pregnancy and reproduction Flashcards

hormones of pregnancy: explain the physiological roles of specific hormones in pregnancy, their sites of synthesis and how their circulating concentrations change throughout pregnancy

1
Q

diagram of hormone changes during pregnancy

A

diagram; human placental lactogen involved in metabolism

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2
Q

where are progesterone and oestrogen produced in first 40 days of pregnancy

A

corpus luteum in maternal ovary

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3
Q

what stimulates progesterone and oestrogen production in first 40 days of pregnancy, what produces it and where does it act, what does it do

A

hCG produced by trophoblasts, acts on LH receptors; used to maintain corpus luteum to continue making progesterone; hCG injections to promote ovulation

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4
Q

what is progesterone and oestrogen essential for in first 40 days of pregnancy

A

developing fetoplacental unit

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5
Q

what hormones do progesterone and oestrogen inhibit

A

maternal LH and FSH by negative feedback

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6
Q

what provides progesterone and oestrogen from day 40 of pregnancy

A

placenta, so hCG levels decrease

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7
Q

diagram showing progesterone and oestrogen production during pregnancy

A

diagram

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8
Q

what are main sources of substrate made into oestrogens

A

maternal and foetal DHEAS

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9
Q

what 6 maternal hormones increase during pregnancy

A

ACTH, and therefore adrenal steroids, prolactin (check visual fields to determine whether prolacintoma in pituitary during pegnancy), IGF1 (stimulated by placental GH-variant), iodothryonines (hCG shares similar receptor to TSH), PTH related peptides (rasies blood Ca2+ to ensure enough through to foetus)

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10
Q

what 3 maternal hormones decrease during pregnancy

A

gonadotrophins, pituitary GH, TSH (can take tablets to replace)

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