Puberty Flashcards

1
Q

What are primary and secondary sexual characteristics?

A

Primary- established before birth and directly involved in reproduction

Secondary- develop at puberty and not directly concerned with reproduction
E.g. pubic/ axillary hair, breasts, Male voice

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2
Q

What are the three stages of secondary sexual characteristic development in females and what occurs at each stage?
At what age does this take place?

A

thelarche:
Breast bud
Pubic hair growth

Adrenarche:
Growth spurt
Onset of menstrual

Menarche:
Pubic hair adult
Breasts adult

9-13yrs

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3
Q

What secondary sexual characteristics develop in boys and at what age?

A
Genital development 
Pubic hair growth 
Spermatogenesis
Growth spurt 
Genitalia adult 
Pubic hair adult
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4
Q

What can be used to assess how developed a child is and how many stage are there?

A

The tanner scale

1-5

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5
Q

What does somatic growth depend on? How is it different in boys and girls and why?

A

Depends on growth hormone, Insulin like growth factor -1 and sex steroids

Earlier and shorter in girls

In men: testosterone is converted to oestrogen by aromatisation in peripheral tissues

Oestrogen is responsible for epiphyseal fusion so girls have more and quicker = they reach max height quicker and end up being shorter

Genital development in boys depends on testosterone

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6
Q

What might explain why puberty in Western countries is much earlier than it used to be?

A

C 1800 17yrs
Now <13yrs

Girls Critical weight = 47kg (weight to start puberty bc able to carry a child)
Leptins May be involved in signalling

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7
Q

How is the hypothalamus and pituitary unit involved in different aspects of puberty?

A
Controls: 
The reproductive glands 
Somatic growth 
Lactation 
Milk production
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8
Q

How does the hypothalamus and pituitary unit control puberty?

A

Years before puberty hypothalamus secretes nocturnal pulsatile gonadotropin-realising hormone (GnRH) (regulated light/ leptins)
-> portal system
-> anterior pituitary ->
Stored & new LH and FSH ->
Gonad ->
Androgens and oestrogen (-ve feedback on hypothalamus)

Most parts of reproductive system can work before puberty but don’t bc low hormone level due to low GnRH secretion

At puberty GnRH increases and steady rise in FSH and LH -> androgens/ oestrogen

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9
Q

Which gene is responsible for mammalian GnRH and where is it Expressed? What proves the critical role of GnRH in reproductive maturation?

A

GnRH-1 gene

Discrete population neurones hypothalamus

Treating prepubertal primates GnRH induces puberty

Lack of GnRH -> lack of reproductive development

Used to treat infertile mice -> spermatogenesis and ovarian maturation

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10
Q

What’s another name for the anterior pituitary gland? What 6 peptide hormones does it produce?

A

Adenohypophysis

Prolactin 
FSH
LH
GH
ACTH 
TSH
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11
Q

What does LH specifically stimulate in males? What affects the levels of testosterone?

A

LH stimulated Leydig cells (adjacent to seminiferous tubules which need functioning Leydig) in testis to convert cholesterol to the steroid hormone testosterone

Greatest amount produced from testis (Some from adrenal cortex)

Peaks at 20yrs then slowly declines

Effect of circadian rhythms (highest early morning) and environmental stimuli

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12
Q

What are seminiferous tubules, which make up 90% of testicular volume, surrounded by?

A

Lined by epithelium made from:

  • Supporting Sertoli cells (provide nutrition and hormonal support to germ cells and absorb XS cytoplasm from spermatozoa, activated by FSH. Produce inhibin-ve feedback FSH)
  • Spermatogenic germ cells
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13
Q

Where do FSH and Lh in females act? What do they do?

A

Act via G protein coupled stimulators receptor-> adenylate cyclase

Act on Ovarian (FSH) granulosa and (Lh) theca interna cells

Stimulate steoidgenesis ->
Oestrogen, progesterone, inhibin

Control gamete production (folliculogenesis and ovulation)

Granulosa cells -> oestrogen and Inhibin

Theca interna -> androgens (precursor for oestrogen)

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14
Q

How do levels of oestrogen and progesterone affect GnRH secretion?

A

Moderate titres of oestrogen reduces GnRH (-ve) per pulse

High titres of oestrogen alone promote GnRH -> LH surge (+ve)

Progesterone reduces GnRH frequency of pulses and prevents LH surge (contraceptive). Increases inhibitory effects of moderate oestrogen

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15
Q

Where does inhibin come from and what’s its affect on FSH and LH?

A

From granulosa cells of corpus luteum

Inhibits FSH secretion (Some as males)

Small inhibitory effect on LH

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16
Q

What hormonal changes occur in a growth spurt?

A

Growth hormone - realising hormone from hypothalamus (somatostatin inhibits)->

Anterior pituitary ->
Growth hormone ->

  1. -> insulin like growth factor from liver-> endochondral ossification
  2. Increases TSH -> increases metabolism
  3. Increases androgens -> retention of minerals in body to support growth

Promotes tissue growth