ovulation Flashcards

1
Q

what is the average cycle length?

A

28 days

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2
Q

how long is the follicular phase?

A

can vary

menstruation- ovulation (day 14)

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3
Q

how long is the luteal phase?

A

ALWAYS 14 days

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4
Q

what does rapid GnRH pulsatility lead to?

A

Rapid GnRH pulsatility leads to LH release

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5
Q

what does slower GnRH release lead to?

A

Slower GnRH release leads to FSH release

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6
Q

what triggers ovulation?

A

LH

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7
Q

what stimulates follicle development?

A

FSH

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8
Q

what releases GnRH and FSH/LH?

A

GnRH- hypothalamus

FSH/LH- anterior pituitary

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9
Q

when is the follicular phase?

A

menstruation- ovulation (usually day 0- 14)

however follicular phase can vary in time

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10
Q

what phase typically determines the length of a menstrual cycle?

A

Pre ovulatory phase (from the end of menstruation to ovulation) which is the follicular phase

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11
Q

what happens in the ovaries during the menstrual phase?

A

Menstrual phase (days 1-5)
-GnRH is released in slow pulses, triggering the release of FSH
-FSH triggers primary follicle to become a secondary follicle (this may take several cycles)

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12
Q

what is happening to the uterus in the menstrual phase?

A

-Fall in oestrogen and progesterone triggers release of prostaglandins causing uterine spiral arterioles to constrict
-Cells supplies by these arterioles die and the entire stratum functionalis of the endometrium sloughs off leaving the stratum basalis (2-5mm)
-50 to 150mls of blood, mucous ans epithelial cells sheds off from the endometrium, pass through the cervix and vagina

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13
Q

what are the 4 stages of follicular development?

A
  1. Primordial follicles
  2. Primary follicles
  3. Secondary follicles
  4. Antral/ Graafian follicles
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14
Q

explain the structure of a follicle?

A

Oocyte surrounded by granulosa cells

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15
Q

explain what is happening in the ovaries during pre ovulatory phase?

A

Follicles have 4 main stages: Primordial follicles, primary follicles, secondary follicles, antral/ graafian follicles

-Primordial follicles can mature into primary and secondary follicles at any stage during the menstrual cycle
-Once follicles reach secondary phase they develop FSH receptors
-Secondary follicles are stimulated by FSH, causing further development of secondary follcles
-As the secondary follicles grow, the granulosa cells surrounding them begin to release oestrogen
—>Oestrogen causes negative feedback to occur in the pituitary (lowering levels of LH and FSH)
—>Oestrogen also causes cervical mucous to become more permeable allowing sperm to penetrate the cervix around time of ovulation
-One follicle develops more than the others, this dominant follicle becomes the Graafian follicle/ Antral

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16
Q

what occurs to the uterus during the pre ovulatory phase?

A

-Oestrogen released from the secondary follicles and the Graafian follicle stimulate growth of the endometrium
-The stratum basalis undergoes mitosis to produce another stratum functionalis
-The endometrium doubles in thickness (5-10mm)

17
Q

what day does ovulation occur?

A

day 14 in a 28 day menstrual cycle (14 days before menstruation)

18
Q

what occurs in the ovaries during ovulation?

A

-Oestrogen peaks, stimulating more GnRH to be released from the hypothalamus
-GnRH causes anterior pituitary to release FSH and surge of LH
-(Approx 9 hours after released) The surge of LH causes the Graafian Follicle to rupture, releasing the secondary oocyte
-Secondary Oocyte is taken to the fallopian tube

19
Q

what occurs in the uterus during ovulation?

A

-Progesterone and oestrogen continue to cause proliferation of the endometrium

20
Q

what/ when is the post ovulatory phase?

A

The luteal phase
-this is the most constant phase
-lasts 14 days with little variation (starting from day after ovulation- menstruation)