Ovarian Function Flashcards

1
Q

What are the two phases of the mestrual cycle?

Which hormone is present in each?

A

Follicular/Proliferative phase: oestrogen

Luteal/Secretory phase: progesterone and oestrogen

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2
Q

Which secondary sex characteristics are controlled by which hormones in females?

A

Oestrogen: breats development, distribution of body fat

Adrenal androgens: growth of pubic and axillary hair, sex drive

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3
Q

Describe the structure of the ovary?

A

Surface epithelium > theca > basal lamina > granulosa cells > antral fluid

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4
Q

Describe the structure of the uterus?

A

Endometrium > myometrium > outer connective tissue > uterine artery

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5
Q

Which parts of the ovary produce hormones?

A

Theca and granulosa cells

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6
Q

Describe the timing of the phases of the menstrual cycle?

What is happening to the follicle in each stage?

A

Follicular/Proliferative: days 0-13 (variable)
Follicle growth in ovary

Ovulation at day 14 (variable)
Release of oocyte

Luteal/Secretory phase: days 15-28 (constant)
Ruptured follicle transforms into corpus luteum

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7
Q

Describe the changes that occur in the endometrial lining during the menstrual cycle?

A

Menses: endometrium shed with no pregnancy

Proliferative phase: new layer of endometrium in preparation for pregnancy

Secretory phase: conversion of endometrium into a secretory structure to promote implantation

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8
Q

Describe the menstrual and uterine cycles?

A
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9
Q

What is the corpus albicans?

A

Regressed form of corpus luteum that appoears when pregnancy does not occur

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10
Q

Describe the hormonal control in the follicular phase of the menstrual cycle?

A

FSH > stimulates follicular development
> granulosa cells produce oestrogen (positive feedback)

LH > stimulates thecal cells to produce androgens > converted to oestrogen in granulosa cells (under control of FSH)

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11
Q

Describe the hormonal control of menstruation during ovulation?

A

High oestrogen > switch to positive feedback to GnRH > LH and FSH surge

High inhibin > inhibits FSH

Low progesterone > positive feedback on GnRH and LH

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12
Q

Why does inhibin inhibit FSH during ovulation?

A

Getting ready for conception > don’t need a new follicle

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13
Q

Describe why oestrogen levels drop after ovulation?

A

No more follicle to produce it

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14
Q

Describe the cervical mucous that is present during ovulation?

A

Abundant, clear, non-viscous

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15
Q

Describe the hormonal control of the menstrual cycle during the early luteal phase?

A

Corpus luteum formed from granulosa cells, secretes:
High oestrogen
High progesterone
High inihibin

Decreased GnRH, LH and FSH

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16
Q

Why are progesterone, oestrogen and inhibin high during the early luteal phase?

A

Oestrogen and progesterone: maintain endometrium

Inhibin: prevent new follicle formation

17
Q

Describe the cervical mucous produced during the early luteal phase?

A

Thick, sticky, viscous mucous

Protect intrauterine environment (don’t need any more sperm)

18
Q

Describe the change in body temperature that occurs in the mestrual cycle?

A

Rises by 0.5 degrees during the early luteal phase

19
Q

Describe the hormonal control of the menstrual cycle during the late luteal phase?

A

Pregnancy: maintain high hormones

No pregnancy: CL dies > low oestrogen and progesterone, low inhibin > increased FSH
Increased LH

20
Q

Describe the process of fertilisation?

A

Sperm capacitation occurs in vagina > sperm reach oocyte in Fallopian tube > acrosomal reaction, zona pellucida and cell junctions dissolve > membranes fuse and sperm nucleus enters > cotrical reaction > diploid cell = zygote

21
Q

What is the purpose of the cortical reaction?

A

Prevents more than one sperm from entering

22
Q

What are the lifespans on sperm and secondary oocytes?

A

Sperm: 48 hours

Secondary oocyte: 12-24 hours

23
Q

Describe the process of zygote development, from ovulation to implantation?

A

Ovulation >

Day 1: fertilisation
Days 2-4: cell division
Days 4-5: blastocyst reaches uterus
Days 5-9: blastocyst implants

24
Q

Describe how the endometrium changes after implantation?

A

Trophoblastoic cells of blastocyst invade endometrium > blastocyst becomes completely buried > endometrium becomes decidus

25
Describe the three phases of pregnancy?
Early pregnancy: weeks 1-2 Embryonic period: weeks 3-8 Foetal period: weeks 9-term
26
Describe the susceptibility during early pregnancy?
Not susceptible to teratogens Susceptible to chromosomal abnormalities Environmental disturbances may interfere with implantation
27
Describe the susceptibility during the embryonic period?
Most susceptible to teratogens
28
When are all organ systems present?
Embryonic period
29
Describe the susceptibilityduring the foetal period?
Physiological defects Minor morphological abnromalities Functional disturbances
30
Describe the factors that influence normal foetal gorwth?
Genetic factors Environmental factors: - multiple pregnancies - maternal malnutrition - placental function - smoking - alcohol - drugs - infectious agents - exercise - environmental chemicals
31
Describe the efficacy of various contraceptive methods?