Menstruation Flashcards

1
Q

What is the normally time for ‘loss’?

A

2-8 days, standard is 5 days

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2
Q

what’s the average length of a menstrual cycle?

A

23 - 29 days (average is 29)

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3
Q

what’s the blood loss in menstruation?

A

60 - 80mls

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4
Q

What hormone does the hypothalamus release? And where does it act?

A

GnRH - gonodatrophin releasing hormone is released from the hypothalamus and acts on the anterior pituatary

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5
Q

What hormones are released from the anterior pitutary gland and where do they act?

A

Leutinising hormone and follicle stimulating hormone, these acts on the ovaries
FSH stimulates maturation of an egg within the follicle

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6
Q

What is released from the ovaries and where to they act?

A

Estrodiol (oestrogen) and progesterone and activin inhibin
these all have negative feedback on the pituary and hypothaamis
oestrogen causes endometrial proliferation

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7
Q

where is oxytocin released from?

A

the posterior pituitary

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8
Q

When does the menstrual cycle begin?

A

The first day of menstruation

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9
Q

What is the first half of the menstrual cycle?

A

The follicular phase - the follicles are developing and the endometrium is proliferating

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10
Q

How long is the follicular/ proliferative phase?

A

Variable!! Unlike the luteal phase which is always 14 days after ovulation

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11
Q

How do you work out the day of ovulation?

A

the length of the cycle take away 14 - because the luteal phase is always 14 days and begins with ovulation

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12
Q

Which hormones dominate in the follicular phase?

A

FSH and oestrogen - FSH stimulating the growing follicle and oestrogen (produced by the ovary) stimulating endometrial proliferation

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13
Q

What causes the egg to be released from the dominant follicle?

A

the LH surge (marks the beginning of the luteal stage

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14
Q

Which hormones dominant in the luteal phase?

A

Progesterone

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15
Q

how is progesterone produced in the luteal phase?

A

the follicle becomes a corpus luteam and lives for 14 days secreting progesterone. Progesterone stabilises the endometrium

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16
Q

What does progesterone do in the luteal phase?

A
  • stabilises the endometrium

- stimulates secretions from glands in the endometrium to give the endometrium nourishment ready for implantation

17
Q

What is thelarche?

A

The breast development at 9-11 years old

18
Q

What is adrenarche?

A

growth of pubic hair 11-12 y

19
Q

What is menarche?

A

Final stage of secondary sexual characteristics at 13y, may be irregular at first as oestrogen rises becomes more regular