The animal can cycle during the entire year, independently of environmental cues.

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6
Q

Inhibin, activin and Follistatin

A

1985 purified Inhibin → produced by testis (Sertoli cells) and ovary (Granulosa cells)

Disulphide-linked protein dimers
Common α-subunit with different β-subunits giving two forms of Inhibin
Both forms specifically suppress FSH secretion by pituitary without affecting LH secretion

1986 – isolated Activins from follicular fluid which stimulate FSH secretion

1987 – isolated another FSH-suppressing protein from follicular fluid called Follistatin – binds activin with high affinity » neutralizes FSH-stimulating ability of activing

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7
Q

Inhibin and activin sub types

A

Biosynthesis of inhibins and activins occurs from 3 genes, makes precursor protein:
α- protein, specific for Inhibin
βA- protein, can form either Activin/Inhibin
βB- protein, can form either Activin/Inhibin
Inhibins take 2 forms depending on β-chain composition
Inhibin A and Inhibin B
Activins take 3 forms depending on β-chain composition
Activin A (βA-homodimer), Activin B (βB-homodimer) & Activin AB (βAβB-heterodimer)

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8
Q

AMH

A

AMH is a glycoprotein and also a member of the TGFβ superfamily
In males expressed from week 8 of development
causes regression of the Müllerian ducts by a wave of apoptosis.
In 1980s found to be expressed in rodent ovaries
Over the last decade a new and interesting role for AMH has emerged in the ovary
It is expressed by ovarian granulosa cells with levels peaking in selectable follicles (large preantral and small antral follicles) » then decreasing
AMH production in preantral follicles is variable, but has been detected from the primary stage onwards – species variation?

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9
Q

AMH modes of action on folliculogenesis

A

AMH has 2 windows of action on folliculogenesis
Inhibits transition from primordial to primary follicles
Inhibits FSH-dependent cyclical recruitment of follicles by inhibiting FSH-stimulated aromatase and FSH receptor expression → in the normal cycle would act to prevent over-recruitment of growing follicles

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10
Q

Follicle selection ‘window of opportunity’

A

Raised FSH present a “window” of opportunity
FSH threshold hypothesis
One follicle from the group of antral follicles in ovary is just at the right stage at the right time….
This becomes the dominant follicle which survives fall in FSH and goes onto ovulate
Known as “selection”
Can be in either ovary
Oestradiol levels rise reinstating negative feedback at pituitary causing FSH levels to fall prevents further follicle growth

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11
Q

How does the dominant follicle survive the drop in FSH

A

As FSH falls, LH increases.
Dominant follicle acquires LH receptors on granulosa cells.
Other follicles do not, so they loose their stimulant and die.

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