Reproduction Flashcards

1
Q

steps for fertilsation

A
•	Preparing for fertilization
o	Capacitation
o	The acrosome reaction
•	Penetration of the zona pellucida
•	Fusion of the oocyte and sperm membranes
•	Egg activation  
o	Corticol granule exocytosis
o	Resumption of the cell cycle 
•	 - Polar body is expelled
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2
Q

Brith:

when actions of progesterone dominate

A

uterus is quiet

prostaglandins inhibited

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3
Q

birth:

when actions of oestrogen dominate

A

uterus activated

prostaglandins synthesized

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4
Q

birth:

progesterone

A

need progesterone for pregnancy

wen progesterone low= termination of pregnancy occurs

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5
Q

birth:

glucocorticoids/cortisol

A

before birth, there is a cortisol surge (that can’t be overridden by negative feedback, and doesn’t need ACTH as well for cortisol to increase)

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6
Q

birth:

brown fat

A

has mito and does thermogeneniss (also has adrenergic nerve control to control thermogenesis )

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7
Q

birth:

before brith, what increases in foetus?

A

lecithin (byproduct of surfactant)

corticosteroids

liver glycogen (cos increase in cortisol causes increase of glycogenesis or sumthing)

progesterone

oestrogen

prolactin

cortisol surge

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8
Q

uterotrophic factors

A

prepare uterus for contraction

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9
Q

uterotonic factors

A

casue contractions in uterus:

prostaglandins in uterus
oxytocin from pituitary

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10
Q

uterotrophic and uterotonic factors inhibited by and potentiated by

A

inhibited by progesterone

potentiated by oestrogen

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11
Q

PGE2

A

act on cervix, can be used clinically to induce labour (given as a vaginal gel to soften cervix.

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12
Q

Ferguson reflex:

A

wen baby moves down further, stretches the wall, send signals to brain, release more oxytocin , =more contraction. positive feedback loop

oxytocin involved in ferguson reflex

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13
Q

what initiates birth in humans

A

the signals originate from inside the uterus- could be the baby or the uterine wall etc we dont really know

  • Withdrawal of Progesterone action is necessary
  • Prostaglandins is necessary
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14
Q

stages of labour

A

contractions &amp to full dilation of cervix

full dilation and baby delivered

placenta gotten rid of

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15
Q

wat prevents lactation

A

oestrogen!

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16
Q

endocrine control of lactation

A

during pregnancy: progesterone n oestrogen promote growth of ducts in breast. Prolactin contributes but its action is inhibited by sex steroids

at brith: progesterone and oestrogen conc fall massively

prolactin plataus at a medium level

lactation takes a few days to work

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17
Q

normal menstrual cycle is

A

28 days

normal range 21-35 days

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18
Q

phases of menstrual cycle

A
Follicular phase: variable length
    Menstrual
    Proliferative 
Luteual phase: fixed length of 14 days 
    Secretory
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19
Q

menopause def

A

the last menstrual period in a woman who has

not had a hysterectomy

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20
Q

o Perimenopause def

A

time from the onset of cycle irregularity through until 12 months after the last menstrual period

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21
Q

o Premature ovarian insufficiency def

A

cessation of ovarian function occurring before age 40

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22
Q

menopause facts

A

The last menstrual bleed in a
woman with an intact uterus

Permanent loss of ovarian follicular
development

Loss of cyclical production of
estradiol, progesterone and
testosterone.

o Average age = 51.5 years

23
Q

inhibin

A

• Produced by healthy Graafia follicles

24
Q

ANTI-MULLTERIAN HORMONE (AMH)

A

• A product of growing follicles
indicator of ovarian reserve

the higher the AMH level, the greater the follicle population

low levels predict menopause coming

25
menopause symptoms
* Vasomotor symptoms: hot flushes, night sweats * Crawling sensations on skin * Anxiety (particularly over things which previously don’t cause anxiety) * Irritability * Sleep disturbances * Lessened memory * Lessened concentration * Vaginal dryness * Low libido * Fatigue * Muscle/joint pains * Overall diminished wellbeing * Depression
26
menopause symptoms facts
* Can start several years before menopause * Symptoms may last for MANY years in some women * THERE IS NO CUT-OFF AGE AT WHICH SYMPTOMS BEGIN OR END
27
earliest signs to menopause
* Irregular and/or lighter menses * Symptoms of oestrogen insufficiency or oestrogen excess * Key element: variable length cycles
28
spermiogenesis
wen immobile spermatids become sperm | o theres Nuclear compaction – into head of sperm
29
vas deferens
arise from epididymus with thicker smooth muscle wall | contractile
30
Cryptorchidism
newborn babies with one or both testes remaining undescended
31
testicular cancer
there is disrupted development of germline cells. this disruption happens in FOETUS germ line cells stuff up, and can't get signals from sertoli cells. Germ cells stays undifferentiated as carcinoma in situ in testis. carcinonoma progress to malignancy at puberty
32
Low Androgen=
lower body mass and higher fat mass and glucose intolerance and prediabetes
33
erectile dysfunction
consistant or recurrent inability to sustain or maintain penile erection sufficient for satisfaction/sexual intercourse ED is a sign that something is wrong associated with Cardiovascular disease and diabetes endothelial dysfunction leads to ED
34
• ‘Classic’ androgen deficiency | o Primary
(high LH) – impaired Leydig cell function • Klinefelter’s syndrome men become infertile
35
‘Classic’ androgen deficiency | o Secondary
(low LH) | • Hypothalamo-pituitary disease
36
birth defects: | category X drugs examples
Alcohol Etretinate Isotretinoin
37
birth defects: | category D drugs examples
Warfarin – skeletal Phenytoin (*) – cleft, heart, growth Valproate (*) - NTD
38
birth defects: | Principles of teratology (Wilson)
1. Susceptibility depends on the developmental stage of the foetus 2. Susceptibility depends on the genotype 3. Specific mechanisms occur: growth retardation, functional disorder 4. Access depends on nature or absorption of agent 5. Manifestations are dose-dependent
39
birth: | PGF2 alpha
stimulates uterus to contract
40
puberty: | early infancy -how are hormones
girls: FSH and E2 dominant boys: LH and testos dominant
41
puberty: | hormones at prepubeerty and puberty
prepuberty: LH and FSH low for both girls and boys puberty: lh and fish high for both girls and boys
42
puberty: | activation of HPG axis at what age?
boys: 12 girls: 10.5
43
puberty: | kallmans syndrome
delayed/absent puberty cos gonads have issues cos hypothalamus has issues (hypothalamic hypogonadism)
44
puberty: McCune Albright Syndrome
precocious puberty
45
puberty: | kisspeptin
no kisspeptin= no normal puberty | kisspeptin treatment= induce puberty (in animals)
46
puberty: peak velocity for growing at what age?
boys-14 | girls- 12
47
sexual response: | males
Excitement- mostly para Plataeu phase- mostly para Orgasmic phase- sympa Resolution
48
menopause: | endo of menopause
progressive decrease in primordial follicles progressive decrease in inhibin B progressive increase in FSH late fall in Estradiol (E2) late fall in inhibin A testosterone decreases premenopausal, maintains across menopausal transition
49
menopause: | testosterone
declines with age, not menopause
50
menopause: | clinical symptoms mainly due to
no more oestrogen from ovaries
51
placentation and foetal growth: | transport of stuff
diffusion: gases, drugs, water,urea facilitated diffusion: glucose, lactate active transport: aa Receptor-mediated endocytosis Complex: lipids, cholesterol
52
placentation and foetal growth: | what is a good measure of foetal growth?
E3
53
prevention of birth defects: | newborn screening program in vic
``` PKA-Phenylketonuria metabolic disorders cystic fibrosis hypothyroidism also do biochemical markers ```