Repro: Female Repro Flashcards
GnRH acts via what mechanism
IP3 mechanism
Female reproductive system= Gonads (_______) + female reproductive tract (_______,_______,_______,_______ & ______)
Ovaries. Vagina, Oviducts, Cervix, Uterus & External genitalia “VOCU E”
GnRH is secreted by the ________ of the hypothalamus into the hypothalamic-hypophyseal portal blood.
Arcuate nuclei
GnRH stimulate the anterior pituitary to secrete ____ & ___.
FSH & LH.
FSH acts on the _______ to maintain _______.
Sertoli cells. Spermatogenesis.
The Sertoli cells also secrete _______, which is involved in negative feedback of FSH secretion.
Inhibin
LH acts on the _________ to promote ___________.
Leydig cells. Testosterone synthesis.
Puberty is initiated by the onset of ________ release from the hypothalamus -> ___ & __ are in turn secreted in pulsatile fashion -> _____ up regulates its own receptor in the anterior pituitary gland.
Pulsatile GnRH. FSH & LH. GnRH.
Ovulation is supressed as long as _____ continues because of the effect of _______.
Lactation. Prolactin.
Action of Prolactin: Inhibits hypothalamic ______ secretion.
GnRH
Action of Prolactin: Inhibits the action of GnRH on the anterior pituitary gland which then inhibits ___ & ____ secretion.
LH & FSH.
Antagonizes the effect of LH and FSH on the ovaries
Prolactin
FSH & LH use what mechanisms and secreted where
cAMP mechanism. Anterior Pituitary Gland.
Stimulates ovulation, formation of corpus luteum, and synthesis of estrogen and progesterone (ovary)
Luteinizing hormone
For steroidogenesis in the ovarian follicle and corpus luteum. Follicular development beyond the ________. Ovulation and luteinization.
Follicle Stimulating Hormone. Antral stage.
True/False. FSH, LH & TSH are related structurally.
True
Belong to the dame glycoprotein family. With a subunit= ______ and b subunit= ______.
FSH, LH & TSH. Identical. Unique.
Steroid hormone synthesis are all derived from
Cholesterol
Conversion of Cholesterol to Pregnelone is mediated by
CYP11A1
Conversion of Androstenadione to Testosterone is mediated by
17-Beta Hydroxysteroid Dehydrogenase “17B HSD”
Conversion of testosterone to estradiol is mediated by
Aromatase or CYP 19
Conversion of testosterone to Dihydrotestosterone (DHT) is mediated by
5-Alpha Reductase
Has both negative and positive feedback effect on FSH & LH secretion.
Estrogen
Action of Estrogen: causes ________ & ________ of the fallopian tubes, uterus, cervix and vagina.
Maturation & Maintenance.
Action of Estrogen: causes the development of
Female secondary characteristics and breasts at puberty
Action of Estrogen: Up-regulates these receptors
LH, Estrogen & Progesterone receptors
Estrogen source in ovary
Estradiol
Estrogen source in placenta
Estriol
Estrogen source in adipose tissue via ______.
Estrone. Aromatization.
Potency of estrogen derivatives
Estradiol > Estriol > Estrone
Action of Estrogen: causes proliferation and development of
Ovarian granulosa cells
Maintains pregnancy
Estrogen & Progesterone
Action of Estrogen: stimulates the _______ (but them blocks the action of the breast)
Prolactin
Action of Estrogen: _______ the uterine threshold to contractile stimuli during pregnancy.
Lowers
Has negative feedback on LH & FSH secretion during Luteal phase
Progesterone
Action of Progesterone: maintains _______ of the uterus during _________.
Secretory activity. Luteal phase.
Action of Progesterone: _______ the uterine threshold to contractile stimuli during pregnancy.
Raises
Action of Progesterone: participates in development of
Breasts
Number of oocytes at birth
2 million
Number of follicles at onset of puberty
400,000
Remaining follicles are depleted at a rate of ______ per month until age ___.
- 35.
After 35y/o, the rate becomes
Faster
____ follicles are normally released during reproductive life = _____ opportunities of pregnancy.
- 400.
99.9% of follicles undergo ______ via _____.
Atresia. Apoptosis.
Primary oocytes begin Meiosis I during ________ and complete Meiosis I just before _________.
Fetal life. Ovulation.
Meiosis begins but level of proteins required for completion of meiosis are too _____. Oocyte arrests at ________. This happens for years until ______.
Low. Prophase I. Ovulation.
Oogenesis flow
Fetus -> Puberty -> Fertilization
As the oocyte grows, it synthesizes enough proteins (_____, _______) to complete meiosis but high ____ levels actively maintain arrest.
CDK 1. Cyclin. cAMP.
Primary oocyte is meiotically _______ but ______.
Competent. Arrested.
A few hours ______ ovulation, oocyte completes meiosis I and meiosis II is arrested at metaphase II until _______.
After. Fertilization.
If fertilization doesn’t occur within 1 day. What will happen
Secondary oocyte degenerates
More constant phase in menstrual cycle
Luteal/Secretory phase
What happens to the endometrium during luteal phase
It thickens
Low levels of progesterone leads to
Bleeding
Approximately how many days do secretory phase persists
14 days
Are muscular tubes with the distal ends close to the surface of each ovary and the proximal ends traversing to the wall of the uterus
Oviducts
Other term for oviducts
Uterine/Fallopian tubes
4 sections of the oviducts from distal to proximal
Infundibulum+fimbriae, Ampulla, Isthmus & Intramural/Uterine segment “IAII”
Part of the oviduct where fertilization occurs. Site for sperm storage. And secrete fluids the provide __________ to preimplantation embryo.
Ampullary-Isthmus junction. Nutritional support.
Is a single organ that sits in the midline of the pelvic cavity between the bladder and the rectum.
Uterus
Innermost layer of the uterus. Mucosa.
Endometrium
Middle layer of the uterus. Three layered. Thick Muscularis layer.
Myometrium
Outermost layer of the uterus. Outer connective tissue and serosa.
Perimetrium
Part of the uterus which is the portion that rises superiorly from the entrance of the oviducts
Fundus
Makes up most of the uterus
Body of uterus
Part of uterus which is a short-narrowed part of the body at its inferior end
Isthmus
About 2/3 of the _______ side of the endometrium is lost during menstruation and is called
Luminal. Stratum functionalis/functional zone
The ______ third of the endometrium that remains after menstruation is called
Basal. Stratum basale/basal zone
The basal zone is fed by _______ that are separated from the ______, and it contains all the cell types of the endometrium. Enumerate.
Straight arteries. Spiral arteries. Stromal cells, Epithelial cells from remaining tips of glands & Endothelial cells. “SEE”
The endocervical canal is lined by __________ that secretes cervical mucus in a hormonally responsive manner.
Simple columnar epithelium
Stimulates the production of a scant, viscous, slightly acidic mucus that is hostile to sperm.
Progesterone.
Stimulates the production of a copious quantity of thin, watery, slightly alkaline mucus that is an ideal environment for sperm.
Estrogen
During the normal menstrual cycle, the conditions of the cervical mucosa are ideal for _________ and viability at the time of _______.
Sperm penetration. Ovulation.
The _______ of the vaginal epithelium are continually desquamating, and the nature of these cells is influenced by the hormonal environment.
Superficial cells
Stimulates the proliferation of vaginal epithelium and increases its glycogen content.
Estrogen
In vagina, the glycogen is metabolized to _______ by commensal lactobacilli, thereby maintaining an _____ environment. This inhibits infection by _________ & _______.
Lactic acid. Acidic. Noncommensal bacteria & Fungi.
Increases the desquamation of epithelial cells
Progesterone
Is required for the closure of the epiphyseal plates of long bones in both sexes
Estrogen
Promotes the survival of osteoblasts and apoptosis of osteoclasts, thereby favoring bone formation over resorption. What effect
Estrogen. Bone Anabolic effect.
Stimulates intestinal Ca absorption. What effect
Estrogen. Calciotrophic.
Its overall effect on the liver is to improve circulating lipoproteins. Increases expression of ____ receptors thereby increasing clearance of __________ particles by the liver. Increases circulating levels of _____.
Estradiol-17B. LDL. Cholesterol-rich LDL. HDL.
Promotes vasodilation through increase production of ____ which relaxes vascular smooth muscle and inhibits ________ activation.
Estrogen. NO. Platelet.
Have less significantly cardiovascular disease than men or postmenopausal women do.
Premenopausal women
Maintain a healthy, smooth skin with normal epidermal and dermal thickness. Stimulates proliferation and inhibits apoptosis of ________.
Progesterone & Estrogen. Keratinocytes.
Progesterone & Estrogen increase ______ synthesis and inhibit the breakdown of it by suppressing matrix _________.
Collagen. Metalloproteinases.
Progesterone and Estrogen increases ________ production and deposition in the dermis and promotes _________.
Glycosaminoglycans. Wound healing.
Is neuroprotective, it inhibits neuronal cell death in response to hypoxia or other insults. Could be explained by positive effects on ________.
Estrogen. Angiogenesis.
Increase the set point of thermoregulation, thereby elevating body temp approximately 0.5’F. Basis for using body temp measurements to determine whether ________ has occurred.
Progesterone. Ovulation.
Is a CNS depressant.
Progesterone
Loss of progesterone on demise of the corpus luteum of menstruation is the basis for
Premenstrual dysphoria/Syndrome PMS
Decreases adipose tissue by decreasing ________ activity and increasing hormone sensitive lipase. It has lipolytic effect.
Estrogen. Lipoprotein lipase.
Loss of estrogen results in
Accumulation of adipose tissue especially in the abdomen