Menstrual Cycle Flashcards

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1
Q

Ovarian Cycle first phase

-Which hormones are involved?

A

Follicular phase: development of follicles

  • controlled by GnRH –> FSH + LH
  • LH stimulates thecal cells to produce androgens

FSH stimulates granulosa cells to

  • secrete estrogens for endometrial development
  • increase aromatase enzyme for the conversion of testosterone to estradiol
  • secrete inhibin to inhibit FSH
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2
Q

Pathway of steroid hormone synthesis in males and females

A
  • cholesterol becomes progestins or androstenedione
  • androstenedion can become estrone or estriol with help from aromerase
  • androstenedione can become testosterone
  • Testosterone can become dihydrotestosterone
  • testosterone can become estradiol with help from aromarase
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3
Q

Follicles release small amounts of estrogen and inhibin

A

negative feedback

-inhibit GnRH and FSH/LH

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4
Q

High levels of estrogen are met

A

Positive feedback

-increase gnrh, fsh, and lh release

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5
Q

LH surge

A
  • ovulation of oocyte from most mature follicle

- primary oocyte becomes secondary oocyte

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6
Q

luteal phase

-explain LH’s role

A

corpus luteum acts as endocrine organ

LH stimulates corpus luteun to produce progesterone, estrogen, and inhibin

  • endometrial development continues
  • negative feedback: no more LH and FSH or follicular development

LH levels decrease

  • corpus luteum starts to degrade
  • Eand P levels go down
  • decrease inhibition of everything makes cycle start again
  • corpus albicans
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7
Q

When is the estrogen peak vs the progesterone peak?

A

Estorgen at ovulation (causes LH surge)

Progestorone during luteal phase

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8
Q

Uterine Cycle Menstral Phase

-days, definition, and hormones

A
  • Days 1-5
  • Shedding of stratum functionalis: blood vessels constrict, dilate, and bleed
  • E and P are low and corpus luteum is non-functional –> GnRH, FSH, and LH are released bc no inhibition
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9
Q

Proliferation phase

A
  • Days 6-14
  • Estrogen is rising due to follicular development from gonadotropins
  • stratum functionalis thickens with glands and blood vessels
  • cervical mucus becomes less viscous
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10
Q

Secretory phase

A

days 15-28

  • E+P are high due to corpus luteum secretions
  • further development of stratum functionalis
  • cervical plug (mucus) –> blocks sperm and others entry –> protect possible implanted embryo
  • Inhibit FSH and LH so corpus luteum degenerates and stratum functionalis isn’t maintained
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11
Q

body temp fun fact

A

body temp increases at ovulation

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12
Q

Estrogen

A
  • oogenesis, follicular development, regulation of uterine cycle
  • anabolic effects on female reproductive organs
  • secondary sex characteristice (breast dvlpmnt, fat deposits, pelvic widening)
  • growth spurt at puberty
  • closure of epiphyseal plate
  • calcium deposition in skeletal tissue
  • cholesterol maintainance
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13
Q

Progesterone

A
  • regulation of uterine cycle
  • changes in cervical mucus

During pregnancy:

  • inhibits uterine motility
  • breast development
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14
Q

Menarche
Amenorrhea
Oligomenorrhea
Menopause

A
  • 1st period
  • from low body fat –> leptin hormone and lipid blood levels stimulate GnRH
  • can be bc of pathology, stress, nearing menopause
  • no more ovarian follicles around age 50 –> low estrogen and progesterone
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15
Q

PMS and PMDD

-hormonal causes

A

Prementrual syndrome and premenstrual dysphoric disorder

  • Greater decrease in progesterone in luteal phase
  • dif in interaction b’t ovarian steroids and brain (serotinin is affected)
  • high estrogen at ovulation makes you feel better
  • during luteal phase, feel more negative as estrogen levels fall
  • sometimes skills are affected
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