Pathology of the Female Reproductive System - Part 1 Flashcards
Disorders of sexual development (DSD)
* Embryos are ___________
* Presence/absence of ___ chromosome determines Sex
* If XY, the gonads become ______ → ________ and ____-______ hormone: the __________ (Mesonephric) duct persists and the ________ duct (paramesonephric) regresses
* If XX, the gonads become ______ → ________ duct persists and the ______ duct
regresses
* Hormones from the gonads will cause the ______ genitalia to develop either in the male direction (______, ______) or the female direction (_____, ______)
bipotential, Y, testes, Testosterone, Anti-Müllerian, Wolffian, Müllerian
ovaries, Müllerian, Wolffian, external, penis, scrotum, clitoris, vulva
- Abnormalities of sex chromosome origin (Usually _________ to know what went wrong)
- True hermaphroditism (__________)
- Results in abnormal appearing ______ genitalia
impossible, ovotestes, external
What can be seen in the image below?
______________ and _______ fusion of the vulvar lips. The external female genitalia were partially masculinized from exposure to ________ and _____ released from testicular tissue present in its ovotestes during embryonic development.
Clitoromegaly, partial, testosterone, AMH
What can be seen in the image below?
Abnormal internal reproductive organs from a bitch, revealing a _______ uterus (_____________ duct derived). There are bilateral ___________ that are predominantly testicular and an attached _________
(derived from ________ tubules)
hypoplastic, paramesonephric, ovotestes, epididymis, mesonephric
True hermaphroditism (ovotestes)
Even relatively small areas of testicular tissue in ovotestes produce sufficient amounts of 2 hormones: ___________ from the interstitial cells and ____-_________ hormone from Sertoli cells, which act during ____ gestation to masculinize the developing _______ and _______ ducts, tubules, and the ____ genitalia
testosterone, anti- Müllerian, early, mesonephric, paramesonephric, external
Freemartinism in bovine
* ______ and ____ twins
* A freemartin is genetically _____, but has many characteristics of a ____
* Female is ______, male is _____
* Anastomoses develop between the placental ________ systems of the 2 fetuses
* Male hormones _______/______ the female genital organs which will be __________.
Female, male, female, male, infertile, normal, vascular, masculinize, sterilize, hypoplastic
What condition can be seen below?
Freemartinism
Freemartinism results in….
* _______ of ovaries and uterus
* ________ may occur
* Failure of the ____________ ducts to
fuse to form a single ______ body
* Presence of ________ glands
* ______ and _____ does not communicate
* Prominent _____ and a long tuft of ___
attached _______ to the freemartin calf’s
vulva
Hypoplasia, Ovotestes, paramesonephric, uterine, vesicular, Uterus, vagina, clitoris, hair, ventrally
Freemartinism
Follicle stimulating hormone (FSH) is produced by which gland? What does initiate?
The anterior pituitary gland. It initiates the growth of the follicle
Lutenizing hormone (LH) is produced by what gland? What does it stimulate?
The anterior pituitary gland
It stimulates follicle growth and rupture and formation of the corpus luteum
Estrogen is produced by the _________ and prepares the uterus for ________. Causes _________ female sexual characteristics.
ovary, pregnancy, secondary
Progesterone is produced by the ______ ________ and the _________. This hormone _________ a pregnancy.
corpus luteum, placenta, maintains
Prostaglandins
There are _______ types. Causes CL to _______, follicular ________, etc.
many, rupture, rupture
Follicle development
- Cysts
Outside = __________ cysts (Typically occurs in which species?) - Typically from embryonic structures (________ and ______ ducts)
*________ finding
Inside = ________ cysts (species?)
- _________ in origin (can cause disease)
- Rete ovarii = ? (embryonic structure: mesonephric tubules)
- Subepithelial surface structures and surface epithelium
Periovarian, bitches, mares, cats
Wolffian, Mullerian
Incidental, Ovarian, all domestic, Follicular
non-functional serous cysts
What condition can be seen below?
Ovarian cysts
Periovarian cysts
Arise from remnants of:
- ______________ ducts (Mullerian ducts)
- __________ tubules and duct (Wolffian ducts)
Paramesonephric, Mesonephric
Large cystic epoophoron extends from the proximal pole of the ovary of a mare
* From mesonephric tubules
* Incidental findin
What condition can be seen in this image?
Large cystic _________ extends from the _________ pole of the ovary of a mare
* From ________ tubules
* ________ finding
Periovarian cyst
epoophoron, proximal, mesonephric, Incidental
What condition can be seen in the image below?
Paramesonephric duct cyst (fimbrial cyst) extending from the fimbria of the uterine tube of a
mare
- Very common in mares and are incidental finding
This is a Cystic _______ of a _______ duct adjacent to the _____ tube in a cow.
Cystic remnant of a mesonephric duct adjacent to the uterine tube in a cow.
Intraovarian cysts
* Cystic rete ovarii – arise from ________ (_______) ducts remnants
- at the ____ of ovary
- +++_____, ___ and _____ ____.
* Epithelial inclusion cyst of the mare – normal surface epithelium of ovary becomes _______ in ovarian _____ at ovulation
- At the ovulation _____
- Follicular cyst (_________ follicular cyst)
mesonephric, Wolffian, hilus, dogs, cats, guinea pigs, entrapped, stroma, fossa, Anovulatory
What condition is pictured below? What species are typically affected?
Cystic rete ovarii – Dogs, cats and guinea pigs
Epithelial inclusion cyst in mares
* From surface epithelium that is _______ during ________.
* Near to ________ fossa
* Can cause infertility by ________ ovulation and __________ the ovary (if ______)
* They ______ and slowly ______ in size (different from ovarian follicles)
entrapped, ovulation, ovulation, blocking, compressing, bilateral, persist, increase
__________ ________ cyst in mares
Epithelial inclusion cyst in mares
________ _______ cyst in mares
Epithelial inclusion cyst in mares
Anovulatory follicular cysts (_______ follicle) – ______ than they should normally be at
ovulation
* Failure of mature follicle to ______ and persistence
* Cause? Uterine _____? ____ predisposition? Aberration of preovulatory surge of ___
(absence or mistiming) of the surge?
* Possible signs of Hyperestrogenism: bone marrow ______ and changes in the ______
(cystic endometrial ________> ______> ____
Graffian, larger, ovulate, infection, Genetic, LH, suppression, uterus, hyperplasia, mucometra, pyometra