repro physiology Flashcards

1
Q

spermatogonia (germ cells)

A

maintain germ pool and produce primary spermatocytes, they line the seminiferous tubules

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2
Q

sertoli cells

A

secrete inhibin –inhibits FSH
secretes androgen-binding protein which maintains the local level of testosterone
-supports and nourish developing spermatozoa
-produces MIF
-temperature sensitive, decreased sperm production and inhibit with increase temp

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3
Q

leydig cells are endocrine cells

A

secrete testosterone in the presence of LH
testosterone production is not affected by temperature
-found in the interstitial
-contains aromatase

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4
Q

estrogen types

A

ovary 17b-estradiol
placenta estriol
adipose estrone via aromatization

estradiol>estrone>estriol potency

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5
Q

theca cell

A

pulsatile gnRH causes LH to cause cholesterol to convert to androstenedione via desmolase enzyme

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6
Q

granulosa cell

A

pulsatile gnrh causes FSH to cause adrostenedione to form estrogens via aromatase

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7
Q

estrogen

A
  • growth of follicle, endometrial proliferation, increased myometrial excitability
  • feedback inhibition on FSH, LH until the LH surge
  • stimulates prolactin secretion
  • increases transport proteins SHBG
  • increases HDL but lowers LDL
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8
Q

progesterone is produced in the corpus luteum, placenta, adrenal cortex and testes

A
  • stimulation of endometrial glandular secretions and spinal artery development
  • maintancy of pregnancy
  • decreases myometrial excitability
  • production of thick cervical mucus, which inhibits sperm entry into the uterus
  • increases body temperature
  • inhibits LF, FH
  • causes uterine smooth muscle realization (preventing contractions)
  • decreases estrogen receptor expressivity
  • prevents endometrial hyperplaisia
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9
Q

decreased progesterone

A

–> decreased fertility

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10
Q

oligomenorrhea

A

> 35 day cycle

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11
Q

polymenorrhea

A

< 21 day cycle

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12
Q

menorrhagia

A

heavy menstrual bleeding > 80 ml blood loss or > 7 day menses

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13
Q

oogenesis

A
  • primary oocytes (diploid) behing meiosis I during fetal life and complete meiosis I just prior to ovulation
  • Meiosis I is arrested in prophase I for years until ovulation
  • meiosis II is arrested in metaphase II until fertilization (secondary oocyte haploid)
  • if fertilization does not occur within 1 day, the secondary oocyte degenerates
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14
Q

breastmilk

A

contains IgA, macrophages, lymphocytes, reduces infections
-only breastfed infants require vitamin D supplementation
Breast feeding decreases maternal risk of breast and ovarian cancer

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15
Q

hCG

A
  • produced by the synctiotrophoblasts of the placenta
  • maintains the corpus luteum (and thus progesterone) for the 1st trimester by acting like LH.
  • in the second and third trimesters the placenta synthesizes its own estiol and progesterone and the corpus luteum degenerates
  • the alpha subunit is identical to the alpha subunits of FSH, LH and TSH.
  • the beta subunit is unique to pregnancy
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16
Q

menopause

A

decrease estrogen
increase FSH>LH, GnRH
hot flashes, atrophy of vagina, osteoporosis, coronary artery disease, sleep disturbances

17
Q

Androgens

A

Testis: DHT and testosterone
Adrenal: Androstenedione

DHT> testosterone> androstenedione potency

18
Q

testosterone

A
  • differentiation of epidermis, vas deferens, seminal vesicles (internal genitalia except prostate)
  • growth spurt: penis, seminal vesicles, sperm, muscle, RBC
  • deepening of voice
  • closing of epiphyseal plates (via estrogen converted from testosterone)
  • libido
19
Q

DHT

A
  • early differentiation of penis, scrotum and prostate (external)
  • late: prostate growth, balding, sebaceous gland activity
20
Q

5-alpha reductase

A

testosterone –> DHT

  • inhibited by finesteride
  • in males androgens are converted to estrogen in adipose tissue and the testis by cP450 aromatase