Periods, 101 Flashcards

1
Q

Survival of ovum = ____ h

Survival of sperm = ____ h

A

6-12

24-48

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2
Q

Typical ejaculate =
vol: ___ mL
conc: ___ mil/mL
tot#: ___ mil

A

1-3
1
100-300

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3
Q

What mechanisms help to facilitate fertilization?

A
  1. timing (boners + female cycle)
  2. lots of sperm
    3; cervical mucus thinning
  3. increased motility of female tract
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4
Q

When does cervical thinning occur?

A

midcycle, due to estrogen

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5
Q

Female tract motility is enhanced by:

A

E2, PG, OT

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6
Q

Successful conception is most likely…

A

2 days before + day of ovulation

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7
Q

How does female age related to contraception?

A

decreased chance of preg after age 35 due to fewer follicles

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8
Q

___% of ova regress before puberty even happens.

A

70

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9
Q

When all ova are gone, ____ occurs

A

menopause

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10
Q

Menopause is associated with a decline in ____ and an increase in ___.

A

decreased estrogen

increased LH + FSH

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11
Q

The follicle secretes:

A

estradiol-17beta
androgen (from thecal cells)
progesterone

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12
Q

Granulosa cells make:

A

estrogen (from androgens)

inhibin

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13
Q

Thecal cells make:

A

androgens

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14
Q

FSH stimulates _____ cells.

LH stimulates _____ cells.

A

granulosa

thecal

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15
Q

Why does only ONE follicle function as the “dominant” follicle?

A

secretes a magical unknown substances which causes the other ovary and the surrounding follicles to regress

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16
Q

The _____ cells secrete inhibin, which feeds back to reduce secretion of _____.

A

granulosa

FSH

**note: this happens at end of follicular and during luteal phases

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17
Q

FSH increases during the menstrual cycle in response to:

A

loss of negative feedback by estrogen, progesterone and inhibin

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18
Q

What surges immediately before ovulation?

A

LH

and FSH, but it’s not a huge surge

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19
Q

When progesterone is high, what is going on in the dominant follicle?

A

it is turning into corpus luteum

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20
Q

What ovarian phase is prior to ovulation?

What ovarian phase is post-ovulation?

A

follicular

luteal

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21
Q

Following the menstrual phase…
What uterine phase is prior to ovulation?
What uterine phase is post-ovulation?

A

proliferative

secretory

22
Q

Progesterone and estrogen levels both begin to decline around week ___ of cycle.

A

4
(thus very low while you’re actually bleeding; and yes, I know for you this like week 7 because your uterus is very nice)

23
Q

How does basal body temp relate to the cycle?

A

increases 1’F following ovulation and remains elevated until menstruation

24
Q

Menstrual phase lasts ___ days.
Proliferative phase lasts ___ days.
Secretory phase lasts ___ days.

25
Estrogen acts via negative feedback on:
1. hypothalamus, blocking release of GnRH 2. FSH release 3. LH release
26
Inhibin acts via negative feedback on:
1. FSH release | 2. Ant. pituitary
27
During the early follicular phase, granulosa cells secrete ___. During mid-follicular phase this hormone acts on ___, which results in...
estrogen granulosa cells to increase their proliferation (via + feedback)
28
Act w/in the follicle to promote cellular proliferation and hormone secretion (4)
inhibin IgF-2 activins VEGF
29
Granulosa cells in the late follicular phase have receptors for:
FSH | LH
30
How do thecal and granulosa cells cooperate?
1. Thecal cells produce androgens, and use progenolone synthesized by granulosa cells 2. Granulosa cells synthesize estradiol, using androgens synth by theca cells
31
Ovulation is triggered by:
LH surge
32
During ovulation, _____ ruptures after attack by ___.
follicular membrane proteolytic enzymes
33
Variation in length of a woman;s cycle is caused by the length of the ______
follicular phase
34
Corpus luteum develops from _____, beginning (when?).
follicular cells shortly before ovulation
35
How can you tell the corpus luteum has started developing (based on hormones)?
small increase in progesterone, which occurs at the end of the follicular phase
36
When does the CL degenerate?
last 5 days of the luteal phase
37
_____ +/- _____ inhibits FSH and LH secretion.
Inhibin +/- progesterone
38
What is luteolysis?
CL regression + degeneration
39
When does luteolysis occur?
day 8 after ovulation
40
What causes the decline in estrogen + progesterone?
degeneration of CL
41
Luteolysis can be prevented by:
stimulation with LH or hCG
42
hCG is produced/secreted by:
placenta, upon implantation of a blastocyst
43
Compared with midfollicular granulosa cells, luteinizing granulosa cells are producing:
progesterone | LH stimulation
44
Why does FSH and LH rise during menstruation?
estrogen, progesterone + inhibin decline, which removes negative feedback inhibition of LH/FSH
45
During menstruation, increased FSH/LH results in:
stimulation of growth of new follicles | which produce estrogen + some inhibin
46
What triggers the LH (+FSH) surge?
new follicles result in steadily increasing estrogen, which triggers LH/FSH surge via increased response of gonadotrophs to GnRH
47
Follicular phase in ovary corresponds to what phase(s) in endometrium?
menstrual + proliferative
48
Luteal phase in ovary corresponds to what phase(s) in endometrium?
secretory
49
You can induce ovulation in women with hypogonadotrophic hypogonadiam by giving them:
regular pulses of GnRH | which result in pretty normal estrogen and progesterone patterns
50
If ovulation doesn't occur, what happens to CL?
still forms/develops + secretes E/P | cycle appears nml
51
An increased incidence of shorter luteal phases has been noted in:
1. women who start a heavy workout program 2. infertile women 3. women w/ 1st trimester miscarriages
52
How are mammary gland cells affected by menstrual cycle?
increased mitotic rate in luteal phase